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PET Scans Reveal How Psychodynamic Therapy for Depressed Patients May Alter Brain Function

By MedImaging International staff writers
Posted on 19 Nov 2014
New imaging findings show that metabolic differences in a major brain region could predict which patients are most likely to respond to psychodynamic therapy.

A study from Massachusetts General Hospital (MGH; Boston, MA, USA) has identified for the first time changes in the metabolic activity of a key brain region in patients successfully treated for depression with psychodynamic psychotherapy, suggesting a process behind one of the most generally significantly and widely practiced forms of therapy. The investigators also found evidence that pretreatment metabolism in a different brain structure might predict which patients are likely to respond to that form of therapy. Their report was published online November 2014 in the journal Psychotherapy and Psychosomatics.

Psychodynamic psychotherapy, believed to be a replacement for Freudian analysis, focuses on how a patient’s earlier life experiences, especially important relationships, influence their character and how they relate to others. By studying a patient’s past and current relationships—including the relationship with the therapist—therapy focuses on helping the patient gain insights that can change both mood and behavior.

“Psychodynamic psychotherapy might be considered the original form of ‘personalized medicine,’ since it draws directly from a patient’s unique experiences to shape the course of treatment,” said Joshua Roffman, MD, MGH department of psychiatry, lead author of the report. “While it has been a core part of psychiatric training for decades and continues to be widely practiced, psychodynamic psychotherapy hasn’t been studied as broadly as have other approaches for a number of reasons, including its greater subjectivity and treatment-by-treatment variability. We do know that psychodynamic treatments are effective for some patients, and this study examined whether differences in neural activity could predict which patients would complete the course of therapy and which would drop out, a common occurrence for any type of therapy.”

The study enrolled 16 patients diagnosed with major depression for whom previous treatment with medication had not been successful. Prior to beginning the therapy program, participants received standardized assessments of their depression symptoms and of psychological mindedness—the capacity to recognize and understand their own emotions, motivations and actions. Before the first therapy session, participants had a PET imaging procedure that assesses metabolic activity within the brain by measuring glucose uptake.

The study protocol involved 16 weekly individual psychodynamic psychotherapy sessions that, while flexible enough to be adapted to individual patients’ needs, followed a predefined theme and sequence. With participants’ permission, sessions were videotaped and later reviewed by another member of the study team, both to insure that sessions followed the defined pattern and to assess how well participants developed new insights through the therapy. Seven participants discontinued therapy while nine completed all therapy sessions, which were followed by a second set of PET images, taken within a week of therapy’s conclusion, and repeat evaluation of depression symptoms.

The PET scans captured before the beginning of therapy revealed that metabolic activity of the right insula—a brain region known to be important for emotional regulation and previously implicated in depression—was higher in participants with more severe depression symptoms. Almost all of those who completed the therapy had a greater than 50% reduction in depression symptoms, although improvement was not clinically evident until after the fourth week of treatment, on average. Reduced metabolic activity within the insula from pre- to post-treatment was associated with greater symptom reduction and was correlated with the degree of insight each participant achieved, as determined by the outside observers.

The pretreatment PET scans also revealed significant metabolic differences in an area called the right precuneus between those who went on to complete the therapy and those who dropped out, with a higher metabolic level being observed in the completers. Activity in the precuneus—which has previously been associated with self-awareness and memory—also was associated with the pretreatment level of psychologic mindedness, a capacity that has been considered fundamental to effective psychodynamic treatment.

“As with all psychiatric interventions, it is notoriously difficult to know ahead of time who is likely to have a good response to psychodynamic psychotherapy and who is not,” said Dr. Roffman, an assistant professor of psychiatry at Harvard Medical School (Boston, MA, USA). “Identification of biological markers that could predict treatment success is a ‘holy grail’ in psychiatry; and while the measured differences in psychological mindedness between completers and non-completers were insignificant, the significant difference in precuneus metabolism suggests that it may a sensitive predictor of treatment response, something that needs to be confirmed in larger trials.”

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89 (42.200088500977): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`
90 (519.0372467041): SELECT show_live FROM jos_com_show_setting LIMIT 1
91 (530.95817565918): SELECT show_live FROM jos_com_show_setting LIMIT 1
92 (!!!!! 1106.9774627686): SELECT show_live FROM jos_com_show_setting LIMIT 1
93 (190.97328186035): SELECT show_live FROM jos_com_show_setting LIMIT 1
94 (241.04118347168): SELECT show_live FROM jos_com_show_setting LIMIT 1
95 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1
96 (204.08630371094): SELECT show_live FROM jos_com_show_setting LIMIT 1
97 (344.03800964355): SELECT show_live FROM jos_com_show_setting LIMIT 1
98 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1
99 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1
100 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1
101 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1
102 (58.174133300781): SELECT show_live FROM jos_com_show_setting LIMIT 1
103 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1
104 (404.11949157715): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755774 AND published='1' LIMIT 1
105 (396.9669342041): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755774 AND published='1' LIMIT 1
106 (415.08674621582): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294755774 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
107 (262.02201843262): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294755774 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
108 (!!!!! 1163.0058288574): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755774 AND published='1' LIMIT 1
109 (196.21849060059): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755774 AND published='1' LIMIT 1
110 (!!!!! 2825.9754180908): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294755774 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
111 (519.99092102051): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294755774 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
112 (800.84800720215): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1
113 (551.93901062012): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1
114 (174.99923706055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755774 AND published='1' LIMIT 1
115 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755774 AND published='1' LIMIT 1
116 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755774 AND published='1' LIMIT 1
117 (43.153762817383): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755774 AND published='1' LIMIT 1
118 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755774 AND published='1' LIMIT 1
119 (36.001205444336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755774 AND published='1' LIMIT 1
120 (422.95455932617): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`
121 (!!!!! 51728.963851929): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7
122 (99.897384643555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755774 AND published='1' LIMIT 1
123 (49.829483032227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755774 AND published='1' LIMIT 1
124 (!!!!! 1368.0458068848): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294755774 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294755774 AND type='deeppockets_item' AND published='1' LIMIT 1
125 (!!!!! 859657.04917908): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3
126 (102.99682617188): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3
127 (65.088272094727): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1
128 (45.061111450195): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1
129 (73.909759521484): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1
130 (46.968460083008): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1
131 (47.922134399414): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1
132 (36.954879760742): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1
133 (499.96376037598): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755774 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
134 (402.92739868164): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755774 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
135 (41.007995605469): SELECT name FROM jos_deeppockets WHERE id=213
136 (30.040740966797): SELECT name FROM jos_deeppockets WHERE id=213
137 (460.86311340332): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
138 (514.03045654297): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
139 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755774 AND published='1' LIMIT 1
140 (58.174133300781): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755774 AND published='1' LIMIT 1
141 (!!!!! 9628.7727355957): TRUNCATE TABLE jos_trademed_module
142 (102.99682617188): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294755774 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
143 (58.174133300781): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294755774 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
144 (900.9838104248): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755774 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
145 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755774 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
146 (69.856643676758): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755774 AND published='1' LIMIT 1
147 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755774 AND published='1' LIMIT 1
148 (!!!!! 1390.9339904785): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6
149 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755774 AND published='1' LIMIT 1
150 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755774 AND published='1' LIMIT 1
151 (41.961669921875): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294755774 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294755774 AND type='deeppockets_item' AND published='1' LIMIT 1
152 (34.809112548828): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=213 or channel_id is null)
153 (31.948089599609): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=213 or channel_id is null)
154 (36.001205444336): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1
155 (154.97207641602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755774 AND published='1' LIMIT 1
156 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755774 AND published='1' LIMIT 1
157 (51.021575927734): select jos_twitters.link from jos_twitters where cat=10
158 (31.948089599609): select jos_facebook.link from jos_facebook where cat=10
159 (31.948089599609): select jos_google_plus.link from jos_google_plus where cat=10
160 (33.140182495117): select jos_linkedin.link from jos_linkedin where cat=10
161 (319.00405883789): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)
162 (!!!!! 1391.1724090576): insert into jos_banners_delta values (14615,'2025-06-18 01:28:56','216.73.216.120','view'),(14202,'2025-06-18 01:28:56','216.73.216.120','view'),(14203,'2025-06-18 01:28:56','216.73.216.120','view')