Evidence map›Paper›PMID 31201476›Full record

ArticlePsychopharmacology2019

Dopaminergic drug treatment remediates exaggerated cingulate prediction error responses in obsessive-compulsive disorder.

Graham K Murray, Franziska Knolle, Karen D Ersche, Kevin J Craig, Sanja Abbott, Shaila S Shabbir, Naomi A Fineberg, John Suckling, Barbara J Sahakian, Edward T Bullmore and 1 more

Open access · hybridAbstract readControlled Clinical Trial
In one paragraph

Article in Psychopharmacology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 3% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Article
  7. Article
  8. Article
  9. Revisiting the role of computational neuroimaging in the era of integrative neuroscience.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Review
  10. Article
  11. Review
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  13. Pramipexole for the Treatment of Depression: Efficacy and Mechanisms.Current topics in behavioral neurosciences · 2024
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Electroencephalographic Correlates of Obsessive-Compulsive Disorder.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

11 authors at 4 institutions in 2 countries.

Graham K MurrayDepartment of Psychiatry, University of Cambridge, 18b Trumpington Road, Cambridge, CB2 8AH, UK. gm285@cam.ac.uk.
Franziska KnolleDepartment of Psychiatry, University of Cambridge, 18b Trumpington Road, Cambridge, CB2 8AH, UK. fk291@cam.ac.uk.ORCID http://orcid.org/0000-0002-9542-613X
Karen D ErscheDepartment of Psychiatry, University of Cambridge, 18b Trumpington Road, Cambridge, CB2 8AH, UK.
Kevin J CraigDepartment of Psychiatry, University of Cambridge, 18b Trumpington Road, Cambridge, CB2 8AH, UK.
Sanja AbbottBehavioural and Clinical Neuroscience Institute, University of Cambridge, Cambridge, CB2 1TN, UK.
Shaila S ShabbirGlaxoSmithKline, Immuno-Inflammation Therapeutic Area Unit, Stevenage, UK.
Naomi A FinebergDepartment of Psychiatry, Queen Elizabeth II Hospital, Welwyn Garden City, UK.
John SucklingDepartment of Psychiatry, University of Cambridge, 18b Trumpington Road, Cambridge, CB2 8AH, UK.
Barbara J SahakianDepartment of Psychiatry, University of Cambridge, 18b Trumpington Road, Cambridge, CB2 8AH, UK.
Edward T BullmoreDepartment of Psychiatry, University of Cambridge, 18b Trumpington Road, Cambridge, CB2 8AH, UK.
Trevor W RobbinsBehavioural and Clinical Neuroscience Institute, University of Cambridge, Cambridge, CB2 1TN, UK.
University of Cambridge · GBEuropean Bioinformatics Institute · GBGlaxoSmithKline (United Kingdom) · GBQueen Elizabeth II Hospital · GB

Funding

Medical Research Council G0001354Medical Research Council G0701911Medical Research Council G1000183
6 · The paper itself

Abstract

rationalePatients with obsessive-compulsive disorder (OCD) have been found to show exaggerated error responses and prediction error learning signals in a variety of EEG and fMRI tasks, with data converging on the anterior cingulate cortex as a key locus of dysfunction. Considerable evidence has linked prediction error processing to dopaminergic function.

objectiveIn this study, we investigate potential dopaminergic dysfunction during reward processing in the context of OCD.

methodsWe studied OCD patients (n = 18) and controls (n = 18) whilst they learned probabilistic associations between abstract stimuli and monetary rewards in the fMRI scanner involving administration (on separate visits) of a dopamine receptor agonist, pramipexole 0.5 mg; a dopamine receptor antagonist, amisulpride 400 mg; and placebo. We fitted a Q-learning computational model to fMRI prediction error responses; group differences were examined in anterior cingulate and nucleus accumbens regions of interest.

resultsThere were no significant group, drug, or interaction effects in the number of correct choices; computational modeling suggested a marginally significant difference in learning rates between groups (p = 0.089, partial ƞ

conclusionsOur data support cingulate dysfunction during reward processing in OCD, and bidirectional remediation by dopaminergic modulation, suggesting that exaggerated cingulate error signals in OCD may be of dopaminergic origin. The results help to illuminate the mechanisms through which dopamine receptor antagonists achieve therapeutic benefit in OCD. Further research is needed to disentangle the different functions of dopamine receptor agonists and antagonists during bidirectional modulation of cingulate activation.

Indexed as

RewardAdultDopamineDopamine AgonistsDopamine AntagonistsDouble-Blind MethodFemaleForecastingGyrus CinguliHumansMagnetic Resonance ImagingMaleMiddle AgedNucleus AccumbensObsessive-Compulsive DisorderPhotic StimulationDopamineDopamine AgonistsDopamine AntagonistsAmisulprideAnterior cingulateComputational modelNucleus accumbensObsessive-compulsive disorderPramipexolePrediction errorReward learning

Identifiers

PMID31201476
PMCPMC6695357
OpenAlexW2950829296

What OpenQuestion holds

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LicenceCC BY
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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.