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Neuroanatomic pathways associated with poststroke affective and apathetic depression.

Research Project

Project/Area Number 24591715
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Psychiatric science
Research InstitutionHiroshima University

Principal Investigator

YAMASHITA Hidehisa  広島大学, 大学病院, 講師 (50294591)

Project Period (FY) 2012-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000)
Fiscal Year 2014: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2013: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2012: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywords脳卒中後うつ病 / MRI / SPM / 抑うつ気分 / アパシー / 脳幹 / 基底核 / 左側前頭葉 / 前頭葉皮質 / 注意障害 / モノアミン / 脳血管性うつ病 / 注意機能 / 視床 / 神経回路網
Outline of Final Research Achievements

METHODS: Magnetic resonance imaging acquisitions were obtained from 149 poststroke patients, who were assessed for affective and apathetic symptoms using the Hospital Anxiety and Depression Scale and the Apathy Scale, respectively. We created a statistical parametric map that displayed an association between lesion location and affective and apathetic symptoms.
RESULTS: Among the patients with higher depressive scores, the lesion overlap centered on the brainstem, left basal ganglia, and left frontal cortex. Among the patients with higher apathy scores, the lesion overlap centered on the brainstem and bilateral striatum. The overlap lesion for both affective and apathetic depression centered mainly on the brainstem; however, the two types of depression often did not overlap. CONCLUSIONS: Two core symptoms that can occur after stroke, affective and apathetic symptoms, appear to be associated with different monoaminergic neuroanatomic pathways (serotonergic and dopaminergic).

Report

(4 results)
  • 2014 Annual Research Report   Final Research Report ( PDF )
  • 2013 Research-status Report
  • 2012 Research-status Report
  • Research Products

    (24 results)

All 2015 2014 2013 2012

All Journal Article (15 results) (of which Peer Reviewed: 11 results,  Open Access: 1 results) Presentation (7 results) (of which Invited: 1 results) Book (2 results)

  • [Journal Article] 血管障害とうつ病・アパシー2015

    • Author(s)
      山下英尚、濱聖司、村上太郎、町野彰彦、志々田一宏、小早川誠、淵上学、土岐茂、吉野敦雄、岡本泰昌、山脇成人
    • Journal Title

      老年精神医学雑誌

      Volume: 26 Pages: 19-25

    • Related Report
      2014 Annual Research Report
  • [Journal Article] 抗生剤治療によって精神症状が可逆的であった神経梅毒の1例2014

    • Author(s)
      大村 淳, 淵上 学, 山下 英尚, 岡本 泰昌, 山脇 成人
    • Journal Title

      精神科

      Volume: 25 Pages: 356-362

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 不眠症の薬物療法の今日的問題点 代替薬物療法にエビデンスはあるか2014

    • Author(s)
      山下 英尚,町野 彰彦, 志々田 一宏, 吉野 敦雄, 土岐 茂, 淵上 学, 小早川 誠, 岡本 泰昌, 山脇 成人
    • Journal Title

      精神科

      Volume: 25 Pages: 72-77

    • Related Report
      2014 Annual Research Report
  • [Journal Article] リエゾン精神医療の新標準2014

    • Author(s)
      小早川 誠, 町野 彰彦, 山下 英尚, 林 優美, 山脇 成人
    • Journal Title

      耳鼻咽喉科・頭頸部外科

      Volume: 86 Pages: 644-648

    • Related Report
      2014 Annual Research Report
  • [Journal Article] 脳卒中後うつ病の診断と治療2014

    • Author(s)
      山下 英尚, 濱 聖司, 村上 太郎, 福本 拓治, 町野 彰彦, 志々田 一宏, 小早川 誠, 淵上 学, 吉野 敦雄, 岡本 泰昌, 山脇 成人
    • Journal Title

      精神科治療学

      Volume: 29 Pages: 289-294

    • Related Report
      2014 Annual Research Report
  • [Journal Article] Neuroanatomic pathway associated with attentional deficits after stroke.2014

    • Author(s)
      Murakami T, Hama S, Yamashita H, Onoda K, Hibino S, Sato H, Ogawa S, Yamawaki S, Kurisu K.
    • Journal Title

      Brain Res.

      Volume: 1544 Pages: 25-32

    • DOI

      10.1016/j.brainres.2013.11.029

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Distinctive spontaneous regional neural activity in patients with somatoform pain disorder: A preliminary resting-state fMRI study.2014

    • Author(s)
      Atsuo Yoshino, Yasumasa Okamoto , Yoshihiko Kunisato, Shinpei Yoshimura, Ran Jinnin, Yumi Hayashi, Makoto Kobayakawa, Mitsuru Doi, Kyoko Oshita, Ryuji Nakamura, Keisuke Tanaka, Hidehisa Yamashita, Masashi Kawamoto, Shigeto Yamawaki
    • Journal Title

      Psychiatry Research: Neuroimaging

      Volume: 221 Issue: 3 Pages: 246-248

    • DOI

      10.1016/j.pscychresns.2013.12.006

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Visual imagery while reading concrete and abstract Japanese kanji words: an fMRI study.2014

    • Author(s)
      Atsuko Hayashi, Yasumasa Okamoto, Shinpei Yoshimura, Atsuo Yoshino, Shigeru Toki, Hidehisa Yamashita, Fumio Matsuda, Shigeto Yamawaki
    • Journal Title

      Neuroscience Research

      Volume: 79 Pages: 61-66

    • DOI

      10.1016/j.neures.2013.10.007

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Psychosocial functioning is correlated with activation in the anterior cingulate cortex and left lateral prefrontal cortex during a verbal fluency task in euthymic bipolar disorder: a preliminary fMRI study.2014

    • Author(s)
      Yoshimura Y, Okamoto Y, Onoda K, Okada G, Toki S, Yoshino A, Yamashita H, Yamawaki S.
    • Journal Title

      Psychiatry Clin Neurosci.

      Volume: 68 Pages: 188-196

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Neuroanatomic pathways associated with poststroke affective and apathetic depression.2013

    • Author(s)
      Murakami T, Hama S, Yamashita H, Onoda K, Kobayashi M, Kanazawa J, Yamawaki S, Kurisu K.
    • Journal Title

      Am J Geriatr Psychiatry.

      Volume: 21 Issue: 9 Pages: 840-847

    • DOI

      10.1016/j.jagp.2013.01.057

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Negative Correlation between Affective Symptoms and Prefrontal Activation during a Verbal Fluency Task : A Near-Infared Spectroscopy Study2013

    • Author(s)
      Sawa, M.
    • Journal Title

      Neuropsychobiology

      Volume: 67 Issue: 2 Pages: 103-110

    • DOI

      10.1159/000345161

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Automatic and Intentional Brain Responses during Evaluation of Face Approachability: Correlations with Trait Anxiety2013

    • Author(s)
      Toki, S., Okamoto, Y, et al
    • Journal Title

      Neuropsychobiology

      Volume: 68 Issue: 3 Pages: 156-167

    • DOI

      10.1159/000353268

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Distinctive neural responses to pain stimuli during induced sadness in patients with somatoform pain disorder: An fMRI study.2013

    • Author(s)
      Atsuo Yoshino, Yasumasa Okamoto, Shinpei Yoshimura, Kazuhiro Shishida, Shigeru Toki , Mitsuru Doi, Akihiko Machino, Takuji Fukumoto, Hidehisa Yamashita, Shigeto Yamawaki
    • Journal Title

      NeuroImage: Clinical

      Volume: 2 Pages: 782-789

    • DOI

      10.1016/j.nicl.2013.06.001

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Depressive symptoms and apathy are associated with psychomotor slowness and frontal activation2012

    • Author(s)
      Sawa, M.
    • Journal Title

      European Archives of Psychiatry and Clinical Neuroscience

      Volume: 262 Issue: 6 Pages: 493-499

    • DOI

      10.1007/s00406-012-0296-9

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Sadness enhances the experience of pain and affects pain-evokedcortical activities : an MEG study.2012

    • Author(s)
      Yoshino A, Okamoto Y, Onoda K, Shishida K, Yoshimura S, Kunisato Y, Demoto Y, Okada G, Toki S, Yamashita H, Yamawaki S.
    • Journal Title

      The Journal of Pain

      Volume: 13 Issue: 7 Pages: 628-635

    • DOI

      10.1016/j.jpain.2011.12.005

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Presentation] 脳卒中後のうつと不安2015

    • Author(s)
      山下英尚、濱聖司、村上太郎、藤川徳美、山脇成人
    • Organizer
      第7回日本不安症学会
    • Place of Presentation
      広島
    • Year and Date
      2015-02-14 – 2015-02-15
    • Related Report
      2014 Annual Research Report
  • [Presentation] 最新の不眠症治療戦略2015

    • Author(s)
      山下英尚
    • Organizer
      第7回日本不安症学会
    • Place of Presentation
      広島
    • Year and Date
      2015-02-14 – 2015-02-15
    • Related Report
      2014 Annual Research Report
  • [Presentation] Vascular depression and apathy2014

    • Author(s)
      Yamashita H
    • Organizer
      14th Annual meeting of International College of Geriatric Psychoneuropharmacology
    • Place of Presentation
      筑波
    • Year and Date
      2014-10-01 – 2014-10-04
    • Related Report
      2014 Annual Research Report
  • [Presentation] 高齢者うつ病の薬物療法アップデート2014

    • Author(s)
      山下英尚
    • Organizer
      第11回日本うつ病学会
    • Place of Presentation
      広島
    • Year and Date
      2014-07-18 – 2014-07-19
    • Related Report
      2014 Annual Research Report
  • [Presentation] Neuroanatomical pathways associated with post-stroke affective and apathetic depression2013

    • Author(s)
      Yamashita H, Murakami T, Hama S, Yamawaki S.
    • Organizer
      第13回国際老年精神神経薬理学会
    • Place of Presentation
      アメリカ合衆国、ピッツバーグ
    • Related Report
      2013 Research-status Report
  • [Presentation] 血管性うつ病と認知機能障害2013

    • Author(s)
      山下英尚
    • Organizer
      第10回日本うつ病学会
    • Place of Presentation
      北九州市
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] Neuroanatomical pathways associated with post-stroke depression-Structural MRI study-2012

    • Author(s)
      Hidehisa Yamashita, Yohei Tomita, Shigeto Yamawaki
    • Organizer
      第12回国際老年精神神経薬理学会
    • Place of Presentation
      スペイン・セビリア市
    • Related Report
      2012 Research-status Report
  • [Book] 神経疾患 最新の治療2015-20172015

    • Author(s)
      山下英尚・山脇成人
    • Total Pages
      310
    • Publisher
      南江堂
    • Related Report
      2014 Annual Research Report
  • [Book] 情動の仕組みとその異常、臨床編2015

    • Author(s)
      三宅典恵、山下英尚
    • Total Pages
      232
    • Publisher
      朝倉書店
    • Related Report
      2014 Annual Research Report

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Published: 2013-05-31   Modified: 2019-07-29  

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