Thirteen drug-naive outpatients with major depression and seven healthy con
trols were investigated using single-photon emission computerized tomograph
y (SPECT) with I-123-labeled iomazenil. Depression was diagnosed in accorda
nce with the criteria of the DSM-III-R, and the severity of depression was
evaluated using the 21-item Hamilton depression rating scale. Patients had
significantly lower benzodiazepine receptor density in the both cerebral he
mispheres and, especially, in the left temporal cortex than did the control
s. Significant negative correlations were observed between psychic anxiety
in patients and the benzodiazepine receptor density in the left (r = -0.73)
and right (r = -0.74) temporal cortex. The results suggest that benzodiaze
pine receptor density is associated with anxiety symptoms among depressed p
atients.