Table 1 Candidate markers associated with treatment outcomes

From: Prognosis and improved outcomes in major depression: a review

Marker

Outcome

References

Clinical

 Short duration of untreated disease

5,6,7,8,9,– 10

 Early response to treatment

9, 12,13,14,– 15

 Lower baseline function

21, 22, 24

 Psychiatric comorbidity (anxiety disorders, PTSD, OCD, personality, cumulative)

26, 40,41,42,43,44,45,– 46

 Physical comorbidity (pain, cardiovascular, neurological, cumulative)

47, 48, 50,51,52,53,54,55,– 56

 Stressful life events, childhood maltreatment

33,34,35,36,– 37

 Treatment resistance

28, 109

Neuroimaging

 Low baseline hippocampal volume—sMRI

59, 60

 High baseline activity in the anterior cingulate cortex– fMRI, EEG, PET

60, 70, 71

 Microglial activation (TSPO-PET)

80,81,– 82

 rsfMRI in pathophysiologic regions

↓↑

69

 Key proteins of the serotonergic system (MAO-A, SERT, 5-HT1A)

↓↑

72,73,74,75,76,– 77

Blood

 Plasma BDNF increases in response to treatment

93

 IL-6 decreases during treatment

83

 High TNFα levels after treatment

86

 High baseline CRP levels

84, 85

Candidate genesa

  

BDNF—Val66Met Met allele in Asians

203

SLC6A4–5-HTTLPR, l-Allele

204

  1. BDNF brain-derived neurotrophic factor, CRP c-reactive protein, EEG electroencephalography, IL-6 interleukin-6, OCD obsessive-compulsive disorder, 
PET positron emission tomography, 
PTSD post-traumatic stress disorder, 
rsfMRI resting-state functional MRI, SLC6A4 solute carrier family 6 member 4, sMRI structural MRI, TNFα tumor necrosis factor alpha, TSPO translocator protein, 5-HT1A serotonin-1A receptor, MAO-A monoamine oxidase A, SERT serotonin transporter
  2. aRepresentative examples with meta-analytic evidence