Evidence map›Paper›PMID 32284075›Full record

ArticleEuropean psychiatry : the journal of the Association of European Psychiatrists2020

Depression-related anterior cingulate prefrontal resting state connectivity normalizes following cognitive behavioral therapy.

Spiro P Pantazatos, Ashley Yttredahl, Harry Rubin-Falcone, Ronit Kishon, Maria A Oquendo, J John Mann, Jeffrey M Miller

Erratum issuedAbstract read
In one paragraph

Article in European psychiatry : the journal of the Association of European Psychiatrists, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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.

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  8. Mechanisms of integration in psychedelic-assisted therapy.Journal of military, veteran and family health · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Spiro P PantazatosMolecular Imaging and Neuropathology, New York State Psychiatric Institute, New York, New York, USA.
Ashley YttredahlMolecular Imaging and Neuropathology, New York State Psychiatric Institute, New York, New York, USA.ORCID 0000-0003-2986-8471
Harry Rubin-FalconeDepartment of Psychiatry, Columbia University Irving Medical Center, New York, New York, USA.
Ronit KishonDepartment of Psychiatry, Columbia University Irving Medical Center, New York, New York, USA.
Maria A OquendoDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
J John MannMolecular Imaging and Neuropathology, New York State Psychiatric Institute, New York, New York, USA.
Jeffrey M MillerMolecular Imaging and Neuropathology, New York State Psychiatric Institute, New York, New York, USA.ORCID 0000-0002-2206-9311

Funding

The Neurochemistry of Cognitive Therapy: Predicting Treatment Outcome with PETK08MH085061 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI MILLER, JEFFREY M · 2010 to 2014
$925k
Integrative neuroinformatics to relate genomics to neurocircuitry and psychopathologyK01MH108721 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI PANTAZATOS, SPIRO PETER · 2016 to 2019
$739k
NIMH NIH HHS K01 MH108721NIMH NIH HHS K08 MH085061
6 · The paper itself

Abstract

backgroundAberrant activity of the subcallosal cingulate (SCC) is a common theme across pharmacologic treatment efficacy prediction studies. The functioning of the SCC in psychotherapeutic interventions is relatively understudied, as are functional differences among SCC subdivisions. We conducted functional connectivity analyses (rsFC) on resting-state functional magnetic resonance imaging (fMRI) data, collected before and after a course of cognitive behavioral therapy (CBT) in patients with major depressive disorder (MDD), using seeds from three SCC subdivisions.

methodsResting-state data were collected from unmedicated patients with current MDD (Hamilton Depression Rating Scale-17 > 16) before and after 14-sessions of CBT monotherapy. Treatment outcome was assessed using the Beck Depression Inventory (BDI). Rostral anterior cingulate (rACC), anterior subcallosal cingulate (aSCC), and Brodmann's area 25 (BA25) masks were used as seeds in connectivity analyses that assessed baseline rsFC and symptom severity, changes in connectivity related to symptom improvement after CBT, and prediction of treatment outcomes using whole-brain baseline connectivity.

resultsPretreatment BDI negatively correlated with pretreatment rACC ~ dorsolateral prefrontal cortex and aSCC ~ lateral prefrontal cortex rsFC. In a region-of-interest longitudinal analysis, rsFC between these regions increased post-treatment (p < 0.05FDR). In whole-brain analyses, BA25 ~ paracentral lobule and rACC ~ paracentral lobule connectivities decreased post-treatment. Whole-brain baseline rsFC with SCC did not predict clinical improvement.

conclusionsrsFC features of rACC and aSCC, but not BA25, correlated inversely with baseline depression severity, and increased following CBT. Subdivisions of SCC involved in top-down emotion regulation may be more involved in cognitive interventions, while BA25 may be more informative for interventions targeting bottom-up processing. Results emphasize the importance of subdividing the SCC in connectivity analyses.

Indexed as

Cognitive Behavioral TherapyConnectomeMagnetic Resonance ImagingTreatment OutcomeAdultFemaleGyrus CinguliHumansMajor Depressive DisorderMaleMiddle AgedCognitive behavioral therapydepressionfunctional magnetic resonance imagingresting-state functional connectivitysubgenual cingulate cortex

Identifiers

PMID32284075
PMCPMC7355178

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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.