The Effect of Second-Generation Antidepressant Treatment on the Executive Functions of Patients With Major Depressive Disorder: A Meta-Analysis Study With Structural Equation Models

Gudayol-Ferré, Esteve; Duarte-Rosas, Patricia; Peró‐Cebollero, Maribel; Guàrdia‐Olmos, Joan

doi:10.1016/j.psychres.2020.113690

Cited by 7 publications

(1 citation statement)

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“…We could not exclude the possibility that antidepressants may play a role in the current executive function findings and, if so, in which direction. For example, whilst some studies suggested that antidepressants may lead to improvement on executive function in MDD patients [ 47 – 49 ], this effect was not consistently observed, with a recent study concluding that the use of antidepressants, particularly SSRIs and trazodone, may instead increase the risk of cognitive impairment 5 years later among the oldest old women [ 50 ]. The current study adopted a real-world, pragmatic design, as requiring patients to wean off medications would likely have worsened their clinical condition and may have placed them at risk, including risk of suicide.…”

Section: Discussionmentioning

confidence: 99%

Association of HTR3B gene polymorphisms with depression and its executive dysfunction: a case–control study

Wang

Zhao

et al. 2023

BMC Psychiatry

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Background Previous studies have shown that depression was associated with HTR3B gene. The aim of this study was to investigate the relationship between polymorphisms of the HTR3B gene and depression and its executive dysfunction in Chinese Han population. Methods A total of 229 patients with depressive disorder and 202 healthy controls were enrolled. Six Single nucleotide polymorphism sites (SNPs) including rs10789970, rs4938056, rs12421126, rs1176744, rs2276305 and rs12795805 were genotyped by Snapshot. Clinical features were collected using a general demographic questionnaire. The 24-item Hamilton Depression Scale (HAMD) was used to assess the symptoms’ severity of the patients. The patients' executive function was assessed using a series of cognitive tests including Maze Test, Symbolic Coding Test, Spatial Span Inverse Order Test, Linking Test, and Emotional Management Test. Results The genotypic and allelic distributions of rs1176744 in HTR3B gene were significantly different (χ2 = 11.129, P = 0.004, χ2 = 9.288, P = 0.002, respectively) between patients and controls. The A allele was positively correlated with depression. The proportion of A carriers was significantly higher and that of C carriers was lower in patients than those in controls. Patients had significantly lower scores of Spatial Span Inverse Order Test in carriers of A allele at locus rs1176744 and higher scores in carriers of C alleles at locus rs1176744 and rs12795805. Conclusions The polymorphisms of HTR3B gene may be associated with depression in Chinese Han population. The A allele of rs1176744 may increase the risk of developing depression and executive dysfunction while C alleles of rs1176744 and rs12795805 may be the protective factors for executive dysfunction in patients with depression.

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Section: Discussionmentioning

confidence: 99%