Evidence map›Paper›PMID 26836623›Full record

ArticleJournal of psychiatry & neuroscience : JPN2016

Prediction error and somatosensory insula activation in women recovered from anorexia nervosa.

Guido K W Frank, Shaleise Collier, Megan E Shott, Randall C O'Reilly

Open access · bronzeAbstract read
In one paragraph

Article in Journal of psychiatry & neuroscience : JPN, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 pooled it
7.0field-weighted citation impact, top 3% 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

31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Avoidance habit learning in adolescents and young women with anorexia nervosa: an fMRI study.Journal of child psychology and psychiatry, and allied disciplines · 2026
    Article
  7. Article
  8. Perceptual Dysfunction in Eating Disorders.Current topics in behavioral neurosciences · 2025
    Review
  9. Review
  10. Back to the future: Progressing memory research in eating disorders.The International journal of eating disorders · 2023
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Anhedonia in Eating Disorders.Current topics in behavioral neurosciences · 2022
    Article
  16. Article
  17. Review
  18. Review
  19. Review
  20. Review
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

4 authors at 1 institution in 1 country.

Guido K W FrankFrom the Department of Psychiatry, University of Colorado, Denver, Aurora, CO, USA (Frank, Collier, Shott); the Department of Neuroscience, University of Colorado Denver; Anschutz Medical Campus, Aurora (Frank); and the Department of Psychology and Neuroscience, University of Colorado Boulder, Boulder, CO, USA (O'Reilly).
Shaleise CollierFrom the Department of Psychiatry, University of Colorado, Denver, Aurora, CO, USA (Frank, Collier, Shott); the Department of Neuroscience, University of Colorado Denver; Anschutz Medical Campus, Aurora (Frank); and the Department of Psychology and Neuroscience, University of Colorado Boulder, Boulder, CO, USA (O'Reilly).
Megan E ShottFrom the Department of Psychiatry, University of Colorado, Denver, Aurora, CO, USA (Frank, Collier, Shott); the Department of Neuroscience, University of Colorado Denver; Anschutz Medical Campus, Aurora (Frank); and the Department of Psychology and Neuroscience, University of Colorado Boulder, Boulder, CO, USA (O'Reilly).
Randall C O'ReillyFrom the Department of Psychiatry, University of Colorado, Denver, Aurora, CO, USA (Frank, Collier, Shott); the Department of Neuroscience, University of Colorado Denver; Anschutz Medical Campus, Aurora (Frank); and the Department of Psychology and Neuroscience, University of Colorado Boulder, Boulder, CO, USA (O'Reilly).
University of Colorado Denver · US

Funding

ZEBRAFISH TRANSGENIC CORE - ROCKY MOUNTAIN NEUROLOGICAL DISORDERS CORE CENTERP30NS048154 · NINDS · UNIVERSITY OF COLORADO DENVER · PI RIBERA, ANGELES BADELL · 2004 to 2020
$10.1M
Taste reward circuits and prediction error define eating disorder psychopathologyR01MH103436 · NIMH · UNIVERSITY OF COLORADO DENVER · PI STODDARD, JOEL JOHNSON · 2014 to 2018
$2.0M
Brain Reward Circuits and Computational Modeling in Adolescent Anorexia NervosaR01MH096777 · NIMH · UNIVERSITY OF COLORADO DENVER · PI FRANK, GUIDO KW · 2012 to 2016
$1.5M
Brain Reward-Pathway Function and Neurocomputational Modeling in Anorexia NervosaK23MH080135 · NIMH · UNIVERSITY OF COLORADO DENVER · PI FRANK, GUIDO KW · 2008 to 2012
$840k
NIMH NIH HHS K23 MH080135NIMH NIH HHS R01 MH096777NIMH NIH HHS R01 MH103436NINDS NIH HHS P30 NS048154
6 · The paper itself

Abstract

backgroundPrevious research in patients with anorexia nervosa showed heightened brain response during a taste reward conditioning task and heightened sensitivity to rewarding and punishing stimuli. Here we tested the hypothesis that individuals recovered from anorexia nervosa would also experience greater brain activation during this task as well as higher sensitivity to salient stimuli than controls.

methodsWomen recovered from restricting-type anorexia nervosa and healthy control women underwent fMRI during application of a prediction error taste reward learning paradigm.

resultsTwenty-four women recovered from anorexia nervosa (mean age 30.3 ± 8.1 yr) and 24 control women (mean age 27.4 ± 6.3 yr) took part in this study. The recovered anorexia nervosa group showed greater left posterior insula activation for the prediction error model analysis than the control group (family-wise error- and small volume-corrected p < 0.05). A group × condition analysis found greater posterior insula response in women recovered from anorexia nervosa than controls for unexpected stimulus omission, but not for unexpected receipt. Sensitivity to punishment was elevated in women recovered from anorexia nervosa. LIMITATIONS: This was a cross-sectional study, and the sample size was modest.

conclusionAnorexia nervosa after recovery is associated with heightened prediction error-related brain response in the posterior insula as well as greater response to unexpected reward stimulus omission. This finding, together with behaviourally increased sensitivity to punishment, could indicate that individuals recovered from anorexia nervosa are particularly responsive to punishment. The posterior insula processes somatosensory stimuli, including unexpected bodily states, and greater response could indicate altered perception or integration of unexpected or maybe unwanted bodily feelings. Whether those findings develop during the ill state or whether they are biological traits requires further study.

Indexed as

RewardAdultAnorexia NervosaAnticipation, PsychologicalAssociation LearningBrain MappingComputer SimulationConditioning, PsychologicalCross-Sectional StudiesDietary SucroseFemaleHumansMagnetic Resonance ImagingModels, NeurologicalModels, PsychologicalNeuropsychological TestsDietary Sucrose

Identifiers

PMID26836623
PMCPMC5008919
OpenAlexW2412386211

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.