Evidence map›Paper›PMID 25752944›Full record

ArticleScientific reports2015

Diminished appetitive startle modulation following targeted inhibition of prefrontal cortex.

René Hurlemann, Stephan Arndt, Thomas E Schlaepfer, Juergen Reul, Wolfgang Maier, Dirk Scheele

Abstract read
In one paragraph

Article in Scientific reports, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Does non-invasive brain stimulation modulate emotional stress reactivity?Social cognitive and affective neuroscience · 2020
    Pooled it
  2. Pooled it
  3. Trial
  4. Mechanistic link between right prefrontal cortical activity and anxious arousal revealed using transcranial magnetic stimulation in healthy subjects.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2020
    Trial
  5. Article
  6. Circuit-Targeted Neuromodulation for Anhedonia.Current topics in behavioral neurosciences · 2022
    Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
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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

6 authors.

René Hurlemann1] Department of Psychiatry, University of Bonn, 53105 Bonn, Germany [2] Division of Medical Psychology, University of Bonn, 53105 Bonn, Germany.
Stephan Arndt1] Department of Psychiatry, University of Bonn, 53105 Bonn, Germany [2] Division of Medical Psychology, University of Bonn, 53105 Bonn, Germany.
Thomas E Schlaepfer1] Department of Psychiatry, University of Bonn, 53105 Bonn, Germany [2] Department of Psychiatry &Behavioral Medicine, The Johns Hopkins Hospital, Baltimore, Maryland, 21287, USA.
Juergen ReulBeta Clinic, 53227 Bonn, Germany.
Wolfgang Maier1] Department of Psychiatry, University of Bonn, 53105 Bonn, Germany [2] German Center for Neurodegenerative Diseases (DZNE), 53175 Bonn, Germany.
Dirk Scheele1] Department of Psychiatry, University of Bonn, 53105 Bonn, Germany [2] Division of Medical Psychology, University of Bonn, 53105 Bonn, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

From an evolutionary perspective the startle eye-blink response forms an integral part of the human avoidance behavioral repertoire and is typically diminished by pleasant emotional states. In major depressive disorder (MDD) appetitive motivation is impaired, evident in a reduced interference of positive emotion with the startle response. Given the pivotal role of frontostriatal neurocircuitry in orchestrating appetitive motivation, we hypothesized that inhibitory transcranial magnetic stimulation (TMS) would reduce appetitive neuromodulation in a manner similar to MDD. Based on a pre-TMS functional MRI (fMRI) experiment we selected the left dorsolateral and dorsomedial prefrontal cortices as target regions for subsequent sham-controlled inhibitory theta-burst TMS (TBS) in 40 healthy male volunteers. Consistent with our hypothesis, between-group comparisons revealed a TBS-induced inhibition of appetitive neuromodulation, manifest in a diminished startle response suppression by hedonic stimuli. Collectively, our results suggest that functional integrity of left dorsolateral and dorsomedial prefrontal cortex is critical for mediating a pleasure-induced down-regulation of avoidance responses which may protect the brain from a depressogenic preponderance of defensive stress.

Indexed as

AdultAppetitive BehaviorBrain MappingEmotionsHealthy VolunteersHumansMagnetic Resonance ImagingMajor Depressive DisorderMaleNeuronsPrefrontal CortexReflex, StartleTheta RhythmTranscranial Magnetic Stimulation

Identifiers

PMID25752944
PMCPMC4354029

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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.