دورية أكاديمية

Assessing depression recurrence, cognitive burden, and neurobiological homeostasis in late life: Design and rationale of the REMBRANDT Study.

التفاصيل البيبلوغرافية
العنوان: Assessing depression recurrence, cognitive burden, and neurobiological homeostasis in late life: Design and rationale of the REMBRANDT Study.
المؤلفون: Taylor WD; Center for Cognitive Medicine, Department of Psychiatry and Behavioral Science, Vanderbilt University Medical Center, Nashville, TN.; Geriatric Research, Education, and Clinical Center, Veterans Affairs Tennessee Valley Health System, Nashville, TN., Ajilore O; Department of Psychiatry, University of Illinois-Chicago, Chicago, IL., Karim HT; Department of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh, PA., Butters MA; Department of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh, PA., Krafty R; Department of Biostatistics and Bioinformatics, Emory University, Atlanta, GA., Boyd BD; Center for Cognitive Medicine, Department of Psychiatry and Behavioral Science, Vanderbilt University Medical Center, Nashville, TN., Banihashemi L; Department of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh, PA., Szymkowicz SM; Center for Cognitive Medicine, Department of Psychiatry and Behavioral Science, Vanderbilt University Medical Center, Nashville, TN., Ryan C; Center for Cognitive Medicine, Department of Psychiatry and Behavioral Science, Vanderbilt University Medical Center, Nashville, TN., Hassenstab J; Departments of Neurology and Psychiatry, Washington University in St. Louis, St. Louis, MO., Landman BA; Departments of Computer Science, Electrical Engineering, and Biomedical Engineering, Vanderbilt University; Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center., Andreescu C; Department of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh, PA.
المصدر: Journal of mood and anxiety disorders [J Mood Anxiety Disord] 2024 Mar; Vol. 5. Date of Electronic Publication: 2023 Nov 04.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Inc Country of Publication: United States NLM ID: 9918646056406676 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2950-0044 (Electronic) Linking ISSN: 29500044 NLM ISO Abbreviation: J Mood Anxiety Disord Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [New York] : Elsevier Inc., [2023]-.
مستخلص: Background: Late-life depression is characterized by disability, cognitive impairment and decline, and a high risk of recurrence following remission. Aside from past psychiatric history, prognostic neurobiological and clinical factors influencing recurrence risk are unclear. Moreover, it is unclear if cognitive impairment predisposes to recurrence, or whether recurrent episodes may accelerate brain aging and cognitive decline. The purpose of the REMBRANDT study (Recurrence markers, cognitive burden, and neurobiological homeostasis in late-life depression) is to better elucidate these relationships and identify phenotypic, cognitive, environmental, and neurobiological factors contributing to and predictive of depression recurrence.
Methods: Across three sites, REMBRANDT will enroll 300 depressed elders who will receive antidepressant treatment. The goal is to enroll 210 remitted depressed participants and 75 participants with no mental health history into a two-year longitudinal phase focusing on depression recurrence. Participants are evaluated every 2 months with deeper assessments occurring every 8 months, including structural and functional neuroimaging, environmental stress assessments, deep symptom phenotyping, and two weeks of 'burst' ecological momentary assessments to elucidate variability in symptoms and cognitive performance. A broad neuropsychological test battery is completed at the beginning and end of the longitudinal study.
Significance: REMBRANDT will improve our understanding of how alterations in neural circuits and cognition that persist during remission contribute to depression recurrence vulnerability. It will also elucidate how these processes may contribute to cognitive impairment and decline. This project will obtain deep phenotypic data that will help identify vulnerability and resilience factors that can help stratify individual clinical risk.
Competing Interests: CONFLICT OF INTERESTS: All authors deny any conflict of interest with this work.
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معلومات مُعتمدة: UL1 TR000445 United States TR NCATS NIH HHS; R01 MH121620 United States MH NIMH NIH HHS; R01 MH121384 United States MH NIMH NIH HHS; UL1 TR002243 United States TR NCATS NIH HHS; R01 MH121619 United States MH NIMH NIH HHS
فهرسة مساهمة: Keywords: aging; cognition; depression; longitudinal design; methods; study design
تواريخ الأحداث: Date Created: 20240325 Latest Revision: 20240402
رمز التحديث: 20240402
مُعرف محوري في PubMed: PMC10959248
DOI: 10.1016/j.xjmad.2023.100038
PMID: 38523701
قاعدة البيانات: MEDLINE
الوصف
تدمد:2950-0044
DOI:10.1016/j.xjmad.2023.100038