Evidence map›Paper›PMID 28942809›Full record

ArticleJournal of the American Academy of Child and Adolescent Psychiatry2017

Reduced Inferior and Orbital Frontal Thickness in Adolescent Bulimia Nervosa Persists Over Two-Year Follow-Up.

Marilyn Cyr, Daniel C Kopala-Sibley, Seonjoo Lee, Chen Chen, Mihaela Stefan, Martine Fontaine, Kate Terranova, Laura A Berner, Rachel Marsh

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Academy of Child and Adolescent Psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 11% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Childhood maltreatment is associated with cortical thinning in people with eating disorders.European archives of psychiatry and clinical neuroscience · 2023
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Subcortical Shape Abnormalities in Bulimia Nervosa.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2019
    Article
  11. Cognitive Neuroscience of Eating Disorders.The Psychiatric clinics of North America · 2019
    Review
  12. Article
  13. Article
  14. 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

9 authors at 4 institutions in 3 countries.

Marilyn CyrDivision of Child and Adolescent Psychiatry, New York State Psychiatric Institute and College of Physicians and Surgeons, Columbia University, New York. Electronic address: marilyn.cyr@nyspi.columbia.edu.
Daniel C Kopala-SibleyStony Brook University, Stony Brook, NY.
Seonjoo LeeCollege of Physicians and Surgeons, Columbia University, San Diego.
Chen ChenCollege of Physicians and Surgeons, Columbia University, San Diego.
Mihaela StefanDivision of Child and Adolescent Psychiatry, New York State Psychiatric Institute and College of Physicians and Surgeons, Columbia University, New York.
Martine FontaineDivision of Child and Adolescent Psychiatry, New York State Psychiatric Institute and College of Physicians and Surgeons, Columbia University, New York.
Kate TerranovaDivision of Child and Adolescent Psychiatry, New York State Psychiatric Institute and College of Physicians and Surgeons, Columbia University, New York.
Laura A BernerUniversity of California, San Diego.
Rachel MarshDivision of Child and Adolescent Psychiatry, New York State Psychiatric Institute and College of Physicians and Surgeons, Columbia University, New York.
New York Psychoanalytic Society and Institute · USColumbia College · CAStony Brook University · USUniversity of California San Diego · US

Funding

A Longitudinal Multimodal MRI Study of Adolescents with Bulimia NervosaR01MH090062 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI MARSH, RACHEL · 2011 to 2015
$2.9M
NIMH NIH HHS R01 MH090062
6 · The paper itself

Abstract

objectiveCross-sectional data suggest functional and anatomical disturbances in inferior and orbital frontal regions in bulimia nervosa (BN). Using longitudinal data, we investigated whether reduced cortical thickness (CT) in these regions arises early and persists over adolescence in BN, independent of symptom remission, and whether CT reductions are markers of BN symptoms.

methodA total of 33 adolescent females with BN symptoms (BN or other specified feeding or eating disorder) and 28 healthy adolescents participated in this study. Anatomical magnetic resonance imaging and clinical data were acquired at 3 time points within 2-year intervals over adolescence, with 31% average attrition between assessments. Using a region-of-interest approach, we assessed group differences in CT at baseline and over time, and tested whether between- and within-subject variations in CT were associated with the frequency of BN symptoms.

resultsReduced CT in the right inferior frontal gyrus persisted over adolescence in BN compared to healthy adolescents, even in those who achieved full or partial remission. Within the BN group, between-subject variations in CT in the inferior and orbital frontal regions were inversely associated with specific BN symptoms, suggesting, on average over time, greater CT reductions in individuals with more frequent BN symptoms.

conclusionReduced CT in inferior frontal regions may contribute to illness persistence into adulthood. Reductions in the thickness of the inferior and orbital frontal regions may be markers of specific BN symptoms. Because our sample size precluded correcting for multiple comparisons, these findings should be replicated in a larger sample. Future study of functional changes in associated fronto-striatal circuits could identify potential circuit-based intervention targets.

Indexed as

AdolescentBulimia NervosaFemaleFollow-Up StudiesFrontal LobeHumansMagnetic Resonance ImagingOrgan Sizebulimia nervosacortical thicknesslongitudinal designmagnetic resonance imaging (MRI)

Identifiers

PMID28942809
PMCPMC5648351
OpenAlexW2745753856

What OpenQuestion holds

Textmetadata
LicenceTDM
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.