Evidence map›Paper›PMID 24366718›Full record

ArticleSchizophrenia bulletin2014

Amygdala connectivity differs among chronic, early course, and individuals at risk for developing schizophrenia.

Alan Anticevic, Yanqing Tang, Youngsun T Cho, Grega Repovs, Michael W Cole, Aleksandar Savic, Fei Wang, John H Krystal, Ke Xu

Abstract read
In one paragraph

Article in Schizophrenia bulletin, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

48 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  6. Article
  7. Aberrant effective connectivity during working memory performance in schizotypal personality disorder and schizophrenia: A spectrum approach.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  8. Article
  9. Connectome-based predictive modeling of early and chronic psychosis symptoms.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Alan Anticevic
Yanqing TangDepartment of Psychiatry, The First Affiliated Hospital, China Medical University, Shenyang , Liaoning, PR China;
Youngsun T ChoDepartment of Psychiatry, Yale University School of Medicine, New Haven, CT;
Grega RepovsDepartment of Psychology, University of Ljubljana, Ljubljana, Slovenia;
Michael W ColeDepartment of Psychology, Washington University in St Louis, St Louis, MO;
Aleksandar SavicDepartment of Psychiatry, Yale University School of Medicine, New Haven, CT; University Psychiatric Hospital Vrapce, University of Zagreb, Zagreb, Croatia;
Fei WangDepartment of Psychiatry, Yale University School of Medicine, New Haven, CT; Department of Radiology, The First Affiliated Hospital, China Medical University, Shenyang , Liaoning, PR China.
John H Krystal
Ke XuDepartment of Radiology, The First Affiliated Hospital, China Medical University, Shenyang , Liaoning, PR China kexu@vip.sina.com.

Funding

Translational Technologies CoreP50AA012870 · NIAAA · YALE UNIVERSITY · PI Matthew J Girgenti · 2001 to 2026
$43.7M
Yale University Clinical and Translational Science Award ProgramUL1TR000142 · NCATS · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2012 to 2015
$31.8M
Clinical Neuroscience Research Training Program in PsychiatryT32MH019961 · NIMH · YALE UNIVERSITY · PI Christopher John Pittenger · 1996 to 2026
$5.9M
Characterizing Cognitive Impairment in Schizophrenia via Computational Modeling aDP5OD012109 · OD · YALE UNIVERSITY · PI ANTICEVIC, ALAN · 2012 to 2016
$1.8M
Frontotemporal Neural Systems in Biopolar Disorder and SchizophreniaK01MH086621 · NIMH · YALE UNIVERSITY · PI WANG, FEI · 2009 to 2013
$893k
NCATS NIH HHS UL1 TR000142NIAAA NIH HHS 2P50AA012870-11NIH HHS DP5 OD012109NIH HHS DP5OD012109-01NIMH NIH HHS K01MH086621NIMH NIH HHS T32 MH019961
6 · The paper itself

Abstract

Alterations in circuits involving the amygdala have been repeatedly implicated in schizophrenia neuropathology, given their role in stress, affective salience processing, and psychosis onset. Disturbances in amygdala whole-brain functional connectivity associated with schizophrenia have yet to be fully characterized despite their importance in psychosis. Moreover, it remains unknown if there are functional alterations in amygdala circuits across illness phases. To evaluate this possibility, we compared whole-brain amygdala connectivity in healthy comparison subjects (HCS), individuals at high risk (HR) for schizophrenia, individuals in the early course of schizophrenia (EC-SCZ), and patients with chronic schizophrenia (C-SCZ). We computed whole-brain resting-state connectivity using functional magnetic resonance imaging at 3T via anatomically defined individual-specific amygdala seeds. We identified significant alterations in amygdala connectivity with orbitofrontal cortex (OFC), driven by reductions in EC-SCZ and C-SCZ (effect sizes of 1.0 and 0.97, respectively), but not in HR for schizophrenia, relative to HCS. Reduced amygdala-OFC coupling was associated with schizophrenia symptom severity (r = .32, P < .015). Conversely, we identified a robust increase in amygdala connectivity with a brainstem region around noradrenergic arousal nuclei, particularly for HR individuals relative to HCS (effect size = 1.54), but not as prominently for other clinical groups. These results suggest that deficits in amygdala-OFC coupling could emerge during the initial episode of schizophrenia (EC-SCZ) and may present as an enduring feature of the illness (C-SCZ) in association with symptom severity but are not present in individuals with elevated risk for developing schizophrenia. Instead, in HR individuals, there appears to be increased connectivity in a circuit implicated in stress response.

Indexed as

ConnectomeAdultAmygdalaBrain StemChronic DiseaseFemaleHumansMagnetic Resonance ImagingMaleNeural PathwaysPrefrontal CortexProdromal SymptomsRiskSchizophreniaYoung Adultamygdalaconnectivityfirst episodeprefrontal cortexrisk for schizophreniaschizophrenia

Identifiers

PMID24366718
PMCPMC4133672

What OpenQuestion holds

Textmetadata
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.