Evidence map›Paper›PMID 30564152›Full record

ArticleFrontiers in psychiatry2018

The Orbitofrontal Cortex Gray Matter Is Associated With the Interaction Between Insomnia and Depression.

Siyi Yu, Zhifu Shen, Rui Lai, Fen Feng, Baojun Guo, Zhengyan Wang, Jie Yang, Youping Hu, Liang Gong

Open access · goldAbstract read
In one paragraph

Article in Frontiers in psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
4.8field-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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
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  4. Bidirectional mechanism of comorbidity of depression and insomnia based on synaptic plasticity.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2023
    Article
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  6. Sleep Dysfunction and Grey Matter Volume.Current neurology and neuroscience reports · 2022
    Review
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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

9 authors at 4 institutions in 1 country.

Siyi YuDepartment of Acupuncture & Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Zhifu ShenDepartment of Acupuncture & Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Rui LaiDepartment of Anesthesiology, People's Hospital of Deyang, Deyang, China.
Fen FengAffiliated Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Baojun GuoDepartment of Acupuncture & Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Zhengyan WangDepartment of Pain Management, Sichuan Integrative Medicine Hospital, Chengdu, China.
Jie YangDepartment of Acupuncture & Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Youping HuDepartment of Acupuncture & Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Liang GongDepartment of Neurology, Chengdu Second People's Hospital, Chengdu, China.
Chengdu University of Traditional Chinese Medicine · CNDeyang Stomatological Hospital · CNSichuan Integrative Medicine Hosipital · CNZhongda Hospital Southeast University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Insomnia and depression are highly comorbid symptoms in both primary insomnia (PI) and major depressive disorder (MDD). In the current study, we aimed at exploring both the homogeneous and heterogeneous brain structure alteration in PI and MDD patients. Sixty-five MDD patients and 67 matched PI patients were recruited and underwent a structural MRI scan. The subjects were sub-divided into four groups, namely MDD patients with higher or lower insomnia, and PI patients with higher or lower severe depression. A general linear model was employed to explore the changes in cortical thickness and volume as a result of depression or insomnia, and their interaction. In addition, partial correlation analysis was conducted to detect the clinical significance of the altered brain structural regions. A main effect of depression on cortical thickness was seen in the superior parietal lobe, middle cingulate cortex, and parahippocampal gyrus, while a main effect of insomnia on cortical thickness was found in the posterior cingulate cortex. Importantly, the interaction between depression and insomnia was associated with decreased gray matter volume in the right orbitofrontal cortex, i.e., patients with co-occurring depression and insomnia showed smaller brain volume in the right orbitofrontal cortex when compared to patients with lower insomnia/depression. These findings highlighted the role of the orbitofrontal cortex in the neuropathology of the comorbidity of insomnia and depression. Our findings provide new insights into the understanding of the brain mechanism underlying comorbidity of insomnia and depression.

Indexed as

comorbiditydepressioninsomniaorbitofrontal cortexstructural MRI

Identifiers

PMID30564152
PMCPMC6288475
OpenAlexW2902419368

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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.