Evidence map›Paper›PMID 29413143›Full record

ArticleJournal of the American Academy of Child and Adolescent Psychiatry2018

Longitudinal Diffusion Tensor Imaging Study of Adolescents and Young Adults With Bipolar Disorder.

Judah Weathers, Elizabeth T C Lippard, Linda Spencer, Brian Pittman, Fei Wang, Hilary P Blumberg

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Academy of Child and Adolescent Psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 15% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Brain White Matter Microstructure in Middle and Older Aged Adults With Bipolar Disorder: A 2-Site Study.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2026
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  18. Neuroanatomic and Functional Neuroimaging Findings.Current topics in behavioral neurosciences · 2021
    Article
  19. White Matter Microstructure in Pediatric Bipolar Disorder and Disruptive Mood Dysregulation Disorder.Journal of the American Academy of Child and Adolescent Psychiatry · 2020
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Judah WeathersYale School of Medicine, New Haven, CT; Yale Child Study Center, New Haven.
Elizabeth T C LippardYale School of Medicine, New Haven, CT; Dell Medical School, University of Texas at Austin, TX.
Linda SpencerYale School of Medicine, New Haven, CT.
Brian PittmanYale School of Medicine, New Haven, CT.
Fei WangYale School of Medicine, New Haven, CT; First Affiliated Hospital, China Medical University, Shenyang, China.
Hilary P BlumbergYale School of Medicine, New Haven, CT; Yale Child Study Center, New Haven. Electronic address: hilary.blumberg@yale.edu.
Yale University · USYale Cancer Center · USYale New Haven Hospital · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
RESEARCH TRAINING - BIOLOGICAL SCIENCEST32MH014276 · NIMH · YALE UNIVERSITY · PI Marina R Picciotto · 1985 to 2026
$7.2M
Neuroimaging Sciences Training ProgramT32DA022975 · NIDA · YALE UNIVERSITY · PI Graeme F Mason, Rajita Sinha · 2007 to 2026
$5.7M
Genetics of Hippocampal Deficits in Bipolar DisorderR01MH070902 · NIMH · YALE UNIVERSITY · PI BLUMBERG, HILARY PATRICIA · 2005 to 2015
$5.1M
Research Training for Medical Students & Physician-Scientists in Child PsychiatryR25MH077823 · NIMH · YALE UNIVERSITY · PI ANDRES S MARTIN · 2006 to 2026
$4.0M
Development of Brain Abnormalities in Bipolar DisorderR01MH069747 · NIMH · YALE UNIVERSITY · PI BLUMBERG, HILARY PATRICIA · 2004 to 2008
$2.0M
Biomarkers of Suicide Risk in Adolescents and Young Adults: Factors that ConRC1MH088366 · NIMH · YALE UNIVERSITY · PI BLUMBERG, HILARY PATRICIA · 2009 to 2010
$998k
Frontotemporal Neural Systems in Biopolar Disorder and SchizophreniaK01MH086621 · NIMH · YALE UNIVERSITY · PI WANG, FEI · 2009 to 2013
$893k
NCATS NIH HHS UL1 TR001863NIDA NIH HHS T32 DA022975NIMH NIH HHS K01 MH086621NIMH NIH HHS L30 MH108061NIMH NIH HHS R01 MH069747NIMH NIH HHS R01 MH070902NIMH NIH HHS R25 MH077823NIMH NIH HHS RC1 MH088366NIMH NIH HHS T32 MH014276
6 · The paper itself

Abstract

objectiveLongitudinal neuroimaging during adolescence/young adulthood, when bipolar disorder (BD) commonly emerges, can help elucidate the neurodevelopmental pathophysiology of BD. Adults with BD have shown reduced structural integrity in the uncinate fasciculus (UF), a white matter (WM) tract providing major connections between the amygdala and ventral prefrontal cortex (vPFC), important in emotion regulation. In this longitudinal diffusion tensor imaging (DTI) study of adolescents/young adults, we hypothesized differences in age- and time-related changes in UF integrity in BD compared to healthy controls (HC).

methodTwo DTI scans were obtained in 27 adolescents/young adults with BD and 37 HC adolescents/young adults, on average approximately 2.5 years apart. Interactions between diagnosis with age and with time for UF fractional anisotropy (FA) were assessed. Exploratory analyses were performed including euthymic-only participants with BD, and for potential influences of demographic and clinical factors. Whole-brain analyses were performed to explore for interactions in other regions.

resultsThere were significant interactions between diagnosis with age and with time for UF FA (p < .05). Healthy control adolescents/young adults showed significant UF FA increases with age and over time (p < .05), whereas no significant changes with age or over time were observed in the adolescents/young adults with BD. Significant interactions with age and time were also observed in analyses including euthymic-only participants with BD (p < .05).

conclusionThese findings provide neuroimaging evidence supporting differences in UF WM structural development during adolescence/young adulthood, suggesting that differences in the development of an amygdala-vPFC system subserving emotion regulation may be a trait feature of BD neurodevelopment.

Indexed as

AdolescentAdultAmygdalaAnisotropyBipolar DisorderDiffusion Tensor ImagingFemaleHumansLongitudinal StudiesMalePrefrontal CortexSex FactorsWhite MatterYoung Adultadolescentbipolar disorderdiffusion tensor imagingwhite matter

Identifiers

PMID29413143
PMCPMC5806147
OpenAlexW2770046592

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.