Bipolar Depression
Conditions
Keywords
bipolar depression, heart rate variability, cardio-respiratory coupling, electroencephalography
Brief summary
* To examine differences in neurophysiologic parameters between unmedicated patients with bipolar depression and healthy controls * To examine within-subject changes in neurophysiologic parameters in patients with bipolar depression treated with quetiapine
Detailed description
* Alterations of neurophysiologic regulation has been suggested in patients with major depressive disorder or bipolar disorders * Depressive phase of bipolar disorder shows multi-faceted characteristics different from unipolar depression * Quetiapine is an atypical antipsychotic licensed for treatment of bipolar depression * The aim of this study is to investigate the pattern of neurophysiologic dysregulation in bipolar depression and its changes induced by quetiapine treatment
Interventions
oral tablet/25-600mg per day/once a day/six weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* DSM-IV bipolar disorder I or II * Depressive phase * Drug-naive or drug-free
Exclusion criteria
* Serious medical or neurological conditions * DSM-IV substance-related disorders (within 12 months prior to participation) * Mentally retarded
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Heart Rate Variability | Six weeks | heart rate variability parameters of time/frequency/complexity domains |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cardio-Respiratory Coupling | Six weeks | integrative parameters of interaction between neurocardiac dynamics and respiratory rhythm |
| Electroencephalographic Changes | Six weeks | Electrical brain activities measured by quantitative electroencephalography |
| Severity of Mood Symptoms | Six weeks | * Hamilton Depression Rating Scale * Bipolar Depression Rating Scale * Young Mania Rating Scale * Difficulties in Emotion Regulation Scale * Emotion Regulation Questionnaire |
| Severity of Extrapyramidal Symptom Scale | Six weeks | Drug-Induced Extrapyramidal Symptom Scale |
Countries
South Korea