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  <title>NITRC News Group Forum: effect-of-electroconvulsive-therapy-on-neural-response-to-affective-pictures--a-randomized--sham-controlled-fmri-study.</title>
  <link>http://www.nitrc.org/forum/forum.php?forum_id=8687</link>
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	&lt;table border=&quot;0&quot; width=&quot;100%&quot;&gt;&lt;tr&gt;&lt;td align=&quot;left&quot;/&gt;&lt;td align=&quot;right&quot;&gt;&lt;a href=&quot;https://www.ncbi.nlm.nih.gov/sites/entrez?db=pubmed&amp;amp;cmd=Link&amp;amp;LinkName=pubmed_pubmed&amp;amp;from_uid=29891215&quot;&gt;Related Articles&lt;/a&gt;&lt;/td&gt;&lt;/tr&gt;&lt;/table&gt;
        &lt;p&gt;&lt;b&gt;Effect of electroconvulsive therapy on neural response to affective pictures: A randomized, sham-controlled fMRI study.&lt;/b&gt;&lt;/p&gt;          
        &lt;p&gt;Eur Neuropsychopharmacol. 2018 Jun 08;:&lt;/p&gt;
        &lt;p&gt;Authors:  Miskowiak KW, Macoveanu J, Jørgensen MB, Ott CV, Støttrup MM, Jensen HM, Jørgensen A, Harmer CJ, Paulson OB, Siebner HR, Kessing LV&lt;/p&gt;
        &lt;p&gt;Abstract&lt;br/&gt;
        Electroconvulsive therapy (ECT) is the most effective treatment for severe depression but its neurocognitive mechanisms are unclear. This randomized, sham-controlled functional magnetic resonance imaging (fMRI) study explored the effects of a single ECT on neural response to affective pictures. Twenty-seven patients with major depressive disorder were randomized to a single active ECT (N = 15) or sham (N = 12) session in a double-blind, parallel-group design. On the following day, patients underwent fMRI during which they viewed pleasant, unpleasant and neutral pictures and performed a free recall test after the scan. Mood symptoms were assessed before ECT/sham and at the time of fMRI. Subsequently, all patients continued active ECT as usual. Mood symptoms were reassessed after six active ECT sessions. A single ECT vs. sham session reduced neural response to unpleasant vs. pleasant pictures in the medial prefrontal cortex, a region showing greater response in the more depressed patients. This effect occurred in the absence of between-group differences in picture recall, mood symptoms or concomitant medication. In conclusion, modulation of medial prefrontal hyper-activity during encoding of negative affective information may be a common mechanism of distinct biological depression treatments.&lt;br/&gt;
        &lt;/p&gt;&lt;p&gt;PMID: 29891215 [PubMed - as supplied by publisher]&lt;/p&gt;
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