PMID- 22447660 OWN - NLM STAT- MEDLINE DCOM- 20130129 LR - 20120905 IS - 1520-6394 (Electronic) IS - 1091-4269 (Linking) VI - 29 IP - 9 DP - 2012 Sep TI - Duration of last depressive episode may influence serum BDNF levels in remitted patients with major depression. PG - 775-9 LID - 10.1002/da.21933 [doi] AB - BACKGROUND: Brain-derived neurotrophic factor (BDNF) may have an important role in the pathophysiology of depression. Previous studies indicate that serum BDNF levels were lower in patients with depression and increased after treatment with antidepressants. However, results of studies on serum BDNF levels in remitted patients with depression have been inconsistent. The purpose of the present study was to determine which factors influence the alteration of serum BDNF levels in depression in the remitted state. METHODS: Serum BDNF levels were evaluated in 75 remitted inpatients with major depressive disorder (MDD) and 108 controls. Multiple regression analyses were conducted using serum BDNF levels as the dependent variable; and the number of episodes, Hamilton Rating Scale for Depression score at admission, or duration of last depressive episode as independent variables. RESULTS: Serum BDNF levels were lower in remitted patients with MDD than in controls (P < .001). Multiple regression analysis showed a significant effect between the duration of the last depressive episode and serum BDNF levels (P < .022). CONCLUSIONS: Serum BDNF levels in remitted patients with MDD did not recover to the level of healthy controls, and lower serum BDNF levels were influenced by a longer duration of last depressive episode. It is possible that persistent hippocampal reduction in remitted depression may be caused by lower BDNF levels associated with a longer duration of the last depressive episode. CI - (c) 2012 Wiley Periodicals, Inc. FAU - Takebayashi, Naoko AU - Takebayashi N AD - Department of Psychiatry, Juntendo University, School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, Japan. FAU - Maeshima, Hitoshi AU - Maeshima H FAU - Baba, Hajime AU - Baba H FAU - Nakano, Yoshiyuki AU - Nakano Y FAU - Satomura, Emi AU - Satomura E FAU - Kita, Yohei AU - Kita Y FAU - Namekawa, Yuki AU - Namekawa Y FAU - Nomoto, Hiroshi AU - Nomoto H FAU - Suzuki, Toshihito AU - Suzuki T FAU - Arai, Heii AU - Arai H LA - eng PT - Journal Article DEP - 20120323 PL - United States TA - Depress Anxiety JT - Depression and anxiety JID - 9708816 RN - 0 (Antidepressive Agents) RN - 0 (Brain-Derived Neurotrophic Factor) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Antidepressive Agents/therapeutic use MH - Brain-Derived Neurotrophic Factor/*blood MH - Case-Control Studies MH - Depressive Disorder, Major/*blood/drug therapy/physiopathology MH - Female MH - Humans MH - Inpatients MH - Male MH - Middle Aged MH - Psychiatric Status Rating Scales MH - Regression Analysis EDAT- 2012/03/27 06:00 MHDA- 2013/01/30 06:00 CRDT- 2012/03/27 06:00 PHST- 2011/11/20 00:00 [received] PHST- 2012/01/15 00:00 [revised] PHST- 2012/01/29 00:00 [accepted] PHST- 2012/03/27 06:00 [entrez] PHST- 2012/03/27 06:00 [pubmed] PHST- 2013/01/30 06:00 [medline] AID - 10.1002/da.21933 [doi] PST - ppublish SO - Depress Anxiety. 2012 Sep;29(9):775-9. doi: 10.1002/da.21933. Epub 2012 Mar 23.