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Research may explain physical roots of depression
Aug. 26, 2002

By RONALD KOTULAK
Knight Ridder Newspapers

Using PET scans to explore the trail of damage in the brains of patients who have lost their zest for life as a result of stroke or head trauma, Dr. Robert G. Robinson believes he has discovered the dark lair where depression resides.

The findings by the chief of psychiatry at the University of Iowa College of Medicine, if borne out, could help explain the millions of depressions in people who have suffered brain injury or strokes or who have vascular dementia, Parkinson’s disease or other mental disorders. And it could shed light on the physical changes in the brain that may typify all depressions, which affect as many as 1 in 10 Americans each year.

“It’s remarkable what progress has been made with brain imaging just in the last decade,” said Dr. Wayne Drevets of the National Institute of Mental Health. “A new era is being born. We’ll have lots of capabilities for defining the sort of structural and functional abnormalities involved in depression and manic-depressive disease that will give us a better handle on how we can treat these individuals.”

Robinson’s breakthrough discovery revealed that the left frontal cortex, which puts a positive emotional spin on experiences that make us feel good, is particularly vulnerable to damage. When that feel-good feeling is erased, Robinson said, depression fills the void.

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