Evidence map›Paper›PMID 29075206›Full record

ArticleFrontiers in psychiatry2017

Abnormal Resting-State Functional Connectivity of Insular Subregions and Disrupted Correlation with Working Memory in Adults with Attention Deficit/Hyperactivity Disorder.

Qihua Zhao, Hui Li, Xiaoyan Yu, Fang Huang, Yanfei Wang, Lu Liu, Qingjiu Cao, Qiujin Qian, Yufeng Zang, Li Sun and 1 more

Abstract read
In one paragraph

Article in Frontiers in psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
–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

29 citing papers in PubMed.

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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.

Qihua ZhaoPeking University Sixth Hospital, Institute of Mental Health, Beijing, China.
Hui LiPeking University Sixth Hospital, Institute of Mental Health, Beijing, China.
Xiaoyan YuPeking University Sixth Hospital, Institute of Mental Health, Beijing, China.
Fang HuangPeking University Sixth Hospital, Institute of Mental Health, Beijing, China.
Yanfei WangPeking University Sixth Hospital, Institute of Mental Health, Beijing, China.
Lu LiuPeking University Sixth Hospital, Institute of Mental Health, Beijing, China.
Qingjiu CaoPeking University Sixth Hospital, Institute of Mental Health, Beijing, China.
Qiujin QianPeking University Sixth Hospital, Institute of Mental Health, Beijing, China.
Yufeng ZangCenter for Cognition and Brain Disorders, Hangzhou Normal University, Hangzhou, China.
Li SunPeking University Sixth Hospital, Institute of Mental Health, Beijing, China.
Yufeng WangPeking University Sixth Hospital, Institute of Mental Health, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesExecutive function (EF) deficits are major impairments in adults with attention deficit/hyperactivity disorder (ADHD). Previous studies have shown that the insula is involved in cognitive and EFs. However, the insula is highly heterogeneous in function, and few studies have focused on functional networks which related to specific insular subregions in adults with ADHD. We explored the functional networks of the insular subregions [anterior insula (AI), mid-insula (MI), and posterior insula (PI)]. Furthermore, their correlations with self-ratings of ecological EFs, including inhibition, shifting, and working memory were investigated.

methodsResting-state functional magnetic resonance imaging data in 28 adults with ADHD and 30 matched healthy controls (HCs) were analyzed. The seed-based resting-state functional connectivity (RSFC) of the insular subregions was evaluated. We also investigated their associations with the Behavior Rating Inventory of Executive Function-Adult Version (BRIEF-A) inhibition, working memory, and shifting factor scores.

resultsCompared with HCs, adults with ADHD showed altered RSFC of the AI, with the precuneus, precentral gyrus, and inferior temporal gyrus extended to the middle temporal gyrus, lingual gyrus, and superior occipital gyrus, respectively. There were no significant differences in RSFC of the MI and PI between the two groups. Within the HC group, working memory scores were associated with the RSFC of AI with precuneus and temporal gyrus. However, there was no correlation between these variables in the ADHD group.

conclusionThe study evaluated RSFC patterns of the insular subregions in adults with ADHD for the first time. Altered RSFC of the AI which is a crucial region of salience network (SN) and part of regions in default mode network (DMN), were detected in adults with ADHD in both results with and without global signal regression (GSR), suggesting that disrupted SN-DMN functional connectivity may be involved in EF impairments in adults with ADHD, especially with respect to working memory. Deficits of the AI which is involved in salient stimuli allocation, might be associated with the pathophysiology of ADHD. The inconsistent results of MI and PI between analyses with and without GSR need further exploration.

Indexed as

attention deficit/hyperactivity disorderdefault mode networkexecutive functioninsular subregionsresting-state functional connectivitysalience network

Identifiers

PMID29075206
PMCPMC5641567

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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.