Evidence map›Paper›PMID 29104944›Full record

ArticleBiological psychiatry. Cognitive neuroscience and neuroimaging2017

Psychotropic medication use in autism spectrum disorders may affect functional brain connectivity.

Annika C Linke, Lindsay Olson, Yangfeifei Gao, Inna Fishman, Ralph-Axel Müller

Open access · greenAbstract read
In one paragraph

Article in Biological psychiatry. Cognitive neuroscience and neuroimaging, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
2.5field-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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

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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

5 authors at 1 institution in 1 country.

Annika C LinkeBrain Development Imaging Laboratory, Department of Psychology San Diego State University, 6363 Alvarado CT, Suite 200, San Diego, CA 92120, USA.
Lindsay OlsonBrain Development Imaging Laboratory, Department of Psychology San Diego State University, 6363 Alvarado CT, Suite 200, San Diego, CA 92120, USA.
Yangfeifei GaoBrain Development Imaging Laboratory, Department of Psychology San Diego State University, 6363 Alvarado CT, Suite 200, San Diego, CA 92120, USA.
Inna FishmanBrain Development Imaging Laboratory, Department of Psychology San Diego State University, 6363 Alvarado CT, Suite 200, San Diego, CA 92120, USA.
Ralph-Axel MüllerBrain Development Imaging Laboratory, Department of Psychology San Diego State University, 6363 Alvarado CT, Suite 200, San Diego, CA 92120, USA.
San Diego State University · US

Funding

Integrity and Dynamic Processing Efficiency of Networks in ASDR01MH101173 · NIMH · SAN DIEGO STATE UNIVERSITY · PI MUELLER, RALPH-AXEL · 2014 to 2018
$3.2M
Linking Local Activity and Functional Connectivity in AutismR01MH081023 · NIMH · SAN DIEGO STATE UNIVERSITY · PI MUELLER, RALPH-AXEL · 2009 to 2013
$1.9M
Multimodal Imaging of Social Brain Networks in ASDK01MH097972 · NIMH · SAN DIEGO STATE UNIVERSITY · PI FISHMAN, INNA · 2012 to 2015
$599k
NIMH NIH HHS K01 MH097972NIMH NIH HHS R01 MH081023NIMH NIH HHS R01 MH101173
6 · The paper itself

Abstract

backgroundPrescription of psychotropic medications is common in autism spectrum disorders (ASDs), either off-label or to treat comorbid conditions such as ADHD or depression. Psychotropic medications are intended to alter brain function. Yet, studies investigating the functional brain organization in ASDs rarely take medication usage into account. This could explain some of the inconsistent findings of atypical brain network connectivity reported in the autism literature.

methodsThe current study tested whether functional connectivity patterns, as assessed with functional magnetic resonance imaging (fMRI), differed in a cohort of 49 children and adolescents with ASDs based on psychotropic medication status, and in comparison with 50 matched typically developing (TD) participants. Twenty-five participants in the ASD group (51%) reported current psychotropic medication usage, including stimulants, antidepressants, antipsychotics, and anxiolytics. Age, IQ, head motion, and ASD symptom severity did not differ between groups. Whole-brain functional connectivity between 132 regions of interest was assessed.

resultsDifferent functional connectivity patterns were identified in the ASD group taking psychotropic medications (ASD-on), as compared to the TD group and the ASD subgroup not using psychotropic medications (ASD-none). The ASD-on group showed distinct underconnectivity between the cerebellum and basal ganglia but cortico-cortical overconnectivity compared to the TD group. Cortical underconnectivity relative to the TD pattern, on the other hand, was pronounced in the ASD-none group.

conclusionsThese results suggest that psychotropic medications may affect functional connectivity, and that medication status should be taken into consideration when studying brain function in autism.

Indexed as

Autism spectrum disorderscomorbidityfMRIfunctional connectivitypsychotropic medicationrepetitive behaviors

Identifiers

PMID29104944
PMCPMC5667652
OpenAlexW2736760416

What OpenQuestion holds

Textmetadata
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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.