Evidence map›Paper›PMID 30421491›Full record

ArticleBipolar disorders2019

Lithium monotherapy associated longitudinal effects on resting state brain networks in clinical treatment of bipolar disorder.

Jeffrey M Spielberg, Melanie A Matyi, Harish Karne, Amit Anand

Open access · greenAbstract read
In one paragraph

Article in Bipolar disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% 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, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
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  16. Schizophrenia and bipolar disorder are associated with opposite brain reward anticipation-associated response.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2021
    Article
  17. Article
  18. Review
  19. Neuroanatomic and Functional Neuroimaging Findings.Current topics in behavioral neurosciences · 2021
    Article
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

4 authors at 2 institutions in 1 country.

Jeffrey M SpielbergDepartment of Psychological and Brain Sciences, University of Delaware, Newark, Delaware.ORCID 0000-0001-8348-7157
Melanie A MatyiDepartment of Psychological and Brain Sciences, University of Delaware, Newark, Delaware.
Harish KarneCenter for Behavioral Health, Cleveland Clinic Foundation, Cleveland, Ohio.
Amit AnandCenter for Behavioral Health, Cleveland Clinic Foundation, Cleveland, Ohio.ORCID 0000-0003-1016-6904
Cleveland Clinic · USUniversity of Delaware · US

Funding

Dysfunctional Cortico-Limbic Activity and Connectivity in Bipolar Disorder and LiR01MH075025 · NIMH · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI ANAND, AMIT · 2007 to 2010
$1.8M
NIMH NIH HHS R01 MH075025
6 · The paper itself

Abstract

objectivesLithium is one of the most effective and specific treatments for bipolar disorder (BP), but the neural mechanisms by which lithium impacts symptoms remain unclear. Past research has been limited by a reliance on cross-sectional designs, which does not allow for identification of within-person changes due to lithium and has not examined communication between brain regions (ie, networks). In the present study, we prospectively investigated the lithium monotherapy associated effects in vivo on the brain connectome in medication-free BP patients. In particular, we examined the within-person impact of lithium treatment on connectome indices previously linked to mania and depression in bipolar disorder.

methodsThirty-nine medication-free subjects - 26 BP (13 (hypo)manic and 13 depressed) and 13 closely matched healthy controls (HC) - were included. fMRI data were obtained at 3 timepoints: baseline, after 2 weeks, and after 8 weeks (total of 117 scans: 78 BP and 39 HC scans). BP subjects were clinically treated with lithium for 8 weeks while HC were scanned at the same time points but not treated. Graph theory metrics and repeated measures GLM were used to analyze lithium treatment associated effects.

resultsConsistent with hypotheses, lithium treatment was associated with a normalizing effect on mania-related connectome indices. Furthermore, shifts in both mania- and depression-related connectome indices were proportional to symptom change. Finally, lithium treatment-associated impact on amygdala function differed depending on baseline mood.

conclusionsPresent findings provide deeper insight into the therapeutic neural mechanisms associated with lithium treatment.

Indexed as

Affective SymptomsAmygdalaBipolar DisorderNerve NetAdultConnectomeCross-Sectional StudiesFemaleHumansLithium CompoundsMagnetic Resonance ImagingMaleMiddle AgedLithium Compoundsbipolarbrain networksdepressiongraph theorylithiummania

Identifiers

PMID30421491
PMCPMC8593846
OpenAlexW2900596534

What OpenQuestion holds

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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.