Author:
Bares Martin,Brunovsky Martin,Kopecek Miloslav,Novak Tomas,Stopkova Pavla,Kozeny Jiri,Sos Peter,Krajca Vladimir,Höschl Cyril
Abstract
AbstractIntroductionPrevious studies of patients with unipolar depression have shown that early decrease of prefrontal EEG cordance in theta band can predict clinical response to various antidepressants. We have now examined whether decrease of prefrontal quantitative EEG (QEEG) cordance value after 1 week of venlafaxine treatment predicts clinical response to venlafaxine in resistant patients.MethodWe analyzed 25 inpatients who finished 4-week venlafaxine treatment. EEG data were monitored at baseline and after 1 week of treatment. QEEG cordance was computed at three frontal electrodes in theta frequency band. Depressive symptoms and clinical status were assessed using Montgomery–Åsberg Depression Rating Scale (MADRS), Beck Depression Inventory-Short Form (BDI-S) and Clinical Global Impression (CGI).ResultsEleven of 12 responders (reduction of MADRS ≥50%) and only 5 of 13 non-responders had decreased prefrontal QEEG cordance value after the first week of treatment (p = 0.01). The decrease of prefrontal cordance after week 1 in responders was significant (p = 0.03) and there was no significant change in non-responders. Positive and negative predictive values of cordance reduction for response were 0.7 and 0.9, respectively.ConclusionThe reduction of prefrontal theta QEEG cordance value after first week of treatment might be helpful in the prediction of response to venlafaxine.
Publisher
Cambridge University Press (CUP)
Subject
Psychiatry and Mental health
Reference53 articles.
1. [50] Trivedi, M.H. Kurian, B.T. Grannemann, B.D. Clinical predictors in major depressive disorder Psychiatry Weekly May 21, 2007 Available from: http://www.psychiatryweekly.com.
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