Evidence map›Paper›PMID 29581420›Full record

ArticleTranslational psychiatry2018

Aberrant salience network functional connectivity in auditory verbal hallucinations: a first episode psychosis sample.

Pavan Kumar Mallikarjun, Paris Alexandros Lalousis, Thomas Frederick Dunne, Kareen Heinze, Renate Lep Reniers, Matthew R Broome, Baldeep Farmah, Femi Oyebode, Stephen J Wood, Rachel Upthegrove

Open access · goldAbstract read
In one paragraph

Article in Translational psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
5.7field-weighted citation impact, top 3% 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

45 citing papers in PubMed, 90 citations in OpenAlex.

  1. Article
  2. Review
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  6. Connectome-based predictive modeling of early and chronic psychosis symptoms.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Functional Connectivity of the Auditory Cortex in Women With Trauma-Related Disorders Who Hear Voices.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2024
    Article
  12. Review
  13. Article
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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

10 authors at 4 institutions in 2 countries.

Pavan Kumar MallikarjunInstitute for Mental Health, University of Birmingham, Birmingham, UK.
Paris Alexandros LalousisInstitute for Mental Health, University of Birmingham, Birmingham, UK.ORCID http://orcid.org/0000-0001-9642-3080
Thomas Frederick DunneCollege of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
Kareen HeinzeInstitute for Mental Health, University of Birmingham, Birmingham, UK.
Renate Lep ReniersInstitute for Mental Health, University of Birmingham, Birmingham, UK.
Matthew R BroomeInstitute for Mental Health, University of Birmingham, Birmingham, UK.
Baldeep FarmahForward Thinking Birmingham, Birmingham, UK.
Femi OyebodeCollege of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
Stephen J WoodInstitute for Mental Health, University of Birmingham, Birmingham, UK.
Rachel UpthegroveInstitute for Mental Health, University of Birmingham, Birmingham, UK. r.upthegrove@bham.ac.uk.ORCID http://orcid.org/0000-0001-8204-5103
University of Birmingham · GBBirmingham and Solihull Mental Health NHS Foundation Trust · GBThe University of Melbourne · AUUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Auditory verbal hallucinations (AVH) often lead to distress and functional disability, and are frequently associated with psychotic illness. Previously both state and trait magnetic resonance imaging (MRI) studies of AVH have identified activity in brain regions involving auditory processing, language, memory and areas of default mode network (DMN) and salience network (SN). Current evidence is clouded by research mainly in participants on long-term medication, with chronic illness and by choice of seed regions made 'a priori'. Thus, the aim of this study was to elucidate the intrinsic functional connectivity in patients presenting with first episode psychosis (FEP). Resting state functional MRI data were available from 18 FEP patients, 9 of whom also experienced AVH of sufficient duration in the scanner and had symptom capture functional MRI (sc fMRI), together with 18 healthy controls. Symptom capture results were used to accurately identify specific brain regions active during AVH; including the superior temporal cortex, insula, precuneus, posterior cingulate and parahippocampal complex. Using these as seed regions, patients with FEP and AVH showed increased resting sb-FC between parts of the SN and the DMN and between the SN and the cerebellum, but reduced sb-FC between the claustrum and the insula, compared to healthy controls.It is possible that aberrant activity within the DMN and SN complex may be directly linked to impaired salience appraisal of internal activity and AVH generation. Furthermore, decreased intrinsic functional connectivity between the claustrum and the insula may lead to compensatory over activity in parts of the auditory network including areas involved in DMN, auditory processing, language and memory, potentially related to the complex and individual content of AVH when they occur.

Indexed as

AdultBasal GangliaBrainBrain MappingCerebral CortexFemaleHallucinationsHumansMagnetic Resonance ImagingMaleNeural PathwaysPsychotic DisordersSchizophreniaYoung Adult

Identifiers

PMID29581420
PMCPMC5913255
OpenAlexW2795310963

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LicenceCC BY
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Registered trials

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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.