Evidence map›Paper›PMID 33077939›Full record

ArticleNature biomedical engineering2021

Identification of psychiatric disorder subtypes from functional connectivity patterns in resting-state electroencephalography.

Yu Zhang, Wei Wu, Russell T Toll, Sharon Naparstek, Adi Maron-Katz, Mallissa Watts, Joseph Gordon, Jisoo Jeong, Laura Astolfi, Emmanuel Shpigel and 11 more

Abstract read
In one paragraph

Article in Nature biomedical engineering, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 91 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
91citing papers in PubMed, 2 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

91 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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31 more citing papers are in PubMed but not listed here.

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

21 authors.

Yu Zhang *Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA.ORCID http://orcid.org/0000-0003-4087-6544
Wei Wu *Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA.
Russell T TollDepartment of Psychiatry, Center for Depression Research and Clinical Care, Peter O'Donnell Jr. Brain Institute, UT Southwestern Medical Center, Dallas, TX, USA.ORCID http://orcid.org/0000-0002-7655-6668
Sharon NaparstekDepartment of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA.
Adi Maron-KatzDepartment of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA.
Mallissa WattsDepartment of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA.
Joseph GordonDepartment of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA.
Jisoo JeongDepartment of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA.
Laura AstolfiDepartment of Computer, Control and Management Engineering "Antonio Ruberti", University of Rome Sapienza, Rome, Italy.
Emmanuel ShpigelDepartment of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA.
Parker LongwellDepartment of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA.
Kamron SarhadiDepartment of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA.
Dawlat El-SaidDepartment of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA.ORCID http://orcid.org/0000-0003-3850-9868
Yuanqing LiSchool of Automation Science and Engineering, South China University of Technology, Guangzhou, China.
Crystal CooperDepartment of Psychiatry, Center for Depression Research and Clinical Care, Peter O'Donnell Jr. Brain Institute, UT Southwestern Medical Center, Dallas, TX, USA.
Cherise Chin-FattDepartment of Psychiatry, Center for Depression Research and Clinical Care, Peter O'Donnell Jr. Brain Institute, UT Southwestern Medical Center, Dallas, TX, USA.
Martijn ArnsResearch Institute Brainclinics, Brainclinics Foundation, Nijmegen, The Netherlands.ORCID http://orcid.org/0000-0002-0610-7613
Madeleine S GoodkindNew Mexico Veterans Affairs Healthcare System, Albuquerque, NM, USA.
Madhukar H TrivediDepartment of Psychiatry, Center for Depression Research and Clinical Care, Peter O'Donnell Jr. Brain Institute, UT Southwestern Medical Center, Dallas, TX, USA.ORCID http://orcid.org/0000-0002-2983-1110
Charles R MarmarSteven and Alexandra Cohen Veterans Center for Post-traumatic Stress and Traumatic Brain Injury, New York University Langone School of Medicine, New York, NY, USA.
Amit EtkinDepartment of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA. amitetkin@altoneuroscience.com.ORCID http://orcid.org/0000-0001-8259-3521

Funding

Establishing Moderators/Biosignatures of Antidepressant Response- Clinical CareU01MH092221 · NIMH · UT SOUTHWESTERN MEDICAL CENTER · PI TRIVEDI, MADHUKAR H. · 2010 to 2015
$9.7M
Biosignatures of Treatment Remission in Major DepressionU01MH092250 · NIMH · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MCGRATH, PATRICK J, PARSEY, RAMIN V. · 2010 to 2015
$8.9M
A “Circuits-First” Platform for Personalized Neurostimulation TreatmentDP1MH116506 · NIMH · STANFORD UNIVERSITY · PI ETKIN, AMIT · 2017 to 2021
$5.2M
Validating of Machine Learning-Based EEG Treatment Biomarkers in DepressionR44MH123373 · NIMH · ALTO NEUROSCIENCE, INC. · PI ETKIN, AMIT · 2020 to 2022
$3.2M
NIMH NIH HHS DP1 MH116506NIMH NIH HHS R44 MH123373NIMH NIH HHS U01 MH092221NIMH NIH HHS U01 MH092250
6 · The paper itself

Abstract

The understanding and treatment of psychiatric disorders, which are known to be neurobiologically and clinically heterogeneous, could benefit from the data-driven identification of disease subtypes. Here, we report the identification of two clinically relevant subtypes of post-traumatic stress disorder (PTSD) and major depressive disorder (MDD) on the basis of robust and distinct functional connectivity patterns, prominently within the frontoparietal control network and the default mode network. We identified the disease subtypes by analysing, via unsupervised and supervised machine learning, the power-envelope-based connectivity of signals reconstructed from high-density resting-state electroencephalography in four datasets of patients with PTSD and MDD, and show that the subtypes are transferable across independent datasets recorded under different conditions. The subtype whose functional connectivity differed most from those of healthy controls was less responsive to psychotherapy treatment for PTSD and failed to respond to an antidepressant medication for MDD. By contrast, both subtypes responded equally well to two different forms of repetitive transcranial magnetic stimulation therapy for MDD. Our data-driven approach may constitute a generalizable solution for connectome-based diagnosis.

Indexed as

ConnectomeElectroencephalographyAdultAntidepressive AgentsBrainCase-Control StudiesCluster AnalysisDatabases, FactualFemaleHumansMagnetic Resonance ImagingMajor Depressive DisorderMaleMiddle AgedPsychotherapyStress Disorders, Post-TraumaticAntidepressive Agents

Identifiers

PMID33077939
PMCPMC8053667

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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.