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Research Report| Volume 64, ISSUE 10, P880-883, November 15, 2008

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Posterior Hippocampal Volumes Are Associated with Remission Rates in Patients with Major Depressive Disorder

  • Glenda M. MacQueen
    Correspondence
    Address reprint requests to Glenda M. MacQueen, M.D., Ph.D., St. Joseph's Healthcare, Center for Mountain Health Services, D1, Mood Disorders Program, 100 West 5th St, Hamilton, ON, Canada L8N 3K7
    Affiliations
    Mood Disorders Program, St. Joseph's Healthcare Hamilton and the Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada
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  • Kaan Yucel
    Affiliations
    Mood Disorders Program, St. Joseph's Healthcare Hamilton and the Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada
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  • Valerie H. Taylor
    Affiliations
    Mood Disorders Program, St. Joseph's Healthcare Hamilton and the Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada
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  • Kathryn Macdonald
    Affiliations
    Mood Disorders Program, St. Joseph's Healthcare Hamilton and the Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada
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  • Russell Joffe
    Affiliations
    University of Medicine and Dentistry of New Jersey, Newark, New Jersey
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      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 with MDD, 14 of whom remitted after 8 weeks of first treatment to HC volumes of 32 patients who were not in remission after 8 weeks.

      Results

      Patients who remitted had larger pretreatment hippocampal body/tail volumes bilaterally compared with those who were not in remission at 8 weeks. This difference was not apparent in either the right or left hippocampal head.

      Conclusions

      These findings extend a small number of previous reports, suggesting that regional brain volumes might be associated with rate and extent of clinical response to antidepressant medication.

      Key Words

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      References

        • Campbell S.
        • Marriott M.
        • Nahmias C.
        • MacQueen G.M.
        Lower hippocampal volume in patients suffering from depression: A meta-analysis.
        Am J Psychiatry. 2004; 161: 598-607
        • Videbech P.
        • Ravnkilde B.
        Hippocampal volume and depression: A meta-analysis of MRI studies.
        Am J Psychiatry. 2004; 161: 1957-1966
      1. McKinnon MC, Yucel K, Nazarov A, MacQueen G (in press). A meta-analysis examining clinical predictors of hippocampal volume in patients with major depressive disorder.

        • Hsieh M.H.
        • McQuoid D.R.
        • Levy R.M.
        • Payne M.E.
        • MacFall J.R.
        • Steffens D.C.
        Hippocampal volume and antidepressant response in geriatric depression.
        Int J Geriatr Psychiatry. 2002; 17: 519-525
        • Vakili K.
        • Pillay S.S.
        • Lafer B.
        • Fava M.
        • Renshaw P.F.
        • Bonello-Cintron C.M.
        • et al.
        Hippocampal volume in primary unipolar major depression: A magnetic resonance imaging study.
        Biol Psychiatry. 2000; 47: 1087-1090
        • First M.B.
        • Spritzer R.L.
        • Gibbon M.
        • Williams J.B.W.
        Structured Clinical Interview for DSM-IV-TR Axis 1 Disorders- Research Version, Nonpatient Edition ed.
        Biometrics Research, New York State Psychiatric Institute, New York2001
        • Hamilton M.
        A rating scale for depression.
        J Neurol Neurosurg Psychiatry. 1960; 23: 56-62
        • American Psychiatric Association
        Diagnostic and Statistical Manual of Mental Disorders.
        4th ed. American Psychiatric Press, Washington, DC1994
        • Kennedy S.H.
        • Lam R.W.
        • Cohen N.L.
        • Ravindran A.V.
        Clinical guidelines for the treatment of depressive disorders.
        Can J Psychiatry. 2001; 46: 38S-58S
        • Frank E.
        • Prien R.F.
        • Jarrett R.B.
        • Keller M.B.
        • Kupfer D.J.
        • Lavori P.W.
        • et al.
        Conceptualization and rationale for consensus definitions of terms in major depressive disorder.
        Arch Gen Psychiatry. 1991; 48: 851-855
        • Yucel K.
        • Taylor V.H.
        • McKinnon M.C.
        • Macdonald K.
        • Alda M.
        • Young L.T.
        • et al.
        Bilateral hippocampal volume increase in patients with bipolar disorder and short-term lithium treatment.
        Neuropsychopharmacology. 2008; 33: 361-367
        • Kim J.H.
        • Tien R.D.
        • Felsberg G.J.
        • Osumi A.K.
        • Lee N.
        MR measurements of the hippocampus for lateralization of temporal lobe epilepsy: Value of measurements of the body vs the whole structure.
        AJR Am J Roentgenol. 1994; 163: 1453-1457
        • Kronmuller K.T.
        • Pantel J.
        • Kohler S.
        • Victor D.
        • Giesel F.
        • Magnotta V.A.
        • et al.
        Hippocampal volume and 2-year outcome in depression.
        Br J Psychiatry. 2008; 192: 472-473
        • Frodl T.
        • Meisenzahl E.M.
        • Zetzsche T.
        • Born C.
        • Groll C.
        • Jager M.
        • et al.
        Hippocampal changes in patients with a first episode of major depression.
        Am J Psychiatry. 2002; 159: 1112-1118
        • Caetano S.C.
        • Hatch J.P.
        • Brambilla P.
        • Sassi R.B.
        • Nicoletti M.
        • Mallinger A.G.
        • et al.
        Anatomical MRI study of hippocampus and amygdala in patients with current and remitted major depression.
        Psychiatry Res. 2004; 132: 141-147
        • Mayberg H.S.
        • Brannan S.K.
        • Tekell J.L.
        • Silva J.A.
        • Mahurin R.K.
        • McGinnis S.
        • et al.
        Regional metabolic effects of fluoxetine in major depression: Serial changes and relationship to clinical response.
        Biol Psychiatry. 2000; 48: 830-843
        • Neumeister A.
        • Wood S.
        • Bonne O.
        • Nugent A.C.
        • Luckenbaugh D.A.
        • Young T.
        • et al.
        Reduced hippocampal volume in unmedicated, remitted patients with major depression versus control subjects.
        Biol Psychiatry. 2005; 57: 935-937
        • Maller J.J.
        • Daskalakis Z.J.
        • Fitzgerald P.B.
        Hippocampal volumetrics in depression: The importance of the posterior tail.
        Hippocampus. 2007; 17: 1023-1027
        • Sahay A.
        • Hen R.
        Adult hippocampal neurogenesis in depression.
        Nat Neurosci. 2007; 10: 1110-1115
        • Muigg P.
        • Hoelzl U.
        • Palfrader K.
        • Neumann I.
        • Wigger A.
        • Landgraf R.
        • et al.
        Altered brain activation pattern associated with drug-induced attenuation of enhanced depression-like behavior in rats bred for high anxiety.
        Biol Psychiatry. 2007; 61: 782-796
        • Joca S.R.
        • Padovan C.M.
        • Guimaraes F.S.
        Activation of post-synaptic 5-HT(1A) receptors in the dorsal hippocampus prevents learned helplessness development.
        Brain Res. 2003; 978: 177-184
        • Jongsma M.E.
        • Bosker F.J.
        • Cremers T.I.
        • Westerink B.H.
        • den Boer J.A.
        The effect of chronic selective serotonin reuptake inhibitor treatment on serotonin 1B receptor sensitivity and HPA axis activity.
        Prog Neuropsychopharmacol Biol Psychiatry. 2005; 29: 738-744
        • dos Santos L.
        • de Andrade T.G.
        • Zangrossi J.H.
        5-HT1A receptors in the dorsal hippocampus mediate the anxiogenic effect induced by the stimulation of 5-HT neurons in the median raphe nucleus.
        Eur Neuropsychopharmacol. 2008; 18: 286-294
        • Chen C.H.
        • Ridler K.
        • Suckling J.
        • Williams S.
        • Fu C.H.
        • Merlo-Pich E.
        • et al.
        Brain imaging correlates of depressive symptom severity and predictors of symptom improvement after antidepressant treatment.
        Biol Psychiatry. 2007; 62: 407-414
        • Davidson R.J.
        • Pizzagalli D.
        • Nitschke J.B.
        • Putnam K.
        Depression: Perspectives from affective neuroscience.
        Annu Rev Psychol. 2002; 53: 545-574