Evidence map›Paper›PMID 30948727›Full record

ArticleNature communications2019

Deep brain stimulation of the internal capsule enhances human cognitive control and prefrontal cortex function.

A S Widge, S Zorowitz, I Basu, A C Paulk, S S Cash, E N Eskandar, T Deckersbach, E K Miller, D D Dougherty

Abstract read
In one paragraph

Article in Nature communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 2 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

76 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Invasive and Non-invasive Neurostimulation for OCD.Current topics in behavioral neurosciences · 2021
    Pooled it
  3. Field potential 1/Journal of neurophysiology · 2019
    Trial
  4. Trial
  5. Sex-biased computations underlying differential set shift performance in mice.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. A Multi-Symptom Circuit Architecture of Obsessive-Compulsive Disorder.medRxiv : the preprint server for health sciences · 2025
    Article
  12. Article
  13. Prefrontal Network Mechanisms of Psychiatric Deep Brain Stimulation.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
    Review
  14. Review
  15. Article
  16. Review
  17. Neurostimulation to Improve Cognitive Flexibility.Current opinion in behavioral sciences · 2025
    Article
  18. Article
  19. Review
  20. Article

16 more citing papers are in PubMed but not listed here.

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.

A S WidgeDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, 149 13th St, Boston, MA, 02129, USA. awidge@umn.edu.
S ZorowitzDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, 149 13th St, Boston, MA, 02129, USA.ORCID http://orcid.org/0000-0001-8073-1257
I BasuDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, 149 13th St, Boston, MA, 02129, USA.
A C PaulkDepartment of Neurology, Massachusetts General Hospital and Harvard Medical School, 55 Fruit St, Boston, MA, 02114, USA.ORCID http://orcid.org/0000-0002-4413-3417
S S CashDepartment of Neurology, Massachusetts General Hospital and Harvard Medical School, 55 Fruit St, Boston, MA, 02114, USA.
E N EskandarDepartment of Neurological Surgery, Massachusetts General Hospital and Harvard Medical School, 55 Fruit St, Boston, MA, 02114, USA.
T DeckersbachDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, 149 13th St, Boston, MA, 02129, USA.
E K MillerPicower Institute for Learning and Memory, Massachusetts Institute of Technology, 43 Vassar St, Cambridge, MA, 02139, USA.
D D DoughertyDepartment of Psychiatry, Massachusetts General Hospital and Harvard Medical School, 149 13th St, Boston, MA, 02129, USA.

Funding

Cortical Circuits for Attention and DecisionsR37MH087027 · NIMH · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI MILLER, EARL K · 2010 to 2019
$4.7M
Combined Cortical and Subcortical Recording and Stimulation as a Circuit-Oriented Treatment for Obsessive-Compulsive DisorderUH3NS100548 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI DOUGHERTY, DARIN D, WIDGE, ALIK S. · 2016 to 2024
$3.2M
Synchronizing a Fear Regulation Circuit By Temporally Patterned Closed-LoopNeurostimulationR21MH109722 · NIMH · UNIVERSITY OF MINNESOTA · PI WIDGE, ALIK S. · 2016 to 2017
$444k
Computational Modeling of Deep Brain Stimulation of the Ventral StriatumR03MH111320 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI DOUGHERTY, DARIN D, WIDGE, ALIK S. · 2016 to 2016
$183k
NIMH NIH HHS R03 MH111320NIMH NIH HHS R21 MH109722NIMH NIH HHS R37 MH087027NINDS NIH HHS UH3 NS100548
6 · The paper itself

Abstract

Deep brain stimulation (DBS) is a circuit-oriented treatment for mental disorders. Unfortunately, even well-conducted psychiatric DBS clinical trials have yielded inconsistent symptom relief, in part because DBS' mechanism(s) of action are unclear. One clue to those mechanisms may lie in the efficacy of ventral internal capsule/ventral striatum (VCVS) DBS in both major depression (MDD) and obsessive-compulsive disorder (OCD). MDD and OCD both involve deficits in cognitive control. Cognitive control depends on prefrontal cortex (PFC) regions that project into the VCVS. Here, we show that VCVS DBS' effect is explained in part by enhancement of PFC-driven cognitive control. DBS improves human subjects' performance on a cognitive control task and increases theta (5-8Hz) oscillations in both medial and lateral PFC. The theta increase predicts subjects' clinical outcomes. Our results suggest a possible mechanistic approach to DBS therapy, based on tuning stimulation to optimize these neurophysiologic phenomena.

Indexed as

CognitionDeep Brain StimulationInternal CapsuleAdultAgedFemaleHumansMajor Depressive DisorderMaleMiddle AgedObsessive-Compulsive DisorderPrefrontal CortexTreatment Outcome

Identifiers

PMID30948727
PMCPMC6449385

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.