Are neurovegetative symptoms stable in relapsing or recurrent atypical depressive episodes?

Abstract:

:Few data exist that assess the presence of reversed and positive neurovegetative symptoms through successive depressive episodes. To assess the stability of depressive symptoms across episodes, we studied 74 outpatients with atypical unipolar major depression, diagnosed by the Structured Clinical Interview for DSM-III-R, before response to fluoxetine treatment and again after relapse on either fluoxetine or placebo. Patients were assessed at baseline with the Atypical Depression Diagnosis Scale and at baseline and during follow-up with the 17-item Hamilton Rating Scale for Depression. Thirty-two (43%) of responders had a relapse or recurrence, 21 (66%) of whom had a predominance of reversed of positive neurovegetative symptoms at baseline. Nine of 10 (90%) patients with reversed symptoms at baseline had the same symptoms when they relapsed; seven of 11 (64%) of those with positive symptoms at baseline had positive symptoms again (kappa 0.557). Overall, five of 21 (24%) had changes in their disturbances in sleep, appetite, or weight when they relapsed. This study supports the relative stability of neurovegetative symptoms in atypical depression across episodes.

journal_name

Biol Psychiatry

journal_title

Biological psychiatry

authors

Nierenberg AA,Pava JA,Clancy K,Rosenbaum JF,Fava M

doi

10.1016/0006-3223(96)00029-7

subject

Has Abstract

pub_date

1996-10-15 00:00:00

pages

691-6

issue

8

eissn

0006-3223

issn

1873-2402

pii

0006-3223(96)00029-7

journal_volume

40

pub_type

临床试验,杂志文章
  • Thalamic volume in pediatric obsessive-compulsive disorder patients before and after cognitive behavioral therapy.

    abstract:BACKGROUND:Neurobiologic abnormalities in the thalamus have been implicated in the pathophysiology of obsessive-compulsive disorder. We recently reported increased thalamic volume in treatment-naive pediatric obsessive-compulsive disorder patients versus case-matched healthy comparison subjects that decreased to levels...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/s0006-3223(00)00902-1

    authors: Rosenberg DR,Benazon NR,Gilbert A,Sullivan A,Moore GJ

    更新日期:2000-08-15 00:00:00

  • Impaired prepulse inhibition of acoustic startle in schizophrenia.

    abstract:BACKGROUND:Schizophrenics show deficits in sensorimotor gating, as measured by prepulse inhibition of acoustic startle (PPI). The goal of this investigation is to further characterize PPI and habituation deficits in schizophrenia, and to examine whether differing subgroups of schizophrenics would show comparable PPI de...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/s0006-3223(99)00148-1

    authors: Parwani A,Duncan EJ,Bartlett E,Madonick SH,Efferen TR,Rajan R,Sanfilipo M,Chappell PB,Chakravorty S,Gonzenbach S,Ko GN,Rotrosen JP

    更新日期:2000-04-01 00:00:00

  • A placebo-controlled trial of L-365,260, a CCKB antagonist, in panic disorder.

    abstract::The functional role of cholecystokinin in the central nervous system is unknown. The tetra peptide CCK-4 was previously observed to induce panic attacks in a majority of normal volunteers and patients with panic disorder. Furthermore, it had been demonstrated that pretreatment with 10-50 mg of L-365,260, a selective C...

    journal_title:Biological psychiatry

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1016/0006-3223(94)00190-E

    authors: Kramer MS,Cutler NR,Ballenger JC,Patterson WM,Mendels J,Chenault A,Shrivastava R,Matzura-Wolfe D,Lines C,Reines S

    更新日期:1995-04-01 00:00:00

  • Borderline personality, impulsiveness, and platelet monoamine measures in bulimia nervosa and recurrent suicidal behavior.

    abstract::This study examined the relationship between borderline and impulsive personality traits on the one hand, and monoamine function on the other in 15 women with bulimia nervosa and 15 women with recurrent suicidal behavior. Platelet serotonin (5-HT) and platelet monoamine oxidase (MAO) activity were used as peripheral m...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/0006-3223(95)00384-3

    authors: Verkes RJ,Pijl H,Meinders AE,Van Kempen GM

    更新日期:1996-08-01 00:00:00

  • Acute mood and thyroid stimulating hormone effects of transcranial magnetic stimulation in major depression.

    abstract:BACKGROUND:Repetitive transcranial magnetic stimulation (rTMS) has recently been demonstrated to have antidepressant effects. Some work suggests that rTMS over prefrontal cortex administered to healthy individuals produces acute elevations of mood and serum thyroid-stimulating hormone (TSH). We sought to determine whet...

    journal_title:Biological psychiatry

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0006-3223(00)01118-5

    authors: Szuba MP,O'Reardon JP,Rai AS,Snyder-Kastenberg J,Amsterdam JD,Gettes DR,Wassermann E,Evans DL

    更新日期:2001-07-01 00:00:00

  • The role of the one-carbon cycle in neuropsychiatric disease.

    abstract::This paper reviews and correlates three separate recent findings that implicate the one-carbon cycle in neuropsychiatric disease: (i) the demonstration by kinetic studies that the Vmax of methionine adenosine transferase (MAT) is reduced in some schizophrenics and depressives and is increased in some manics, and that ...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:

    authors: Smythies JR

    更新日期:1984-05-01 00:00:00

  • Methylphenidate preferentially increases catecholamine neurotransmission within the prefrontal cortex at low doses that enhance cognitive function.

    abstract:BACKGROUND:Low doses of psychostimulants, such as methylphenidate (MPH), are widely used in the treatment of attention-deficit/hyperactivity disorder (ADHD). Surprisingly little is known about the neural mechanisms that underlie the behavioral/cognitive actions of these drugs. The prefrontal cortex (PFC) is implicated ...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.biopsych.2006.04.022

    authors: Berridge CW,Devilbiss DM,Andrzejewski ME,Arnsten AF,Kelley AE,Schmeichel B,Hamilton C,Spencer RC

    更新日期:2006-11-15 00:00:00

  • Instant neurons: directed somatic cell reprogramming models of central nervous system disorders.

    abstract::Nuclear transplantation, cell fusion, and induced pluripotent stem cell studies have revealed a surprising degree of plasticity in mature mammalian cell fates. Somatic cell reprogramming also has been achieved more recently by the directed conversion of nonneuronal somatic cells, such as skin fibroblasts, to neuronal ...

    journal_title:Biological psychiatry

    pub_type: 杂志文章,评审

    doi:10.1016/j.biopsych.2013.10.027

    authors: Qiang L,Inoue K,Abeliovich A

    更新日期:2014-06-15 00:00:00

  • Delayed circadian rhythm in adults with attention-deficit/hyperactivity disorder and chronic sleep-onset insomnia.

    abstract:BACKGROUND:Previous studies suggest circadian rhythm disturbances in children with attention-deficit/hyperactivity disorder (ADHD) and sleep-onset insomnia (SOI). We investigate here sleep and rhythms in activity and melatonin in adults with ADHD. METHODS:Sleep logs and actigraphy data were collected during 1 week in ...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.biopsych.2009.12.032

    authors: Van Veen MM,Kooij JJ,Boonstra AM,Gordijn MC,Van Someren EJ

    更新日期:2010-06-01 00:00:00

  • Schizotypal personality disorder and MRI abnormalities of temporal lobe gray matter.

    abstract:BACKGROUND:Structural MRI data indicate schizophrenics have reduced left-sided temporal lobe gray matter volumes, especially in the superior temporal gyrus (STG) and medial temporal lobe. Our data further suggest a specificity to schizophrenia spectrum disorders of STG volume reduction. Interpretation of research studi...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/s0006-3223(99)00030-x

    authors: Dickey CC,McCarley RW,Voglmaier MM,Niznikiewicz MA,Seidman LJ,Hirayasu Y,Fischer I,Teh EK,Van Rhoads R,Jakab M,Kikinis R,Jolesz FA,Shenton ME

    更新日期:1999-06-01 00:00:00

  • Neurobiological correlates of high (HAB) versus low anxiety-related behavior (LAB): differential Fos expression in HAB and LAB rats.

    abstract:BACKGROUND:Two Wistar rat lines selectively bred for either high (HAB) or low (LAB) anxiety-related behavior were used to identify neurobiological correlates of trait anxiety. METHODS:We used Fos expression for mapping of neuronal activation patterns in response to mild anxiety-provoking challenges. RESULTS:In both l...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.biopsych.2003.10.021

    authors: Salomé N,Salchner P,Viltart O,Sequeira H,Wigger A,Landgraf R,Singewald N

    更新日期:2004-04-01 00:00:00

  • Localized enlargement of the frontal cortex in early autism.

    abstract:BACKGROUND:Evidence from behavioral, imaging, and postmortem studies indicates that the frontal lobe, as well as other brain regions such as the cerebellum and limbic system, develops abnormally in children with autism. It is not yet clear to what extent the frontal lobe is affected; that is, whether all regions of fro...

    journal_title:Biological psychiatry

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.biopsych.2004.11.005

    authors: Carper RA,Courchesne E

    更新日期:2005-01-15 00:00:00

  • Aberrant Salience, Information Processing, and Dopaminergic Signaling in People at Clinical High Risk for Psychosis.

    abstract::The aberrant salience hypothesis proposes that striatal dopamine dysregulation causes misattribution of salience to irrelevant stimuli leading to psychosis. Recently, new lines of preclinical evidence on information coding by subcortical dopamine coupled with computational models of the brain's ability to predict and ...

    journal_title:Biological psychiatry

    pub_type: 杂志文章,评审

    doi:10.1016/j.biopsych.2020.03.012

    authors: Howes OD,Hird EJ,Adams RA,Corlett PR,McGuire P

    更新日期:2020-08-15 00:00:00

  • Serotonin function and antiaggressive response to fluoxetine: a pilot study.

    abstract:BACKGROUND:The reported inverse relationship between indices of central serotonin (5-HT) function and indices of impulsive aggression in human subjects suggests the possibility that enhancement of 5-HT activity will reduce impulsive aggressive behavior. Although evidence for this hypothesis is emerging, the relationshi...

    journal_title:Biological psychiatry

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/S0006-3223(97)00309-0

    authors: Coccaro EF,Kavoussi RJ,Hauger RL

    更新日期:1997-10-01 00:00:00

  • Mineralocorticoid receptor function in posttraumatic stress disorder after pretreatment with metyrapone.

    abstract:BACKGROUND:Alterations of mineralocorticoid receptor (MR) mediated negative feedback inhibition of cortisol might contribute to abnormalities of hypothalamic-pituitary adrenal (HPA) activity in posttraumatic stress disorder (PTSD). METHODS:In a placebo-controlled study, we examined 11 subjects with PTSD and 11 healthy...

    journal_title:Biological psychiatry

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.biopsych.2006.01.014

    authors: Otte C,Muhtz C,Daneshkhah S,Yassouridis A,Kiefer F,Wiedemann K,Kellner M

    更新日期:2006-10-01 00:00:00

  • Neural correlates of altered pain response in women with posttraumatic stress disorder from intimate partner violence.

    abstract:BACKGROUND:Intimate partner violence (IPV) is one of the most common causes of posttraumatic stress disorder (PTSD) in women. Women with IPV-related PTSD often experience comorbid chronic pain and pain-related disability. Despite the high comorbidity between PTSD and chronic pain, recent evidence suggests that male vet...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.biopsych.2010.03.034

    authors: Strigo IA,Simmons AN,Matthews SC,Grimes EM,Allard CB,Reinhardt LE,Paulus MP,Stein MB

    更新日期:2010-09-01 00:00:00

  • Rapid cycling affective disorders in the mentally retarded.

    abstract::This article describes a group of 10 hospitalized, mentally retarded patients with rapid cycling affective disorders, including details of demography, pattern of illness, and response to an open trial of treatment with lithium and/or carbamazepine. Family histories of these patients revealed high rates of mental illne...

    journal_title:Biological psychiatry

    pub_type: 临床试验,杂志文章

    doi:10.1016/0006-3223(89)90037-1

    authors: Glue P

    更新日期:1989-07-01 00:00:00

  • Unimodal and crossmodal reactivity in autism: presence of auditory evoked responses and effect of the repetition of auditory stimuli.

    abstract::Using auditory evoked responses, this work compares the reactivities to unimodal and crossmodal stimuli and the main neurocognitive functions most often disturbed in autism. With the aim of testing the hypothesis that the deficit in the ability to form crossmodal associations in autism is linked to a cognitive abnorma...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/0006-3223(92)90338-z

    authors: Martineau J,Roux S,Garreau B,Adrien JL,Lelord G

    更新日期:1992-06-15 00:00:00

  • Effective neuroleptic medication removes prepulse inhibition deficits in schizophrenia patients.

    abstract:BACKGROUND:The magnitude of the startle eyeblink response is reduced if the startle eliciting stimulus is shortly preceded by another stimulus. There is evidence that schizophrenia patients exhibit impairments in this so-called prepulse inhibition. Our study investigated whether prepulse inhibition is affected by neuro...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/s0006-3223(99)00229-2

    authors: Weike AI,Bauer U,Hamm AO

    更新日期:2000-01-01 00:00:00

  • Immunity, major depression, and panic disorder comorbidity.

    abstract::Because recent research reports indicated clinical and biological differences in major depression with and without comorbid Diagnostic and Statistical Manual of Mental Disorders (DSM-III-R) panic disorder, and as altered immune measures were reported in selected subgroups of depressive patients, we investigated 51 pai...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/0006-3223(92)90116-h

    authors: Andreoli A,Keller SE,Rabaeus M,Zaugg L,Garrone G,Taban C

    更新日期:1992-05-01 00:00:00

  • Diabetes, sleep disorders, and male sexual function.

    abstract::The prevalence and role of sleep disorders in the sexual problems of diabetic patients remain unexplored. This study was conducted on 40 diabetic men carefully screened to exclude the confounding effects of other medical illnesses or drugs likely to impair sexual function and 40 age-matched healthy volunteers. They un...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/0006-3223(93)90388-t

    authors: Schiavi RC,Stimmel BB,Mandeli J,Rayfield EJ

    更新日期:1993-08-01 00:00:00

  • Dopamine D4 receptor gene polymorphisms and neuroleptic response in schizophrenia.

    abstract:BACKGROUND:Dopamine D4 receptor (DRD4) gene polymorphisms are associated with various pharmacologic activities. This study investigated whether polymorphisms of 48-bp tandem repeats in the exon 3 of the DRD4 gene are related to neuroleptic response. METHODS:The neuroleptic response at the acute stage of schizophrenia ...

    journal_title:Biological psychiatry

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0006-3223(98)00134-6

    authors: Hwu HG,Hong CJ,Lee YL,Lee PC,Lee SF

    更新日期:1998-09-15 00:00:00

  • Fluoxetine administration potentiates the effect of olanzapine on locus coeruleus neuronal activity.

    abstract:BACKGROUND:As many as 30% of individuals diagnosed with depression are nonresponsive to traditional antidepressant medication. Augmentation and combination strategies have emerged in an attempt to address this issue. Atypical antipsychotics (e.g., olanzapine), when added to a selective serotonin reuptake inhibitor (e.g...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.biopsych.2004.02.012

    authors: Seager MA,Huff KD,Barth VN,Phebus LA,Rasmussen K

    更新日期:2004-06-01 00:00:00

  • Posterior hippocampal volumes are associated with remission rates in patients with major depressive disorder.

    abstract:BACKGROUND:The hippocampus (HC) is smaller in patients with recurrent major depressive disorder (MDD), but few longitudinal studies have examined whether volume is associated with clinically meaningful outcomes such as response to treatment. METHODS:We compared regional (head and body/tail) HC volumes in 46 patients w...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.biopsych.2008.06.027

    authors: MacQueen GM,Yucel K,Taylor VH,Macdonald K,Joffe R

    更新日期:2008-11-15 00:00:00

  • Activity-Regulated Cytoskeleton-Associated Protein Accumulates in the Nucleus in Response to Cocaine and Acts as a Brake on Chromatin Remodeling and Long-Term Behavioral Alterations.

    abstract:BACKGROUND:Addiction relies on persistent alterations of neuronal properties, which depends on gene regulation. Activity-regulated cytoskeleton-associated protein (Arc) is an immediate early gene that modulates neuronal plasticity underlying learning and memory. Its role in cocaine-induced neuronal and behavioral adapt...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/j.biopsych.2016.05.025

    authors: Salery M,Dos Santos M,Saint-Jour E,Moumné L,Pagès C,Kappès V,Parnaudeau S,Caboche J,Vanhoutte P

    更新日期:2017-04-01 00:00:00

  • Mechanisms of action of medicines for schizophrenia and bipolar illness: status and limitations.

    abstract::This paper is not a comprehensive review of the literature. Rather, it is a viewpoint based upon advances in other fields of medicine and genetics that may provide a model for guiding research in psychiatry. The paper discusses the major limitations of the medicines currently used to treat schizophrenia and bipolar il...

    journal_title:Biological psychiatry

    pub_type: 杂志文章,评审

    doi:10.1016/j.biopsych.2006.02.022

    authors: Scolnick EM

    更新日期:2006-06-01 00:00:00

  • Attention-deficit/hyperactivity disorder: a selective overview.

    abstract::Attention-deficit/hyperactivity disorder (ADHD) is a multifactorial and clinically heterogeneous disorder that is associated with tremendous financial burden, stress to families, and adverse academic and vocational outcomes. Attention-deficit/hyperactivity disorder is highly prevalent in children worldwide, and the pr...

    journal_title:Biological psychiatry

    pub_type: 杂志文章,评审

    doi:10.1016/j.biopsych.2004.10.020

    authors: Biederman J

    更新日期:2005-06-01 00:00:00

  • Antidepressants and periodic leg movements of sleep.

    abstract:BACKGROUND:Frequent electroencephalographic arousals or awakenings associated with periodic leg movements (PLM) might be responsible in part for the complaints of sleep disturbances made by patients treated with antidepressants. Past studies, however, have determined the effects of only certain limited antidepressants,...

    journal_title:Biological psychiatry

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.biopsych.2005.04.022

    authors: Yang C,White DP,Winkelman JW

    更新日期:2005-09-15 00:00:00

  • The McLean-Harvard first-episode project: 6-month symptomatic and functional outcome in affective and nonaffective psychosis.

    abstract:BACKGROUND:The McLean-Harvard First-Episode Project recruited affective and nonaffective patients at their first lifetime psychiatric hospitalization. METHODS:Baseline evaluation and 6-month follow-up in 257 cases yielded recovery outcomes defined by syndromal (absence of DSM-IV criteria for a current episode) and fun...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/s0006-3223(00)00915-x

    authors: Tohen M,Strakowski SM,Zarate C Jr,Hennen J,Stoll AL,Suppes T,Faedda GL,Cohen BM,Gebre-Medhin P,Baldessarini RJ

    更新日期:2000-09-15 00:00:00

  • SOD-1 activity and platelet membrane fluidity in Alzheimer's disease.

    abstract::An early-onset, familial form of Alzheimer's disease (AD) has been reported to be linked to a locus on the long arm of chromosome 21 (21q21). Furthermore, duplications in the vicinity of this locus involving the beta-amyloid gene and the proto-oncogene ets-2 have been reported in association with AD. The structural ge...

    journal_title:Biological psychiatry

    pub_type: 杂志文章

    doi:10.1016/0006-3223(89)90236-9

    authors: Zubenko GS,Sauer P

    更新日期:1989-03-15 00:00:00