Evidence map›Paper›PMID 22206876›Full record

ArticleBiological psychiatry2012

Neural activation during facial emotion processing in unmedicated bipolar depression, euthymia, and mania.

Leslie A Hulvershorn, Harish Karne, Abigail D Gunn, Sarah L Hartwick, Yang Wang, Tom A Hummer, Amit Anand

Abstract read
In one paragraph

Article in Biological psychiatry, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 4 pooled it
6.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 4 syntheses or guidelines pooled it, 98 citations in OpenAlex.

  1. Facial emotion recognition deficits in bipolar disorder: A systematic review and meta-analysis.European psychiatry : the journal of the Association of European Psychiatrists · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Leslie A HulvershornMood and Emotion Disorders Across the Lifespan Center, Department of Psychiatry, Indiana University School of Medicine, Indianapolis, USA.
Harish Karne
Abigail D Gunn
Sarah L Hartwick
Yang Wang
Tom A Hummer
Amit Anand
Indiana University – Purdue University Indianapolis · USIndiana University School of MedicineRiley Hospital for Children · US

Funding

AACAP Physician Scientist Program in Substance UseK12DA000357 · NIDA · AMERICAN ACADEMY-CHILD/ADOLESCENT PSYCH · PI Kevin M. Gray · 1998 to 2026
$29.1M
Dysfunctional Cortico-Limbic Activity and Connectivity in Bipolar Disorder and LiR01MH075025 · NIMH · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI ANAND, AMIT · 2007 to 2010
$1.8M
NIDA NIH HHS K12 DA000357NIDA NIH HHS K12DA000357NIMH NIH HHS R01 MH075025NIMH NIH HHS R01MH075025
6 · The paper itself

Abstract

backgroundStudies incorporating direct comparisons across all phases of bipolar (BP) disorder are needed to elucidate the pathophysiology of bipolar disorder. However, functional neuroimaging studies that differentiate bipolar mood states from each other and from healthy subjects are few and have yielded inconsistent findings.

methodsOne hundred five unmedicated adults were recruited: 30 with current bipolar depression (BPD), 30 with current bipolar hypomania or mania (BPM), 15 bipolar euthymic (BPE), and 30 healthy control subjects (HC). All subjects were diagnosed with DSM-IV BP (type I or II) using a structured clinical interview. Groups were age- and gender-ratio matched. In 3T functional magnetic resonance imaging experiments, subjects completed a negative facial emotion matching task.

resultsBipolar euthymic and BPD groups exhibited increased amygdala activation compared with HCs in response to the negative faces; however, in the BPM group, this increase was not seen. Conversely, both BPE and BPM groups had increased activation in the insula relative to HCs, but in the BPD group, this effect was not seen. All three BP groups exhibited increased activation of the putamen compared with HCs. In the cortical areas, the BPM group exhibited decreased left lateral orbitofrontal cortex activation compared with both BPEs and HCs, increased dorsal anterior cingulate cortex activation compared with the BPD group, and increased dorsolateral prefrontal cortical activation compared with all other groups.

conclusionsBoth state- and trait-related abnormalities in corticolimbic activation were seen in response to the negative facial emotion processing in a large sample of unmedicated adults across BP mood states.

Indexed as

Facial ExpressionAdolescentAdultBipolar DisorderCase-Control StudiesEmotionsFemaleFunctional NeuroimagingHumansMagnetic Resonance ImagingMaleMiddle AgedPsychiatric Status Rating ScalesPsychomotor PerformanceReaction TimeSeverity of Illness Index

Identifiers

PMID22206876
PMCPMC3703667
OpenAlexW2071948210

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.