The change of prefrontal QEEG theta cordance as a predictor of response to bupropion treatment in patients who had failed to respond to previous antidepressant treatments

Eur Neuropsychopharmacol. 2010 Jul;20(7):459-66. doi: 10.1016/j.euroneuro.2010.03.007. Epub 2010 Apr 24.

Abstract

The aim of the study was to examine whether the reduction of theta prefrontal quantitative EEG (QEEG) cordance after one week of bupropion administration is a predictor of response to a 4-week treatment in patients that had failed to respond to previous antidepressant treatments.

Method: EEG data of 18 inpatients were monitored at baseline and after one week. QEEG cordance was computed at 3 frontal electrodes (Fp1, Fp2, Fz). Response to treatment was defined as a >/=50% reduction of MADRS score.

Results: Nine of the eleven responders and one of the seven non-responders showed decreased prefrontal cordance value after the first week of treatment (p=0.01). Positive and negative predictive values of cordance reduction for the prediction of response to the treatment were 0.9 and 0.75, respectively.

Conclusion: Similar to other antidepressants, the reduction of prefrontal QEEG cordance might be helpful in the prediction of the acute outcome of bupropion treatment.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Antidepressive Agents / pharmacology*
  • Antidepressive Agents / therapeutic use
  • Bupropion / pharmacology*
  • Bupropion / therapeutic use
  • Depression / drug therapy
  • Depression / pathology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Predictive Value of Tests
  • Prefrontal Cortex / drug effects
  • Prefrontal Cortex / physiopathology*
  • Statistics, Nonparametric
  • Theta Rhythm / drug effects*
  • Theta Rhythm / methods

Substances

  • Antidepressive Agents
  • Bupropion