Expectancy effects on serotonin and dopamine transporters during SSRI treatment of social anxiety disorder: a randomized clinical trial.


Journal

Translational psychiatry
ISSN: 2158-3188
Titre abrégé: Transl Psychiatry
Pays: United States
ID NLM: 101562664

Informations de publication

Date de publication:
03 11 2021
Historique:
received: 31 03 2021
accepted: 19 10 2021
revised: 14 09 2021
entrez: 4 11 2021
pubmed: 5 11 2021
medline: 1 2 2022
Statut: epublish

Résumé

It has been extensively debated whether selective serotonin reuptake inhibitors (SSRIs) are more efficacious than placebo in affective disorders, and it is not fully understood how SSRIs exert their beneficial effects. Along with serotonin transporter blockade, altered dopamine signaling and psychological factors may contribute. In this randomized clinical trial of participants with social anxiety disorder (SAD) we investigated how manipulation of verbally-induced expectancies, vital for placebo response, affect brain monoamine transporters and symptom improvement during SSRI treatment. Twenty-seven participants with SAD (17 men, 10 women), were randomized, to 9 weeks of overt or covert treatment with escitalopram 20 mg. The overt group received correct treatment information whereas the covert group was treated deceptively with escitalopram, described as an active placebo in a cover story. Before and after treatment, patients underwent positron emission tomography (PET) assessments with the [

Identifiants

pubmed: 34732695
doi: 10.1038/s41398-021-01682-3
pii: 10.1038/s41398-021-01682-3
pmc: PMC8566580
doi:

Substances chimiques

Serotonin Plasma Membrane Transport Proteins 0
Serotonin Uptake Inhibitors 0
Citalopram 0DHU5B8D6V
Serotonin 333DO1RDJY
Escitalopram 4O4S742ANY
Dopamine VTD58H1Z2X

Types de publication

Journal Article Randomized Controlled Trial Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

559

Informations de copyright

© 2021. The Author(s).

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Auteurs

Olof R Hjorth (OR)

Department of Psychology, Uppsala University, Uppsala, Sweden. olof.hjorth@psyk.uu.se.

Andreas Frick (A)

Department of Psychology, Uppsala University, Uppsala, Sweden.
The Beijer Laboratory, Department of Neuroscience, Psychiatry, Uppsala University, Uppsala, Sweden.

Malin Gingnell (M)

Department of Psychology, Uppsala University, Uppsala, Sweden.
Department of Neuroscience, Psychiatry, Uppsala University, Uppsala, Sweden.

Johanna M Hoppe (JM)

Department of Psychology, Uppsala University, Uppsala, Sweden.

Vanda Faria (V)

Department of Psychology, Uppsala University, Uppsala, Sweden.
Center for Pain and the Brain, Department of Anesthesiology Perioperative and Pain Medicine, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Smell & Taste Clinic, Department of Otorhinolaryngology, TU Dresden, Dresden, Germany.

Sara Hultberg (S)

Department of Psychology, Uppsala University, Uppsala, Sweden.

Iman Alaie (I)

Department of Neuroscience, Child and Adolescent Psychiatry, Uppsala University, Uppsala, Sweden.

Kristoffer N T Månsson (KNT)

Center for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Center for Lifespan Psychology, Max Planck Institute for Human Development, Berlin, Germany.
Max Planck UCL Center for Computational Psychiatry and Ageing Research, Berlin/London, UK.

Jörgen Rosén (J)

Department of Psychology, Uppsala University, Uppsala, Sweden.

Margareta Reis (M)

Department of Biomedical And Clinical Sciences, Linköping University, Linköping, Sweden.
Department of Clinical Chemistry and Pharmacology, Skåne University hospital, Lund, Sweden.

Kurt Wahlstedt (K)

Department of Psychology, Uppsala University, Uppsala, Sweden.

My Jonasson (M)

Department of of Surgical Sciences/Nuclear Medicine and PET, Uppsala University, Uppsala, Sweden.

Mark Lubberink (M)

Department of of Surgical Sciences/Nuclear Medicine and PET, Uppsala University, Uppsala, Sweden.

Gunnar Antoni (G)

Department of Medicinal Chemistry, Uppsala University, Uppsala, Sweden.

Mats Fredrikson (M)

Department of Psychology, Uppsala University, Uppsala, Sweden.
Center for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.

Tomas Furmark (T)

Department of Psychology, Uppsala University, Uppsala, Sweden.

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Classifications MeSH