Evidence map›Paper›PMID 26594619›Full record

ArticleNeuroImage. Clinical2015

Less efficient and costly processes of frontal cortex in childhood chronic fatigue syndrome.

Kei Mizuno, Masaaki Tanaka, Hiroki C Tanabe, Takako Joudoi, Junko Kawatani, Yoshihito Shigihara, Akemi Tomoda, Teruhisa Miike, Kyoko Imai-Matsumura, Norihiro Sadato and 1 more

Abstract read
In one paragraph

Article in NeuroImage. Clinical, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

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

  1. Pooled it
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  5. Review of Neuroimaging Methods in ME/CFS.Methods in molecular biology (Clifton, N.J.) · 2025
    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

11 authors.

Kei MizunoPathophysiological and Health Science Team, RIKEN Center for Life Science Technologies, 6-7-3 Minatojima-minamimachi, Chuo-ku, Kobe, Hyogo 650-0047, Japan ; Department of Medical Science on Fatigue, Osaka City University Graduate School of Medicine, 1-4-3 Asahimachi, Abeno-ku, Osaka City, Osaka 545-8585, Japan.
Masaaki TanakaDepartment of Physiology, Osaka City University Graduate School of Medicine, 1-4-3 Asahimachi, Abeno-ku, Osaka City, Osaka 545-8585, Japan.
Hiroki C TanabeDepartment of Cerebral Research, Division of Cerebral Integration, National Institute for Physiological Sciences, 38 Nishigonaka, Myodaiji, Okazaki, Aichi 444-8585, Japan ; Department of Psychology, Graduate School of Environmental Studies, Nagoya University, Furo-cho, Chikusa-ku, Nagoya, Aichi 464-8601, Japan.
Takako JoudoiDepartment of Child Development, Faculty of Life Sciences, Kumamoto University, 1-1-1 Honjyo, Kumamoto City, Kumamoto 860-8556, Japan.
Junko KawataniDepartment of Child Development, Faculty of Life Sciences, Kumamoto University, 1-1-1 Honjyo, Kumamoto City, Kumamoto 860-8556, Japan.
Yoshihito ShigiharaDepartment of Physiology, Osaka City University Graduate School of Medicine, 1-4-3 Asahimachi, Abeno-ku, Osaka City, Osaka 545-8585, Japan.
Akemi TomodaDepartment of Child Development, Faculty of Life Sciences, Kumamoto University, 1-1-1 Honjyo, Kumamoto City, Kumamoto 860-8556, Japan ; Research Center for Child Mental Development, University of Fukui, 23-3 Matsuoka-shimoaiduki, Eiheiji-cho, Fukui 910-1193, Japan.
Teruhisa MiikeDepartment of Child Development, Faculty of Life Sciences, Kumamoto University, 1-1-1 Honjyo, Kumamoto City, Kumamoto 860-8556, Japan ; Hyogo Children's Sleep and Development Medical Research Center, 1070 Akebono-cho, Nishi-ku, Kobe, Hyogo 651-2181, Japan.
Kyoko Imai-MatsumuraDepartment of School Psychology, Developmental Science and Health Education, Hyogo University of Teacher Education, Graduate School in Science of School Education, 942-1 Shimokume, Kato, Hyogo 673-1494, Japan.
Norihiro SadatoDepartment of Cerebral Research, Division of Cerebral Integration, National Institute for Physiological Sciences, 38 Nishigonaka, Myodaiji, Okazaki, Aichi 444-8585, Japan.
Yasuyoshi WatanabePathophysiological and Health Science Team, RIKEN Center for Life Science Technologies, 6-7-3 Minatojima-minamimachi, Chuo-ku, Kobe, Hyogo 650-0047, Japan ; Department of Physiology, Osaka City University Graduate School of Medicine, 1-4-3 Asahimachi, Abeno-ku, Osaka City, Osaka 545-8585, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The ability to divide one's attention deteriorates in patients with childhood chronic fatigue syndrome (CCFS). We conducted a study using a dual verbal task to assess allocation of attentional resources to two simultaneous activities (picking out vowels and reading for story comprehension) and functional magnetic resonance imaging. Patients exhibited a much larger area of activation, recruiting additional frontal areas. The right middle frontal gyrus (MFG), which is included in the dorsolateral prefrontal cortex, of CCFS patients was specifically activated in both the single and dual tasks; this activation level was positively correlated with motivation scores for the tasks and accuracy of story comprehension. In addition, in patients, the dorsal anterior cingulate gyrus (dACC) and left MFG were activated only in the dual task, and activation levels of the dACC and left MFG were positively associated with the motivation and fatigue scores, respectively. Patients with CCFS exhibited a wider area of activated frontal regions related to attentional resources in order to increase their poorer task performance with massive mental effort. This is likely to be less efficient and costly in terms of energy requirements. It seems to be related to the pathophysiology of patients with CCFS and to cause a vicious cycle of further increases in fatigue.

Indexed as

AdolescentAttentionBrain MappingChildComprehensionFatigue Syndrome, ChronicFemaleFrontal LobeHumansMagnetic Resonance ImagingMaleMotivationReadingChildren and adolescentsChronic fatigue syndromeCognitive compensationDivided attentionFrontal cortexFunctional magnetic resonance imaging

Identifiers

PMID26594619
PMCPMC4589845

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.