Evidence map›Paper›PMID 28258922›Full record

Trial reportEBioMedicine2017

Cognitive Behavioral Therapy Lowers Elevated Functional Connectivity in Depressed Adolescents.

Shayanti Chattopadhyay, Roger Tait, Tiago Simas, Adrienne van Nieuwenhuizen, Cindy C Hagan, Rosemary J Holt, Julia Graham, Barbara J Sahakian, Paul O Wilkinson, Ian M Goodyer and 1 more

Abstract readPragmatic Clinical TrialRandomized Controlled Trial
In one paragraph

Trial report in EBioMedicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

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

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. A lateralized model of the pain-depression dyad.Neuroscience and biobehavioral reviews · 2021
    Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. 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

11 authors.

Shayanti ChattopadhyayDepartment of Psychiatry, University of Cambridge, Cambridge, UK. Electronic address: sc751@cam.ac.uk.
Roger TaitMRC/Wellcome Trust Behavioral and Clinical Neurosciences Institute, University of Cambridge, Cambridge, UK.
Tiago SimasDepartment of Psychiatry, University of Cambridge, Cambridge, UK.
Adrienne van NieuwenhuizenDepartment of Psychiatry, University of Cambridge, Cambridge, UK.
Cindy C HaganDepartment of Psychiatry, University of Cambridge, Cambridge, UK; Department of Psychology, Columbia University, New York, NY, USA.
Rosemary J HoltDepartment of Psychiatry, University of Cambridge, Cambridge, UK.
Julia GrahamDepartment of Psychiatry, University of Cambridge, Cambridge, UK; Department of Psychiatry, University of Oxford, Oxford, UK.
Barbara J SahakianDepartment of Psychiatry, University of Cambridge, Cambridge, UK; MRC/Wellcome Trust Behavioral and Clinical Neurosciences Institute, University of Cambridge, Cambridge, UK.
Paul O WilkinsonDepartment of Psychiatry, University of Cambridge, Cambridge, UK; Cambridge and Peterborough Foundation NHS Trust, Cambridge, UK.
Ian M GoodyerDepartment of Psychiatry, University of Cambridge, Cambridge, UK; Cambridge and Peterborough Foundation NHS Trust, Cambridge, UK; MRC/Wellcome Trust Behavioral and Clinical Neurosciences Institute, University of Cambridge, Cambridge, UK.
John SucklingDepartment of Psychiatry, University of Cambridge, Cambridge, UK; Cambridge and Peterborough Foundation NHS Trust, Cambridge, UK; MRC/Wellcome Trust Behavioral and Clinical Neurosciences Institute, University of Cambridge, Cambridge, UK.

Funding

Department of Health 06/05/01Department of Health 97/29/01Medical Research Council G0001354Medical Research Council G0802226Medical Research Council G1000183
6 · The paper itself

Abstract

Imaging studies have implicated altered functional connectivity in adults with major depressive disorder (MDD). Whether similar dysfunction is present in adolescent patients is unclear. The degree of resting-state functional connectivity (rsFC) may reflect abnormalities within emotional ('hot') and cognitive control ('cold') neural systems. Here, we investigate rsFC of these systems in adolescent patients and changes following cognitive behavioral therapy (CBT). Functional Magnetic Resonance Imaging (fMRI) was acquired from adolescent patients before CBT, and 24-weeks later following completed therapy. Similar data were obtained from control participants. Cross-sectional Cohort: From 82 patients and 34 controls at baseline, rsFC of the amygdala, anterior cingulate cortex (ACC), and pre-frontal cortex (PFC) was calculated for comparison. Longitudinal Cohort: From 17 patients and 30 controls with longitudinal data, treatment effects were tested on rsFC. Patients demonstrated significantly greater rsFC to left amygdala, bilateral supragenual ACC, but not with PFC. Treatment effects were observed in right insula connected to left supragenual ACC, with baseline case-control differences reduced. rsFC changes were significantly correlated with changes in depression severity. Depressed adolescents exhibited heightened connectivity in regions of 'hot' emotional processing, known to be associated with depression, where treatment exposure exerted positive effects, without concomitant differences in areas of 'cold' cognition.

Indexed as

Cognitive Behavioral TherapyConnectomeAdolescentFemaleHumansMagnetic Resonance ImagingMajor Depressive DisorderMaleAdolescenceCortical thicknessDepressionFronto-limbicFunctional connectivityResting-state

Identifiers

PMID28258922
PMCPMC5360581

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.