: Leonard, B.E. Leonard
: Depression: From Psychopathology to Pharmacotherapy Modern Trends in Pharmacopsychiatry 27
: Karger
: 9783805596060
: 1
: CHF 159.60
:
: Klinische Fächer
: English
: 274
: DRM
: PC/MAC/eReader/Tablet
: PDF/ePUB
Despite the availability of antidepressants for over 40 years, a substantial proportion of depressed patients do not respond adequately to treatment. Failure to respond effectively to treatment contributes to physical ill-health and psychiatric morbidity, often resulting in premature death of the depressed patient. The purpose of this volume is to consider the possible reasons for the limitations of the currently available antidepressants, to examine the advances in our understanding of the psychopathology of depression and how such knowledge may assist in the discovery of new methods of treatment. Leading international experts in this field discuss the possible underlying reasons for depression and limitations of current antidepressants. Opportunities for novel therapeutic approaches to dysfunctional circadian rhythms and mood disorders as well as current status and future perspectives for optimizing antidepressant management of depression are reviewed. This publication illustrates the breadth of the latest research and is valuable reading for psychiatrists, neuroscientists and pharmacologists.
Cover1
Contents6
Preface8
Antidepressants: Past and Present10
Antidepressant Compounds: A Critical Review10
Abstract10
Traditional Paths for Development of Antidepressant Compounds11
Current Antidepressant Drugs: Are They More Similar than Different?17
Other Central Nervous System Drugs Exploited as Antidepressant Drugs or Augmentation Agents20
Role of Brain-Derived Neurotrophic Factor and Neurogenesis in Antidepressant Action22
Discussion23
References24
Basic and Clinical Aspects of Depression Research29
The Hypothalamic-Pituitary-Adrenal Axis inDepression29
Abstract29
Corticotropin-Releasing Hormone (Corticotropin-Releasing Factor) in Depression32
Vasopressin in Depression33
Secretion of Adrenocorticotropin and Cortisol in Depression34
Dexamethasone Suppression Test35
Adrenocorticotropin Stimulation Test35
Serotonergic Stimulation36
Early-Life Stress and the Hypothalamic-Pituitary-Adrenal Axis36
Effects of Antidepressants on the Hypothalamic-Pituitary-Adrenal Axis37
Cortisol Synthesis Inhibitors in the Treatment of Depression37
Conclusions38
References38
Dysfunctional Circadian Rhythms and Mood Disorders: Opportunities for Novel Therapeutic Approaches41
Abstract41
Circadian Rhythms42
Circadian Rhythms and Major Depression43
Circadian Rhythms and Bipolar Disorder46
The Molecular Clock and Bipolar Disorder48
Circadian Genes and Bipolar Disorder49
Therapeutic Options Based on Circadian Manipulation53
Conclusions55
References56
The Concept of Depression as a Dysfunction of the Immune System62
Abstract62
Interrelationship between Cytokines and Brain Function: Relevance to Depression?63
The Effect of Inflammatory Changes on Mood65
The Role of Stress and Pro-Inflammatory Cytokines66
Serotonin, Stress and Depression68
Stress, Depression and Neurodegeneration70
Antidepressants and Immune Regulation72
Could the Inflammation Hypothesis of Depression Contribute to the Development of Novel Antidepressants?74
References77
The Role of Polyunsaturated Fatty Acids in the Pathology and Treatment of Depression81
Abstract81
n–3 and n–6 Fatty Acids and Their Functions in the Brain and Immune System82
Changes in n–3 and n–6 Fatty Acid Contents in Different Types of Depressed Patients83
n–3 Fatty Acids in the Treatment of Depression: Evidence from Clinical Trials84
The Pharmacological and Therapeutic Mechanism of n–3 Fatty Acids for Treating Depression90
Limitations and Future Research Directions93
References93
Overcoming Antidepressant Treatment Resistance: Focus on Glutamate98
Abstract98
Evidence of Glutamatergic Dysfunction in Major Depressive Disorder99
Ketamine as a Proof-of-Concept Glutamatergic Antidepressant100
Conclusions and Future Directions105
References107
Neuroimaging and the Pathophysiology and Treatment of Depression: Recent Advances and Future Needs110
Abstract110
The Pathophysiology of Depression: Imaging Studies110
Combining Neuroimaging and Genotyping in the Study of Depression119
Neuroimaging and the Treatment of Depression122
The Future of Neuroimaging in Benefiting Individuals with Depression128
References128
Experimental Models of Depression and the Mechanisms of Action of Antidepressants133
Animal Models of Depression – Where Are We Going?133
Abstract133
Traditional Animal Models of Depression134
Endophenotype-Style Approaches137
Depression and Comorbid Indications140
Social Stress-Based Models141
Genetic Predisposition141
Incorporation of Human Findings143
Conclusions and Outlook144
References145
Genetic Models of Depression and Antidepressant Response148
Abstract148
Rat Strains Showing Exaggerated Stress-Induced Behavioral Depression149
Response to Antidepressant Drugs in Wistar-Kyoto Rats152
Mouse Strains Showing Increased Depressive Behaviors153
Measuring Antidepressant Responses in Different Mouse Strains155
Murine Models of Deficient Monoamine Synthesis157
Acknowledgements