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Deep brain stimulation for obsessive–compulsive disorder is associated with cortisol changes

Overview of attention for article published in Psychoneuroendocrinology, January 2013
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Title
Deep brain stimulation for obsessive–compulsive disorder is associated with cortisol changes
Published in
Psychoneuroendocrinology, January 2013
DOI 10.1016/j.psyneuen.2012.12.006
Pubmed ID
Authors

Pelle P. de Koning, Martijn Figee, Erik Endert, Jitschak G. Storosum, Eric Fliers, Damiaan Denys

Abstract

Deep brain stimulation (DBS) is an effective treatment for obsessive-compulsive disorder (OCD), but its mechanism of action is largely unknown. Since DBS may induce rapid symptomatic changes and the pathophysiology of OCD has been linked to the hypothalamic-pituitary-adrenal (HPA) axis, we set out to study whether DBS affects the HPA axis in OCD patients. We compared a stimulation ON and OFF condition with a one-week interval in 16 therapy-refractory OCD patients, treated with DBS for at least one year, targeted at the nucleus accumbens (NAc). We measured changes in 24-h urinary excretion of free cortisol (UFC), adrenaline and noradrenaline and changes in obsessive-compulsive (Y-BOCS), depressive (HAM-D) and anxiety (HAM-A) symptom scores. Median UFC levels increased with 53% in the OFF condition (from 93 to 143nmol/24h, p=0.12). There were no changes in urinary adrenaline or noradrenaline excretion. The increase in Y-BOCS (39%), and HAM-D (78%) scores correlated strongly with increased UFC levels in the OFF condition. Our findings indicate that symptom changes following DBS for OCD patients are associated with changes in UFC levels.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 94 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Netherlands 1 1%
China 1 1%
France 1 1%
Unknown 91 97%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 16 17%
Student > Ph. D. Student 14 15%
Student > Master 14 15%
Researcher 7 7%
Student > Doctoral Student 5 5%
Other 20 21%
Unknown 18 19%
Readers by discipline Count As %
Medicine and Dentistry 29 31%
Psychology 16 17%
Neuroscience 10 11%
Agricultural and Biological Sciences 6 6%
Philosophy 2 2%
Other 4 4%
Unknown 27 29%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 June 2013.
All research outputs
#22,759,452
of 25,374,647 outputs
Outputs from Psychoneuroendocrinology
#3,465
of 3,904 outputs
Outputs of similar age
#261,591
of 292,943 outputs
Outputs of similar age from Psychoneuroendocrinology
#40
of 53 outputs
Altmetric has tracked 25,374,647 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
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