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Record W1954522611 · doi:10.1016/j.clpt.2003.11.009

Probing opioid effects in major depression hydromorphone (HM) challenge

2004· article· en· W1954522611 on OpenAlexaff
U. Busto

Bibliographic record

VenueClinical Pharmacology & Therapeutics · 2004
Typearticle
Languageen
FieldMedicine
TopicTreatment of Major Depression
Canadian institutionsUniversity of TorontoCentre for Addiction and Mental Health
Fundersnot available
KeywordsPlaceboOpioidMajor depressive disorderDepression (economics)MedicineInternal medicineHamdPsychologyHydromorphoneAnesthesiaMoodPsychiatrySignificant differenceReceptor

Abstract

fetched live from OpenAlex

The opioid system may play a role in some symptoms of major depressive disorder (MDD). We hypothesized that depressed individuals would exhibit an altered response to the agonist HM compared to controls due to an altered function of opioid pathways. In a double-blind, placebo-controlled, randomized study, the effects of HM (6mg, oral) were measured before and 30, 60, 90, 120, 180 and 240 min. after HM intake. Patients with MDD (N=39; HM: 17; placebo: 22) were compared to controls (N=22; HM: 9; placebo: 13) using well-validated scales (e.g. Addiction Research Center Inventory), and psychomotor tasks (e.g. Tracking Test). HM produced time-dependent changes in subjective effects (e.g. VAS-Liking, ARCI-PCAG). Severely depressed (HAMD>24) subjects receiving HM showed significant improvement on negative symptoms compared to controls: differences in the ARCI negative effects composite scale in both peak - baseline and baseline-corrected area-under-the-curve (AUC) mean scores of subjective HM effects were significantly reduced in severely depressed vs. controls (peak - baseline: 96.5 vs. 201.1, p=0.05; AUC: 128.8 vs. 358.2, respectively, p=0.05). Tracking Test mean baseline-corrected % time over the road AUC scores were 10.4 for the severely depressed vs. −13.4 for moderately depressed (p<0.05) and vs. −0.02 for controls (NS). These findings suggest involvement of opioids in the neurobiology of depression. Clinical Pharmacology & Therapeutics (2004) 75, P3–P3; doi: 10.1016/j.clpt.2003.11.009

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Non-randomized trial · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.001
Threshold uncertainty score0.004

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.064
GPT teacher head0.405
Teacher spread0.341 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNon-randomized trial
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2004
Admission routes1
Has abstractyes

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