Evidence map›Paper›PMID 32116776›Full record

ArticleFrontiers in physiology2020

Triple Network Model Dynamically Revisited: Lower Salience Network State Switching in Pre-psychosis.

Thomas A W Bolton, Diana Wotruba, Roman Buechler, Anastasia Theodoridou, Lars Michels, Spyros Kollias, Wulf Rössler, Karsten Heekeren, Dimitri Van De Ville

Open access · goldAbstract read
In one paragraph

Article in Frontiers in physiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
6.0field-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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 79 citations in OpenAlex.

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  16. Human brain state dynamics reflect individual neuro-phenotypes.bioRxiv : the preprint server for biology · 2024
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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 2 countries.

Thomas A W BoltonInstitute of Bioengineering, École Polytechique Fédérale de Lausanne, Lausanne, Switzerland.
Diana WotrubaCollegium Helveticum, ETH Zürich, Zurich, Switzerland.
Roman BuechlerThe Zürich Program for Sustainable Development of Mental Health Services, Psychiatry University Hospital Zürich, Zurich, Switzerland.
Anastasia TheodoridouThe Zürich Program for Sustainable Development of Mental Health Services, Psychiatry University Hospital Zürich, Zurich, Switzerland.
Lars MichelsDepartment of Neuroradiology, University Hospital Zürich, Zurich, Switzerland.
Spyros KolliasDepartment of Neuroradiology, University Hospital Zürich, Zurich, Switzerland.
Wulf RösslerCollegium Helveticum, ETH Zürich, Zurich, Switzerland.
Karsten HeekerenThe Zürich Program for Sustainable Development of Mental Health Services, Psychiatry University Hospital Zürich, Zurich, Switzerland.
Dimitri Van De VilleInstitute of Bioengineering, École Polytechique Fédérale de Lausanne, Lausanne, Switzerland.
University Hospital of Zurich · CHUniversity of Zurich · CHUniversity of Geneva · CHCollegium Helveticum · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Emerging evidence has attributed altered network coordination between the default mode, central executive, and salience networks (DMN/CEN/SAL) to disturbances seen in schizophrenia, but little is known for at-risk psychosis stages. Moreover, pinpointing impairments in specific network-to-network interactions, although essential to resolve possibly distinct harbingers of conversion to clinically diagnosed schizophrenia, remains particularly challenging. We addressed this by a dynamic approach to functional connectivity, where right anterior insula brain interactions were examined through co-activation pattern (CAP) analysis. We utilized resting-state fMRI in 19 subjects suffering from subthreshold delusions and hallucinations (UHR), 28 at-risk for psychosis with basic symptoms describing only self-experienced subclinical disturbances (BS), and 29 healthy controls (CTR) matched for age, gender, handedness, and intelligence. We extracted the most recurring CAPs, compared their relative occurrence and average dwell time to probe their temporal expression, and quantified occurrence balance to assess the putative loss of competing relationships. Our findings substantiate the pivotal role of the right anterior insula in governing CEN-to-DMN transitions, which appear dysfunctional prior to the onset of psychosis, especially when first attenuated psychotic symptoms occur. In UHR subjects, it is longer active in concert with the DMN and there is a loss of competition between a SAL/DMN state, and a state with insula/CEN activation paralleled by DMN deactivation. These features suggest that abnormal network switching disrupts one's capacity to distinguish between the internal world and external environment, which is accompanied by inflexibility and an excessive awareness to internal processes reflected by prolonged expression of the right anterior insula-default mode co-activation pattern.

Indexed as

central executive network (CEN)co-activation patternsdefault mode network (DMN)dynamic functional connectivityfunctional magnetic resonance imaging—fMRIpre-psychoticsalience network

Identifiers

PMID32116776
PMCPMC7027374
OpenAlexW3006481709

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.