Page last updated: 2024-10-27

fentanyl and Depression, Involutional

fentanyl has been researched along with Depression, Involutional in 8 studies

Fentanyl: A potent narcotic analgesic, abuse of which leads to habituation or addiction. It is primarily a mu-opioid agonist. Fentanyl is also used as an adjunct to general anesthetics, and as an anesthetic for induction and maintenance. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1078)
fentanyl : A monocarboxylic acid amide resulting from the formal condensation of the aryl amino group of N-phenyl-1-(2-phenylethyl)piperidin-4-amine with propanoic acid.

Depression, Involutional: Form of depression in those MIDDLE AGE with feelings of ANXIETY.

Research Excerpts

ExcerptRelevanceReference
"Medically treated opioid overdoses identify a population at high risk of subsequent mortality and need for treatment."1.62Medically treated opioid overdoses among New Jersey Medicaid beneficiaries: Rapid growth and complex comorbidity amid growing fentanyl penetration. ( Crystal, S; Nowels, M; Olfson, M; Samples, H; Treitler, P; Williams, AR, 2021)
"There is some evidence that sleep deprivation (SD) might exert its antidepressant properties by involving endogenous opioid mechanisms."1.32Blunted prolactin response to fentanyl in depression. Normalizing effect of partial sleep deprivation. ( Arato, M; Frecska, E; Perenyi, A, 2003)

Research

Studies (8)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's3 (37.50)29.6817
2010's4 (50.00)24.3611
2020's1 (12.50)2.80

Authors

AuthorsStudies
Crystal, S1
Nowels, M1
Olfson, M1
Samples, H1
Williams, AR1
Treitler, P1
Light, SN1
Bieliauskas, LA1
Zubieta, JK4
Hsu, DT1
Sanford, BJ1
Meyers, KK1
Love, TM1
Hazlett, KE1
Walker, SJ1
Mickey, BJ2
Koeppe, RA2
Langenecker, SA2
Fava, M1
PeciƱa, M1
Bohnert, AS1
Sikora, M1
Avery, ET1
Shprecher, DR1
Flanigan, KM1
Smith, AG1
Smith, SM1
Schenkenberg, T1
Steffens, J1
Frecska, E1
Perenyi, A1
Arato, M1
Kennedy, SE1
Young, EA1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Predictors of Antidepressant Response[NCT02178696]Phase 444 participants (Actual)Interventional2011-01-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Changes From Baseline in PHQ-9 Depression Scores.

"The Patient Health Questionnaire-9, is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression, based on participant answers. PHQ-9 scores of 5, 10, 15, and 20 represents mild, moderate, moderately severe and severe depression, respectively. The minimum possible score is 0 and the maximum possible score is 27.~The PHQ-9 and QIDS were used to assess changes in mood during the placebo intervention (first 2 weeks), and therefore results are described as changes from the inactive to the active condition." (NCT02178696)
Timeframe: From Pre to post- active placebo, and from pre to post- inactive placebo (1 week intervention)

InterventionUnits on a scale (Mean)
Active Placebo1.6
Inactive Placebo0.96

Changes From Baseline in Quick Inventory of Depressive Symptomatology-Self-Report (QIDS-SR-16) Score

"This scale is a self-report measure of depression with 16 items.~Questions in the QIDS - SR-116 correlate with the nine DSM-IV symptom criterion domains, Including: Sleep disturbance (initial, middle, and late insomnia or hypersomnia) (Q 1 - 4), Sad mood (Q 5), Decrease/increase in appetite/weight (Q 6 - 9), Concentration (Q 10), Self-criticism (Q 11), Suicidal ideation (Q 12), Interest (Q 13), Energy/fatigue (Q 14), Psychomotor agitation/retardation (Q 15 - 16).~Severity of depression can be judged based on the total score: 1-5= No depression; 6-10= Mild depression; 11-15= Moderate depression; 16-20= Severe depression; 21-27= Very severe depression.~The PHQ-9 and QIDS were used to assess changes in mood during the placebo intervention (first 2 weeks), and therefore results are described as changes from the inactive to the active condition." (NCT02178696)
Timeframe: From Pre to post- active placebo, and from pre to post- inactive placebo (1 week intervention)

InterventionUnits on a scale (Mean)
Active Placebo1.7
Inactive Placebo-0.5

Changes in BOLD Response During Reward fMRI Task (Monetary Incentive Delay, MID)

% BOLD signal changes in the nucleus accumbens from the Inactive to the Active Placebo condition. (NCT02178696)
Timeframe: (90 minute fMRI scans) assessed at Weeks 1 and 2

Intervention% BOLD changes from Inactive to Active (Mean)
Changes in BOLD Responses During the MID After Placebo0.04

Changes in Dopamine (D 2/3) Binding Potential During PET.

"Binding Potential= Bmax/Kd (receptor concentration/affinity). This is the most common measure of in vivo receptor binding with PET.~Striatal changes in D2/3 receptor binding potential during PET from the Inactive to the Active condition.~Positive numbers presented here represented reductions in binding potential from the inactive to the active condition." (NCT02178696)
Timeframe: (90 minute PET scan) assessed at Weeks 1 and 2

InterventionBinding potential ratio (Mean)
Average Regional Changes in D2/3 Binding (Inactive-Active Plac0.08

Changes in Mu-opioid Binding Potential During PET

"Binding Potential = Bmax/Kd (receptor concentration/affinity). This is the most common measure of in vivo receptor binding with positron emission tomography. Whole brain changes in mu-opioid receptors binding potential during PET from the Inactive to the Active placebo condition.~Positive numbers presented here represent reductions in binding potential from the inactive to the active condition." (NCT02178696)
Timeframe: (90 minute PET scans) assessed at Weeks 1 and 2

InterventionBinding potential ratio (Mean)
Changes in Mu-opioid Binding (Inactive -Active Placebo)0.12

Hamilton Depression Rating Scale Scores

"The total score is obtained by summing the score of each item, 0-4 (symptom is absent, mild, moderate, or severe) or 0-2 (absent, slight or trivial, clearly present). For the 17-item version, scores can range from 0 to 54, with 0 meaning no depression, and 54, severe depression.~The Hamilton Depression Rating Scale was used to assess symptoms during the open label antidepressant treatment phase, so results are described as mean scores at each bi-weekly visit." (NCT02178696)
Timeframe: Screening, week 0, week 2, week 4, week 8 and week 10

InterventionUnits on a scale (Mean)
Screeningweek 0week 2Week 4week 8week 10
Open-label Antidepressant Treatment After Placebo Experiment2117.213.3118.655.3

Montgomery-Asberg Depression Rating Scale

"Designed in 1979 by researchers as an adjunct to the Hamilton Rating Scale for Depression (HAMD) which would be more sensitive to the changes brought on by antidepressants and other forms of treatment than the Hamilton Scale. MADRS was used to assess symptoms during the open label antidepressant treatment phase, so results are described as mean scores at each bi-weekly visit.~Higher MADRS score indicates more severe depression, and each item yields a score of 0 to 6. The overall score ranges from 0 to 60 where 0 is no depression and 60 is most extreme depression.~The questionnaire includes questions on the following symptoms 1. Apparent sadness 2. Reported sadness 3. Inner tension 4. Reduced sleep 5. Reduced appetite 6. Concentration difficulties 7. Lassitude 8. Inability to feel 9. Pessimistic thoughts 10. Suicidal thoughts~Usual cutoff points are:~0 to 6 - normal[5] /symptom absent 7 to 19 - mild depression 20 to 34 - moderate depression >34 - severe depression" (NCT02178696)
Timeframe: Screening, week 0, week 2, week 4, week 8 and week 10

InterventionUnits on a scale (Mean)
Baselineweek 0week 2week 4week 8week 10
MADRS Scores During the Open-label Antidepressant Treatment27221513117.7

Trials

2 trials available for fentanyl and Depression, Involutional

ArticleYear
Association Between Placebo-Activated Neural Systems and Antidepressant Responses: Neurochemistry of Placebo Effects in Major Depression.
    JAMA psychiatry, 2015, Volume: 72, Issue:11

    Topics: Adult; Analgesics, Opioid; Depressive Disorder, Major; Female; Fentanyl; Humans; Male; Middle Aged;

2015
Dysregulation of endogenous opioid emotion regulation circuitry in major depression in women.
    Archives of general psychiatry, 2006, Volume: 63, Issue:11

    Topics: Adrenocorticotropic Hormone; Adult; Brain; Carbon Radioisotopes; Depressive Disorder, Major; Emotion

2006

Other Studies

6 other studies available for fentanyl and Depression, Involutional

ArticleYear
Medically treated opioid overdoses among New Jersey Medicaid beneficiaries: Rapid growth and complex comorbidity amid growing fentanyl penetration.
    Journal of substance abuse treatment, 2021, Volume: 131

    Topics: Adolescent; Adult; Analgesics, Opioid; Child; Comorbidity; Depressive Disorder, Major; Drug Overdose

2021
"Top-Down" Mu-Opioid System Function in Humans: Mu-Opioid Receptors in Ventrolateral Prefrontal Cortex Mediate the Relationship Between Hedonic Tone and Executive Function in Major Depressive Disorder.
    The Journal of neuropsychiatry and clinical neurosciences, 2017,Fall, Volume: 29, Issue:4

    Topics: Adult; Analgesics, Opioid; Anhedonia; Depressive Disorder, Major; Emotions; Executive Function; Fema

2017
It still hurts: altered endogenous opioid activity in the brain during social rejection and acceptance in major depressive disorder.
    Molecular psychiatry, 2015, Volume: 20, Issue:2

    Topics: Adult; Analgesics, Opioid; Brain; Carbon Radioisotopes; Depressive Disorder, Major; Emotions; Feedba

2015
Implications of a Biosignature Study of the Placebo Response in Major Depressive Disorder.
    JAMA psychiatry, 2015, Volume: 72, Issue:11

    Topics: Analgesics, Opioid; Depressive Disorder, Major; Female; Fentanyl; Humans; Male; Nucleus Accumbens; P

2015
Clinical and diagnostic features of delayed hypoxic leukoencephalopathy.
    The Journal of neuropsychiatry and clinical neurosciences, 2008,Fall, Volume: 20, Issue:4

    Topics: Adult; Analgesics, Opioid; Benzodiazepines; Brain; Cocaine; Cognition Disorders; Depressive Disorder

2008
Blunted prolactin response to fentanyl in depression. Normalizing effect of partial sleep deprivation.
    Psychiatry research, 2003, May-30, Volume: 118, Issue:2

    Topics: Adult; Analgesics, Opioid; Case-Control Studies; Depressive Disorder, Major; Female; Fentanyl; Human

2003