Year: 2023
Type: article
Abstract: BACKGROUND: Theoretical models of neural mechanisms underlying Cognitive Behavior Therapy (CBT) for major depressive disorder (MDD) propose that psychotherapy changes neural functioning of prefrontal cortical structures associated with cognitive-control processes (DeRubeis, Siegle, & Hollon, ); however, MDD is persistent and characterized by long-lasting vulnerabilities to recurrence after intervention, suggesting that underlying neural mechanisms of MDD remain despite treatment. It follows that identification of treatment-resistant aberrant neural processes in MDD may inform clinical and research efforts targeting sustained remission. Thus, we sought to identify brain regions showing aberrant neural functioning in MDD that either (1) fail to exhibit substantive change (nonresponse) or (2) exhibit functional changes (response) following CBT. METHODS: = 35) before and after a similar amount of time. We evaluated fMRI data using conjunction analyses, which utilized several contrast-based criteria to characterize brain regions showing both differences between patients and controls at baseline and nonresponse or response to CBT. RESULTS: Findings revealed nonresponse in a cerebellar region and response in prefrontal and parietal regions. CONCLUSIONS: Results are consistent with prior theoretical models of CBT's direct effect on cortical regulatory processes but expand on them with identification of additional regions (and associated neural systems) of response and nonresponse to CBT.
Source: Psychological Medicine
Institutions: University of Pittsburgh, Virginia Tech
Language: English
Subfield: Pharmacology
Field: Medicine
Domain: Health Sciences
Open Access status: green
Awards: Are Cognitive Therapy's Antidepressant Effects Durable?, Translational Neuroimaging in Unipolar Depression: Towards Personalized Treatment, G3364244100, Functional Neuroanatomy of Recovery from Depression, Prophylactic Cognitive Therapy for Depression, Clinical Research Training for Psychologists
OpenAlex ID: W4376643657