Table 2.
Predictors of treatment response in LLD
Predictors of Treatment Response | Role | Study | |
---|---|---|---|
Biologic predictors | Serotonin transporter | S allele increases treatment resistance | Lotrich et al,110 2008 |
REM sleep latency | Decreased REM sleep latency correlates with poor response | Reynolds et al,102 1991 | |
Glucose cerebral metabolism | Reduced glucose metabolism in ACC and mPFC correlated with better response | Smith et al,103 1999 | |
Increased metabolism in ACC | Predicts response to rTMS in vascular depression | Narushima et al,81 2010 | |
Clinical predictors | Medical burden | Greater medical burden predicted slower recovery | Dew et al,41 2007 |
Early symptom improvement | Predicted faster response | Mulsant et al,104 2006 | |
Age of onset of first episode | Younger age at onset predicted poorer response | Dew et al,78 1997 | |
Sleep disturbances | Baseline sleep disturbance predicted poorer response | Reynolds et al,102 1991 Dew et al,78 1997 | |
Baseline HDRS scores | Higher score correlated with slower response | Gildengers et al,105 2005 | |
Baseline anxiety | Increased baseline anxiety correlated with slower response | Andreescu et al,45 2007 | |
Suicidal ideation | Baseline suicidal ideation correlated with longer time to response | Szanto et al,106 2003 | |
Response to previous antidepressant treatment | Poor previous antidepressant response correlated with decrease rate of response | Tew et al,107 2006 | |
Psychosocial predictors | Social support | Poor social support and poor family support correlated with poor response | Dew et al,78,108 1997 Martire et al,108 2007 |
Social inequalities | Low income correlated with poorer response | Cohen et al,109 2006 | |
Self-esteem | Higher self-esteem correlated with faster response | Gildengers et al,105 2005 |
Abbreviations: ACC, anterior cingulate cortex; HDRS, Hamilton Depression Rating Scale; mPFC, medial prefrontal cortex; REM, rapid eye movement.