Evidence map›Paper›PMID 32710331›Full record

ArticleBrain imaging and behavior2021

The abnormal reward network associated with insomnia severity and depression in chronic insomnia disorder.

Liang Gong, Siyi Yu, Ronghua Xu, Duan Liu, Xijian Dai, Zhengyan Wang, Youping Hu, Bohua Yan, Yu Kui, Bei Zhang and 1 more

Abstract read
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In one paragraph

Article in Brain imaging and behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
3.2field-weighted citation impact, top 7% 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

28 citing papers in PubMed, 54 citations in OpenAlex.

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  5. The Pathogenesis and Treatment of Insomnia Combined with Depression.International journal of general medicine · 2025
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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

11 authors at 5 institutions in 1 country.

Liang Gong *Department of Neurology, Chengdu Second People's Hospital, Chengdu, 610017, Sichuan, China.ORCID http://orcid.org/0000-0001-9807-8049
Siyi Yu *Department of Acupuncture & Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, Sichuan, China.
Ronghua XuDepartment of Neurology, Chengdu Second People's Hospital, Chengdu, 610017, Sichuan, China.
Duan LiuDepartment of Neurology, Chengdu Second People's Hospital, Chengdu, 610017, Sichuan, China.
Xijian DaiDepartment of Medical Imaging, Jinling Hospital, Medical School of Nanjing University, Nanjing, 210002, Jiangsu, China.
Zhengyan WangDepartment of Pain Management, Sichuan Integrative Medicine, Sichuan, 610041, Chengdu, China.
Youping HuDepartment of Acupuncture & Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, Sichuan, China.
Bohua YanHospital of Chengdu University of Traditional Chinese Medicine, Chengdu, 610072, Sichuan, China.
Yu KuiThe Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510120, Guangdong, China.
Bei ZhangDepartment of Neurology, Chengdu Second People's Hospital, Chengdu, 610017, Sichuan, China.
Fen FengHospital of Chengdu University of Traditional Chinese Medicine, Chengdu, 610072, Sichuan, China. fengf01@126.com.
Chengdu Second People's Hospital · CNChengdu University of Traditional Chinese Medicine · CNGuangzhou University of Chinese Medicine · CNNanjing General Hospital of Nanjing Military Command · CNSichuan Integrative Medicine Hosipital · CN

Funding

Chengdu Medical Research Project 2019115National Natural Science Foundation of China-Yunnan Joint Fund 81303057,81503670, 81373560, and 81603682Science and Technology Department of Sichuan Province 2018JY0249, 20YYJC0034
6 · The paper itself

Abstract

Previous research has shown that acute sleep deprivation can influence the reward networks. However, it is unclear whether and how the intrinsic reward network is altered in chronic insomnia disorder (CID). In the present study, we aimed to investigate whether the reward network is altered in patients with CID using resting-state functional magnetic resonance imaging (fMRI) data. Forty-two patients with CID and 33 healthy controls (HCs) were enrolled and underwent resting-state fMRI. Nucleus accumbens (NAc) - based functional connectivity (NAFC) was evaluated to explore the differences in the reward network between the CID and HC groups. Pearson correlation analysis was used to evaluate the clinical significance of altered NAFC networks. Compared to those in the HC group, increased NAFC was found in the salience and limbic networks, while decreased NAFC was found in the default mode network (DMN) and within the reward circuit in patients with CID. In addition, decreased FC between the NAc and DMN was associated with insomnia severity, while NAFC within the reward network was associated with depression symptoms in patients with CID. These findings showed that the reward network is dysfunctional and associated with depression symptom in patients with CID. Future studies of CID should consider both insomnia and depression symptoms to disentangle the role of insomnia and depression in the relationship under study.

Indexed as

Sleep Initiation and Maintenance DisordersBrainBrain MappingDepressionHumansMagnetic Resonance ImagingRewardDepressionFunctional connectivityInsomniaReward network

Identifiers

PMID32710331
OpenAlexW3045280338

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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.