Evidence map›Paper›PMID 25283342›Full record

ArticleProgress in neuro-psychopharmacology & biological psychiatry2015

Changes in brain activation following psychotherapy for youth with mood dysregulation at familial risk for bipolar disorder.

Amy S Garrett, David J Miklowitz, Meghan E Howe, Manpreet K Singh, Tenah K Acquaye, Christopher G Hawkey, Gary H Glover, Allan L Reiss, Kiki D Chang

Abstract read
In one paragraph

Article in Progress in neuro-psychopharmacology & biological psychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.

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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 at 3 institutions in 1 country.

Amy S GarrettStanford University School of Medicine, Department of Psychiatry, United States; Center for Interdisciplinary Brain Sciences Research, Stanford University, United States; Pediatric Bipolar Disorders Program, Stanford University, United States. Electronic address: agarrett@stanford.edu.
David J MiklowitzUniversity of California, Los Angeles, Department of Psychiatry, United States.
Meghan E HoweStanford University School of Medicine, Department of Psychiatry, United States; Pediatric Bipolar Disorders Program, Stanford University, United States.
Manpreet K SinghStanford University School of Medicine, Department of Psychiatry, United States; Pediatric Bipolar Disorders Program, Stanford University, United States.
Tenah K AcquayeStanford University School of Medicine, Department of Psychiatry, United States; Pediatric Bipolar Disorders Program, Stanford University, United States.
Christopher G HawkeyUniversity of Colorado, Boulder, Department of Psychology and Neuroscience, United States.
Gary H GloverDepartment of Radiology, Stanford University, United States.
Allan L ReissStanford University School of Medicine, Department of Psychiatry, United States; Center for Interdisciplinary Brain Sciences Research, Stanford University, United States.
Kiki D ChangStanford University School of Medicine, Department of Psychiatry, United States; Pediatric Bipolar Disorders Program, Stanford University, United States.
Stanford University · USUniversity of California, Los Angeles · USUniversity of Colorado Boulder · US

Funding

X-RAY COMPATIBLE RF-COIL FOR MR IMAGINGP41RR009784 · NCRR · STANFORD UNIVERSITY · PI GLOVER, GARY H · 1995 to 2011
$15.0M
Training and DisseminationP41EB015891 · NIBIB · STANFORD UNIVERSITY · PI GLOVER, GARY H · 2012 to 2019
$10.7M
1/2-Early Intervention for Youth at Risk for Bipolar DisorderR01MH093676 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MIKLOWITZ, DAVID JAY · 2012 to 2016
$3.6M
2/2-Early Intervention for Youth at Risk for Bipolar DisorderR01MH093666 · NIMH · STANFORD UNIVERSITY · PI HARDAN, ANTONIO · 2012 to 2016
$2.0M
Family-Focused Therapy as Early Treatment for Youth at Risk for Bipolar DisorderR34MH077856 · NIMH · UNIVERSITY OF COLORADO · PI MIKLOWITZ, DAVID JAY · 2007 to 2009
$638k
Brain Biomarkers of Clinical Response to Cognitive Treatment of PTSD in YouthK01MH097769 · NIMH · STANFORD UNIVERSITY · PI GARRETT, AMY S · 2013 to 2015
$533k
Brain Connectivity and Mindfulness Training in Youth with Bipolar Disorder NOSK24MH101260 · NIMH · STANFORD UNIVERSITY · PI CHANG, KIKI D · 2013 to 2014
$358k
NCRR NIH HHS P41 RR009784NIBIB NIH HHS P41 EB015891NIBIB NIH HHS P41-EB015891NIMH NIH HHS K01 MH097769NIMH NIH HHS K24 MH101260NIMH NIH HHS R01 MH093666NIMH NIH HHS R01 MH093676NIMH NIH HHS R34 MH077856
6 · The paper itself

Abstract

backgroundPsychotherapy for youth with mood dysregulation can help stabilize mood and improve functioning, but the neural mechanisms of this improvement are not known. In this study we investigated the changes in brain activation underlying improvement in mood symptoms.

methodsTwenty-four subjects (ages 13-17) participated: 12 patients with clinically significant symptoms of depression and/or mania, and 12 healthy comparison subjects (HC) matched for age and sex. All subjects completed functional magnetic resonance imaging while viewing facial expressions. The patients then received up to 4 months of psychotherapy and were rescanned at end of treatment. Whole brain differences between patient and control groups were assessed with a voxel-wise analysis. Changes in activation from pre- to post-treatment within the patient group were tested for correlation with changes in mood symptoms.

resultsAt baseline the patient group had hypoactivation in the dorsolateral prefrontal cortex (DLPFC) and hyperactivation in the posterior cingulate cortex compared to the HC group. Between pre- and post-treatment activation increased in the DLPFC and decreased in the amygdala. Increases in DLPFC activation were significantly correlated with improvement in mania symptoms. DISCUSSION: Enhancement of frontal executive control brain regions may underlie improvement in mood dysregulation in pediatric patients at familial risk for bipolar disorder.

Indexed as

Facial ExpressionAdolescentAntidepressive AgentsBipolar DisorderCase-Control StudiesChildFemaleHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleOxygenPrefrontal CortexPsychiatric Status Rating ScalesPsychotherapySeverity of Illness IndexAntidepressive AgentsOxygenBipolarFMRIPediatricPrefrontalPsychotherapy

Identifiers

PMID25283342
PMCPMC4258439
OpenAlexW1976525747

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.