Evidence map›Paper›PMID 29475637›Full record

ReviewTrends in cognitive sciences2018

The Myth of Optimality in Clinical Neuroscience.

Avram J Holmes, Lauren M Patrick

Abstract readReview
In one paragraph

Review in Trends in cognitive sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing 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

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

  1. Pooled it
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  14. Transcriptional signatures of the cortical morphometric similarity network gradient in first-episode, treatment-naive major depressive disorder.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

Avram J HolmesDepartment of Psychology, Yale University, New Haven, CT 06520, USA; Department of Psychiatry, Yale University, New Haven, CT 06511, USA. Electronic address: avram.holmes@yale.edu.
Lauren M PatrickDepartment of Psychology, Yale University, New Haven, CT 06520, USA.

Funding

Dimensional Neurogenetic Markers of Limbic System Integrity & Psychiatric IllnessK01MH099232 · NIMH · YALE UNIVERSITY · PI HOLMES, AVRAM J · 2013 to 2017
$738k
NIMH NIH HHS K01 MH099232
6 · The paper itself

Abstract

Clear evidence supports a dimensional view of psychiatric illness. Within this framework the expression of disorder-relevant phenotypes is often interpreted as a breakdown or departure from normal brain function. Conversely, health is reified, conceptualized as possessing a single ideal state. We challenge this concept here, arguing that there is no universally optimal profile of brain functioning. The evolutionary forces that shape our species select for a staggering diversity of human behaviors. To support our position we highlight pervasive population-level variability within large-scale functional networks and discrete circuits. We propose that, instead of examining behaviors in isolation, psychiatric illnesses can be best understood through the study of domains of functioning and associated multivariate patterns of variation across distributed brain systems.

Indexed as

Biological EvolutionBiological Variation, PopulationBrainGenetic VariationIndividualityMental DisordersNeurosciencesPsychiatryHumansbrain evolutionclinical neuroscienceindividual differencesphenomicspsychiatric illness riskresearch domain criteria (RDoC)

Identifiers

PMID29475637
PMCPMC5829018

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.