2006
DOI: 10.1007/s00213-006-0334-2
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The effects of escitalopram on working memory and brain activity in healthy adults during performance of the n-back task

Abstract: These results suggest that the sub-acute administration of antidepressants in healthy controls does not affect cognitive or hemodynamic function in healthy adults to a magnitude greater than one standard deviation unit. Therefore, the confounding effect of antidepressants on signal intensity in imaging studies of medicated, depressed individuals may be limited.

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Cited by 47 publications
(47 citation statements)
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References 45 publications
(51 reference statements)
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“…Thalamocortical coupling is altered in depression and antidepressant therapy targets this connection [26][27][28]. HC healthy control subjects, rMD remitted depressed subjects, aMD acute depressed patients fMRI-1 functional magnetic resonance imaging session one, HAM-D 24 Hamilton Depression Rrating Scale (24 item version), HAM-A Hamilton Anxiety Rating Scale, BDI Beck Depression Index, CGI Clinical Global Impression scale, f female, m male, y years, m months, r right, l left a p-value chi-square test b p-value analysis of variance c p-value t-test d for detiailed medication see supplementary Table S5 e only one patient Antidepressant effects on the pulvinar and the thalamus are substantiated in other fMRI tasks [29][30][31]. Moreover, thalamocortical connectivity was altered upon ketamine administration [32] and transracial magnetic stimulation to the dorsolateral prefrontal cortex elevated activity in the pulvinar nuclei [33].…”
Section: Discussionmentioning
confidence: 99%
“…Thalamocortical coupling is altered in depression and antidepressant therapy targets this connection [26][27][28]. HC healthy control subjects, rMD remitted depressed subjects, aMD acute depressed patients fMRI-1 functional magnetic resonance imaging session one, HAM-D 24 Hamilton Depression Rrating Scale (24 item version), HAM-A Hamilton Anxiety Rating Scale, BDI Beck Depression Index, CGI Clinical Global Impression scale, f female, m male, y years, m months, r right, l left a p-value chi-square test b p-value analysis of variance c p-value t-test d for detiailed medication see supplementary Table S5 e only one patient Antidepressant effects on the pulvinar and the thalamus are substantiated in other fMRI tasks [29][30][31]. Moreover, thalamocortical connectivity was altered upon ketamine administration [32] and transracial magnetic stimulation to the dorsolateral prefrontal cortex elevated activity in the pulvinar nuclei [33].…”
Section: Discussionmentioning
confidence: 99%
“…It is alleged, but yet unsubstantiated, that psychotropic agents reduce the BOLD signal (Goldman et al, 1996;Rose et al, 2006). It is unlikely that the present results are fully explained by medication effects given that highly symptomatic participants had greater activity for one condition and simultaneously lower activity for another condition and vice-versa, depending on the brain region.…”
Section: Strengths and Limitationsmentioning
confidence: 72%
“…An alteration in blood flow in the regions of thalamus, hypothalamus, and cingulate cortex (Geday et al 2005) and their resultant changes in brain activity have been reported following administration of SSRIs; intravenous administration of citalopram resulted in a time-dependent activation in the thalamus, amygdala, hippocampus, caudate, and striatum (McKie et al 2005). A chronic course of escitalopram treatment for a period of 7 days produced regionally specific activation in the thalamus and anterior cingulate and a decreased activation in inferior frontal gyrus, highlighting the regions susceptible to antidepressant exposure (Rose et al 2006). Similar results have also been reported following fluoxetine or paroxetine administration in healthy subjects (Loubinoux et al 2002).…”
Section: Discussionmentioning
confidence: 95%