Evidence map›Paper›PMID 30565822›Full record

ArticleBipolar disorders2019

Deficits in frontoparietal activation and anterior insula functional connectivity during regulation of cognitive-affective interference in bipolar disorder.

Kristen K Ellard, Aishwarya K Gosai, Julia M Felicione, Amy T Peters, Conor V Shea, Louisa G Sylvia, Andrew A Nierenberg, Alik S Widge, Darin D Dougherty, Thilo Deckersbach

Abstract 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 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Dimensional Affective Processing in BD.Psychiatry research · 2022
    Article
  14. Article
  15. 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

10 authors.

Kristen K EllardDepartment of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0001-7846-9691
Aishwarya K GosaiDepartment of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Julia M FelicioneDepartment of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Amy T PetersDepartment of Psychiatry, University of Illinois at Chicago, Chicago, Illinois.
Conor V SheaDepartment of Neuroscience, Boston University, Boston, Massachusetts.
Louisa G SylviaDepartment of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Andrew A NierenbergDepartment of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Alik S WidgeDepartment of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Darin D DoughertyDepartment of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Thilo DeckersbachDepartment of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.

Funding

Continuity of the Limbic Circuit Through the Basal GangliaR01MH045573 · NIMH · UNIVERSITY OF ROCHESTER · PI HABER, SUZANNE N · 1989 to 2024
$10.1M
Neuromodulation of placebo and nocebo effectsR01AT008563 · NCCIH · MASSACHUSETTS GENERAL HOSPITAL · PI KONG, JIAN · 2015 to 2019
$3.9M
Training Program in Recovery and Restoration of CNS health and functionT32NS100663 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI LEIGH R HOCHBERG, JONATHAN ROSAND · 2017 to 2026
$2.5M
Cognitive-Behavior Therapy for Bipolar DisorderK23MH074895 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI DECKERSBACH, THILO · 2007 to 2011
$973k
NCCIH NIH HHS R01 AT008563NIMH NIH HHS K23 MH074895NIMH NIH HHS L30 MH101886NIMH NIH HHS R01 MH045573NINDS NIH HHS T32 NS100663
6 · The paper itself

Abstract

objectivesBipolar disorders (BD) are characterized by emotion and cognitive dysregulation. Mapping deficits in the neurocircuitry of cognitive-affective regulation allows for potential identification of intervention targets. This study used functional MRI data in BD patients and healthy controls during performance on a task requiring cognitive and inhibitory control superimposed on affective images, assessing cognitive and affective interference.

methodsFunctional MRI data were collected from 39 BD patients and 36 healthy controls during performance on the Multi-Source Interference Task overlaid on images from the International Affective Picture System (MSIT-IAPS). Analyses examined patterns of activation in a priori regions implicated in cognitive and emotional processing. Functional connectivity to the anterior insula during task performance was also examined, given this region's role in emotion-cognition integration.

resultsBD patients showed significantly less activation during cognitive interference trials in inferior parietal lobule, dorsomedial prefrontal cortex, anterior insula, mid-cingulate, and ventrolateral prefrontal cortex regardless of affective valence. BD patients showed deviations in functional connectivity with anterior insula in regions of the default mode and frontoparietal control networks during negatively valenced cognitive interference trials.

conclusionsOur findings show disruptions in cognitive regulation and inhibitory control in BD patients in the presence of irrelevant affective distractors. Results of this study suggest one pathway to dysregulation in BD is through inefficient integration of affective and cognitive information, and highlight the importance of developing interventions that target emotion-cognition integration in BD.

Indexed as

AdultBipolar DisorderCerebral CortexCognitionEmotionsFemaleHumansMagnetic Resonance ImagingMaleParietal LobePrefrontal Cortexbipolar disordercognitionemotion regulationfMRIMulti Source Interference Task

Identifiers

PMID30565822
PMCPMC6504612

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.