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| Name | Class |
|---|---|
| Brigham and Women's Hospital | OTHER |
| Massachusetts General Hospital | OTHER |
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Using an innovative multi-modal imaging approach, this study investigates the role of the neurochemical gamma-aminobutyric acid (GABA), brain activity, as well as hormones in understanding sex differences in Major Depressive Disorder (MDD). Further, the investigators will link these markers to symptoms of depression.
The goals of this research are to investigate: (1) functional and neurochemical features associated with depression irrespective of clinical state; (2) moderating effects of hormones on stress circuitry in MDD; and (3) sex differences in symptoms. To this end, the study is enrolling adults with current depression and remitted depression, along with a control group of psychiatrically health adults. Participants will have an magnetic resonance imaging (MRI) exam involving multiple imaging techniques (functional, structural, spectroscopic) while performing computer-based tests. Additional questionnaires and tests will be done outside the scanner to assess current symptoms and hormone levels. The integration of laboratory-based measures of reward and stress sensitivity, with state-of-the-art imaging techniques and hormonal assessments promises to provide novel insights in the sex-dependent manifestation and pathophysiology of MDD.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Current MDD | Subjects experiencing a current episode of Major Depressive Disorder. | ||
| Remitted MDD | Subjects who have a history of Major Depressive Disorder, but have not had a depressive episode for at least two months. | ||
| Control Subjects | Subjects who have no history of clinical depression or other psychological disorder. |
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| Measure | Description | Time Frame |
|---|---|---|
| Blood oxygen level-dependent (BOLD) activation in response to stress | Region-specific BOLD activation in response to stress in hypothalamus, amygdala, medial prefrontal cortex, orbitofrontal cortex, anterior cingulate cortex, and hippocampus | Baseline. |
| Measure | Description | Time Frame |
|---|---|---|
| Network-specific effective connectivity | Region-specific resting state connectivity of two networks (1) hypothalamus and amygdala, with medial prefrontal cortex and orbitofrontal cortex; and (2) hypothalamus and amygdala, with hippocampus | Baseline |
| GABA concentration |
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Inclusion Criteria for all participants.
Inclusion Criteria for "Current MDD" group:
Inclusion Criteria for "Remitted MDD" group:
Exclusion Criteria for all participants:
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Young adults (ages 18 to 25).
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| Name | Affiliation | Role |
|---|---|---|
| Diego A Pizzagalli, Ph.D. | Mclean Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| McLean Hospital | Belmont | Massachusetts | 02478 | United States |
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| ID | Term |
|---|---|
| D003865 | Depressive Disorder, Major |
| D003863 | Depression |
| ID | Term |
|---|---|
| D003866 | Depressive Disorder |
| D019964 | Mood Disorders |
| D001523 | Mental Disorders |
| D001526 | Behavioral Symptoms |
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Region-specific GABA concentration measured in rostral anterior cingulate cortex and dorsolateral prefrontal cortex |
| Baseline |
| D001519 |
| Behavior |