Evidence map›Paper›PMID 29486867›Full record

Trial reportBiological psychiatry. Cognitive neuroscience and neuroimaging2018

Rostral Anterior Cingulate Cortex Morphology Predicts Treatment Response to Internet-Based Cognitive Behavioral Therapy for Depression.

Christian A Webb, Elizabeth A Olson, William D S Killgore, Diego A Pizzagalli, Scott L Rauch, Isabelle M Rosso

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Biological psychiatry. Cognitive neuroscience and neuroimaging, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 33 citations in OpenAlex.

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  13. Depression-related anterior cingulate prefrontal resting state connectivity normalizes following cognitive behavioral therapy.European psychiatry : the journal of the Association of European Psychiatrists · 2020
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  17. Internet-delivered psychological treatments: from innovation to implementation.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2019
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Christian A WebbCenter for Depression, Anxiety and Stress Research, McLean Hospital, Belmont, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.
Elizabeth A OlsonCenter for Depression, Anxiety and Stress Research, McLean Hospital, Belmont, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.
William D S KillgoreDepartment of Psychiatry, University of Arizona, Tucson, Arizona.
Diego A PizzagalliCenter for Depression, Anxiety and Stress Research, McLean Hospital, Belmont, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.
Scott L RauchCenter for Depression, Anxiety and Stress Research, McLean Hospital, Belmont, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.
Isabelle M RossoCenter for Depression, Anxiety and Stress Research, McLean Hospital, Belmont, Massachusetts; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts. Electronic address: irosso@hms.harvard.edu.
Harvard University · USUniversity of Arizona · US

Funding

Neuroimaging Studies of Reward Processing in DepressionR37MH068376 · NIMH · UNIVERSITY OF CALIFORNIA-IRVINE · PI Diego A Pizzagalli · 2016 to 2026
$7.4M
Cerebral GABA and Fear Conditioning in PTSDR01MH096987 · NIMH · MCLEAN HOSPITAL · PI ROSSO, ISABELLE M · 2012 to 2016
$1.9M
Examining Reward-Related Predictors and Mechanisms of Change in BA Treatment for Anhedonic AdolescentsK23MH108752 · NIMH · MCLEAN HOSPITAL · PI WEBB, CHRISTIAN ANTHONY · 2015 to 2018
$703k
NIMH NIH HHS K23 MH108752NIMH NIH HHS R01 MH096987NIMH NIH HHS R37 MH068376
6 · The paper itself

Abstract

backgroundRostral and subgenual anterior cingulate cortex (rACC and sgACC) activity and, to a lesser extent, volume have been shown to predict depressive symptom improvement across different antidepressant treatments. This study extends prior work by examining whether rACC and/or sgACC morphology predicts treatment response to Internet-based cognitive behavioral therapy (iCBT) for major depressive disorder. This is the first study to examine neural predictors of response to iCBT.

methodsHierarchical linear modeling tested whether pretreatment rACC and sgACC volumes predicted depressive symptom improvement during a six-session (10-week) randomized clinical trial of iCBT (n = 35) versus a monitored attention control condition (n = 38). Analyses also tested whether pretreatment rACC and sgACC volumes differed between patients who achieved depression remission versus patients who did not remit.

resultsLarger pretreatment right rACC volume was a significant predictor of greater depressive symptom improvement in iCBT even when controlling for demographic (age, gender, race) and clinical (baseline depression, anhedonia, and anxiety) variables previously linked to treatment response. In addition, pretreatment right rACC volume was larger among patients receiving iCBT whose depression eventually remitted relative to patients who did not remit. Corresponding analyses in the monitored attention control group and for the sgACC were not significant.

conclusionsrACC volume before iCBT demonstrated incremental predictive validity beyond clinical and demographic variables previously found to predict symptom improvement. Such findings may help inform our understanding of the mediating anatomy of iCBT and, if replicated, may suggest neural targets to augment treatment response (e.g., via modulation of rACC function).

Indexed as

AdolescentAdultCognitive Behavioral TherapyDepressive DisorderFemaleGyrus CinguliHumansInternetMaleMiddle AgedOrgan SizePredictive Value of TestsRemote ConsultationTreatment OutcomeYoung AdultAnterior cingulateCognitive behavioral therapyDepressionInternetMagnetic resonance imagingTreatment prediction

Identifiers

PMID29486867
PMCPMC6005352
OpenAlexW2770975402

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.