Electroconvulsive therapy improves clinical manifestations of treatment-resistant depression without changing serum BDNF levels

被引：27

作者：

Rapinesi, Chiara ^{[1
,2
]}

Kotzalidis, Georgios D. ^{[1
]}

Curto, Martina ^{[1
,3
,4
]}

Serata, Daniele ^{[1
,2
]}

Ferri, Vittoria R. ^{[1
,2
]}

Scatena, Paola ^{[1
,2
]}

Carbonetti, Paolo ^{[2
]}

Napoletano, Flavia ^{[1
]}

Miele, Jessica ^{[5
]}

Scaccianoce, Sergio ^{[5
]}

Del Casale, Antonio ^{[1
,6
]}

Nicoletti, Ferdinando ^{[1
,5
]}

Angeletti, Gloria ^{[1
]}

Girardi, Paolo ^{[1
,2
]}

机构：

[1] Univ Roma La Sapienza, Sch Med & Psychol, St Andrea Hosp, NESMOS Dept Neurosci Mental Hlth & Sensory Organs, I-00185 Rome, Italy

[2] Suore Hosp Sacred Heart Jesus, Villa Rosa, Neuropsychiat Dept, Viterbo, Italy

[3] Harvard Univ, Sch Med, Dept Psychiat, Boston, MA 02115 USA

[4] McLean Hosp, Bipolar & Psychot Disorders Program, Belmont, MA 02178 USA

[5] Univ Roma La Sapienza, Dept Physiol & Pharmacol, I-00185 Rome, Italy

[6] Fdn Padre Alberto Mileno Onlus, Dept Psychiat Rehabil, Chieti, Italy

来源：

PSYCHIATRY RESEARCH | 2015年 / 227卷 / 2-3期

关键词：

Electroconvulsive therapy (ECT); Brain-derived neurotrophic factor (BDNF); serum levels; Treatment-resistant depression; Major depression; Bipolar depression; NEUROTROPHIC FACTOR BDNF; NERVE GROWTH-FACTOR; MAJOR DEPRESSION; HUMAN PLATELETS; RATING-SCALE; BLOOD-LEVELS; BRAIN; PLASMA; ECT; SEIZURES;

D O I：

10.1016/j.psychres.2015.04.009

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Electroconvulsive therapy (Ed') is effective in treatment-resistant depression (TRD). It may act through intracellular process modulation, but its exact mechanism is still unknown. Animal research supports a neurotrophic effect for ECT. We aimed to investigate the association between changes in serum brain-derived neurotrophic factor (sBDNF) levels and clinical improvement following Ed!' in patients with TRD. Twenty-one patients with TRD (2 men, 19 women; mean age, 63.5 years; S.D., 11.9) were assessed through the Hamilton Depression Rating Scale (HDRS), the Brief Psychiatric Rating Scale (BPRS), and the Clinical Global Impressions scale, Severity (CGIs) before and after a complete Ed!' cycle. At the same time-points, patients underwent blood withdrawal for measuring sBDNF levels. ED' significantly reduced HDRS, BPRS, and CGIS scores, but not sBDNF levels. No significant correlation was found between sBDNF changes, and each of HDRS, BPRS, and CGIs score changes. sBDNF levels in TRD patients were low both at baseline and post-ED'. Our results do not support that improvements in TRD following ED' are mediated through increases in sBDNF levels. (C) 2015 Elsevier Ireland Ltd. All rights reserved.

引用

页码：171 / 178

页数：8

共 65 条

[1] Effects of electroconvulsive seizures and antidepressant drugs on brain-derived neurotrophic factor protein in rat brain [J].