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Observational Study
©Author(s) (or their employer(s)) 2026.
World J Psychiatry. Mar 19, 2026; 16(3): 114719
Published online Mar 19, 2026. doi: 10.5498/wjp.v16.i3.114719
Table 1 Demographic and clinical characteristics of adolescents with major depressive disorder, mean ± SD
Item
Pre-treatment (n = 33)
Post-treatment (n = 33)
t
P value
Gender (female/male)24/924/9--
Age (years)15.18 ± 1.9315.18 ± 1.93--
Education (years)9.15 ± 1.509.15 ± 1.50--
HAMD-1723.48 ± 3.8312.79 ± 6.3611.467< 0.001
Table 2 Regional cerebral blood flow in the right insular cortex before and after sertraline treatment, mean ± SD
CBF value (mL/100 g/minute)
Pre-treatment (n = 33)
Post-treatment (n = 33)
t
P value
Insula_R66.71 ± 7.9162.72 ± 6.394.751< 0.001
Table 3 Responders vs non-responders (17-item Hamilton Depression Rating Scale and right insular cerebral blood flow), mean ± SD
Group
HAMD-17 baseline
HAMD-17 post treatment
P value
Insula_R CBF baseline
Insula_R CBF post-treatment
P value
Responders (n = 17)22.59 ± 3.328.06 ± 3.60< 0.00167.35 ± 8.0361.42 ± 5.89< 0.001
Non-responders (n = 16)24.44 ± 4.2117.81 ± 4.510.07766.02 ± 7.8164.12 ± 6.620.053