Evidence map›Paper›PMID 30979647›Full record

ArticleBiological psychiatry. Cognitive neuroscience and neuroimaging2019

Reduced Amygdala-Prefrontal Functional Connectivity in Children With Autism Spectrum Disorder and Co-occurring Disruptive Behavior.

Karim Ibrahim, Jeffrey A Eilbott, Pamela Ventola, George He, Kevin A Pelphrey, Gregory McCarthy, Denis G Sukhodolsky

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Biological psychiatry. Cognitive neuroscience and neuroimaging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04654260 (Behavior Therapy for Irritability and Aggression in Adolescents With Autism), which is not on this map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
4.6field-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.

NCT04654260 nacompletednot on this mapstarted 2020, after this paper: background citation

Behavior Therapy for Irritability and Aggression in Adolescents With Autism

TypeinterventionalSponsorYale UniversityRan2020 to 2026Enrolled65ConditionsAutism Spectrum Disorder, Irritability, Disruptive Behavior, AngerArmsBehavioral Therapy for Irritability in Autism, Psychoeducation and Supportive Therapy (PST)
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 2 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. Systematic Review and Meta-analysis: Task-based fMRI Studies in Youths With Irritability.Journal of the American Academy of Child and Adolescent Psychiatry · 2023
    Pooled it
  3. Trial
  4. Beyond the Outburst: Charting a New Frontier for Understanding and Treating Irritability in Autistic Adults.Autism research : official journal of the International Society for Autism Research · 2026
    Review
  5. Article
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  9. Review
  10. Article
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  18. Pathways to Psychopathology Among Autistic Adults.Current psychiatry reports · 2023
    Review
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Karim IbrahimChild Study Center, Yale University School of Medicine, New Haven, Connecticut. Electronic address: karim.ibrahim@yale.edu.
Jeffrey A EilbottChild Study Center, Yale University School of Medicine, New Haven, Connecticut.
Pamela VentolaChild Study Center, Yale University School of Medicine, New Haven, Connecticut.
George HeDepartment of Psychology, Yale University, New Haven, Connecticut.
Kevin A PelphreyDepartment of Neurology, University of Virginia School of Medicine, Charlottesville, Virginia.
Gregory McCarthyDepartment of Psychology, Yale University, New Haven, Connecticut.
Denis G SukhodolskyChild Study Center, Yale University School of Medicine, New Haven, Connecticut. Electronic address: denis.sukhodolsky@yale.edu.
Yale University · USUniversity of Virginia · US

Funding

Multimodal Developmental Neurogenetics of Females with ASDR01MH100028 · NIMH · YALE UNIVERSITY · PI Allison Elizabeth Jack, LAUREN KENWORTHY · 2012 to 2026
$37.8M
TRAINING PROGRAM IN CHILDHOOD NEUROPSYCHIATRIC DISORDERST32MH018268 · NIMH · YALE UNIVERSITY · PI Michael H Bloch, MICHAEL J CROWLEY · 1985 to 2026
$11.0M
Subnetwork-based Quantitative Imaging Biomarkers for Therapy Assessment in AutismR01NS035193 · NINDS · YALE UNIVERSITY · PI JAMES S DUNCAN, LAWRENCE H. STAIB · 1996 to 2026
$9.2M
Neural Mechanisms of CBT for Anxiety in Children with Autism Spectrum DisorderR01HD083881 · NICHD · YALE UNIVERSITY · PI PELPHREY, KEVIN A, SUKHODOLSKY, DENIS G · 2016 to 2020
$2.8M
Using CBT to examine circuitry of frustrative non-reward in aggressive childrenR01MH101514 · NIMH · YALE UNIVERSITY · PI PELPHREY, KEVIN A, SUKHODOLSKY, DENIS G · 2013 to 2016
$1.8M
NICHD NIH HHS R01 HD083881NIMH NIH HHS R01 MH100028NIMH NIH HHS R01 MH101514NIMH NIH HHS T32 MH018268NINDS NIH HHS R01 NS035193
6 · The paper itself

Abstract

backgroundDisruptive behaviors are prevalent in children with autism spectrum disorder (ASD) and often cause substantial impairments. However, the underlying neural mechanisms of disruptive behaviors remain poorly understood in ASD. In children without ASD, disruptive behavior is associated with amygdala hyperactivity and reduced connectivity with the ventrolateral prefrontal cortex (vlPFC). This study examined amygdala reactivity and connectivity in children with ASD with and without co-occurring disruptive behavior disorders. We also investigated differential contributions of externalizing behaviors and callous-unemotional traits to variance in amygdala connectivity and reactivity.

methodsThis cross-sectional study involved behavioral assessments and neuroimaging in three groups of children 8 to 16 years of age: 18 children had ASD and disruptive behavior, 20 children had ASD without disruptive behavior, and 19 children were typically developing control participants matched for age, gender, and IQ. During functional magnetic resonance imaging, participants completed an emotion perception task of fearful versus calm faces. Task-specific changes in amygdala reactivity and connectivity were examined using whole-brain, psychophysiological interaction, and multiple regression analyses.

resultsChildren with ASD and disruptive behavior showed reduced amygdala-vlPFC connectivity compared with children with ASD without disruptive behavior. Externalizing behaviors and callous-unemotional traits were associated with amygdala reactivity to fearful faces in children with ASD after controlling for suppressor effects.

conclusionsReduced amygdala-vlPFC connectivity during fear processing may differentiate children with ASD and disruptive behavior from children with ASD without disruptive behavior. The presence of callous-unemotional traits may have implications for identifying differential patterns of amygdala activity associated with increased risk of aggression in ASD. These findings suggest a neural mechanism of emotion dysregulation associated with disruptive behavior in children with ASD.

Indexed as

ConnectomeFacial ExpressionSocial PerceptionAdolescentAmygdalaAutism Spectrum DisorderBehavioral SymptomsChildCross-Sectional StudiesEmotional RegulationFacial RecognitionFemaleHumansMagnetic Resonance ImagingMalePrefrontal CortexAggressionAmygdalaAutismEmotion regulationFunctional connectivityVentrolateral prefrontal cortex

Identifiers

PMID30979647
PMCPMC7173634
OpenAlexW2914954417

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Registered trials

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.