Prior research strongly suggests that patients with affective disorders have abnormalities in the functioning of one or more neurobiological systems. At a conference convened by the Clinical Research Branch, NIMH, these findings were reviewed and some of the factors which were impeding movement towards a more complete and integrated view of the functioning of neurobiological systems in patients with mania or depression were identified. As a result, the NIMH sponsored the development of a mutiresearch center, collaborative approach to the study of the psychobiology of affective disorders. In this collaborative program, underway for several years, the major objectives have been the testing of a wide range of hypotheses which implicate neurochemistry in the etiology and maintenance of the affective disorders. In order to accomplish this, the focus has been upon: (a) the assessment of the functioning of several different types of biological systems in the same patient both before and during treatment; (b) obtaining a large number of patients and comparison subject; and (c) the use across centers of standardized diagnostic categories and behavioral methodologies. During the preceding grant period the data have been consolidated and data analysis has begun. Preliminary results have been reported and a range of studies are in progress.
The specific aim of this proposal is the continuation of the testing of earlier, as well as current, hypotheses related to the behavioral and physiological pathology, as well as to treatment responsivity which may characterize depressed patients and differentiate them from healthy subjects.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project--Cooperative Agreements (U01)
Project #
5U01MH026975-10
Application #
3553799
Study Section
(SRC)
Project Start
1975-06-21
Project End
1986-12-31
Budget Start
1986-01-01
Budget End
1986-12-31
Support Year
10
Fiscal Year
1986
Total Cost
Indirect Cost
Name
Illinois State Psychiatric Institute(Chicago)
Department
Type
DUNS #
City
Chicago
State
IL
Country
United States
Zip Code
60651
Katz, M M; Koslow, S H; Frazer, A (1996) Onset of antidepressant activity: reexamining the structure of depression and multiple actions of drugs. Depress Anxiety 4:257-67
Maas, J W; Katz, M M; Koslow, S H et al. (1994) Adrenomedullary function in depressed patients. J Psychiatr Res 28:357-67
Katz, M M; Maas, J W; Frazer, A et al. (1994) Drug-induced actions on brain neurotransmitter systems and changes in the behaviors and emotions of depressed patients. Neuropsychopharmacology 11:89-100
Katz, M M; Wetzler, S; Cloitre, M et al. (1993) Expressive characteristics of anxiety in depressed men and women. J Affect Disord 28:267-77
Katz, M M; Koslow, S H; Maas, J W et al. (1991) Identifying the specific clinical actions of amitriptyline: interrelationships of behaviour, affect and plasma levels in depression. Psychol Med 21:599-611
Swann, A C; Berman, N; Frazer, A et al. (1990) Lithium distribution in mania: single-dose pharmacokinetics and sympathoadrenal function. Psychiatry Res 32:71-84
Brunswick, D J; Frazer, A; Koslow, S H et al. (1988) Insulin-induced hypoglycaemic response and release of growth hormone in depressed patients and healthy controls. Psychol Med 18:79-91
Croughan, J L; Secunda, S K; Katz, M M et al. (1988) Sociodemographic and prior clinical course characteristics associated with treatment response in depressed patients. J Psychiatr Res 22:227-37
Davis, J M; Koslow, S H; Gibbons, R D et al. (1988) Cerebrospinal fluid and urinary biogenic amines in depressed patients and healthy controls. Arch Gen Psychiatry 45:705-17
Swann, A C; Koslow, S H; Katz, M M et al. (1987) Lithium carbonate treatment of mania. Cerebrospinal fluid and urinary monoamine metabolites and treatment outcome. Arch Gen Psychiatry 44:345-54

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