Journal
JOURNAL OF AFFECTIVE DISORDERS
Volume 150, Issue 2, Pages 330-336Publisher
ELSEVIER SCIENCE BV
DOI: 10.1016/j.jad.2013.04.014
Keywords
Escitalopram; Panic disorder; White matter; Uncinate fasciculus; Fronto-occipital fasciculus
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Funding
- Buddhist Tzu Chi General Hospital Taipei Branch hospital [TCRD-TPE-99-02]
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Objective: We designed this study to investigate neural correlates of white matter micro-structural integrity of remitted patients with first-episode, medication-naive and very late-onset panic disorder Method: Twenty-one remitted patients with panic disorder completed treatment course with treatment of escitalopram (dose range around 10-15 mg/d). Twenty-one healthy controls were also enrolled into this study. Patients and controls all received 3-Tesla magnetic resonance imaging diffusion tensor imaging scanning at baseline and 6th week. We utilized FDT (FMRIB's Diffusion Toolbox v2.0) function of FSL (FMRIB Software Library) to calculate fractional anisotropy (FA). We compared FA values of patients and controls at baseline and 6th week to estimate the changes of FA of remitted patient group and inter-scan bias of controls. FA outputs of remitted patients and controls were compared by independent t test. Results: We found increased FA in some regions of right uncinate fasciculus and left fronoto-occipital fasciculus after remission in patient group (corrected p < 0.05). Reduced FA of other regions of right uncinate fasciculus was still observed in remitted patients when they were compared to the control group. Conclusion: Subtle changes of white matter micro-structural integrity after remission might represent neural correlates of treatment effects for first-episode, medication-naive and very late-onset panic disorder. (C) 2013 Elsevier B.V. All rights reserved.
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