Evidence map›Paper›PMID 33471126›Full record

ArticleCerebral cortex (New York, N.Y. : 1991)2021

The Human Brain Is Best Described as Being on a Female/Male Continuum: Evidence from a Neuroimaging Connectivity Study.

Yi Zhang, Qiang Luo, Chu-Chung Huang, Chun-Yi Zac Lo, Christelle Langley, Sylvane Desrivières, Erin Burke Quinlan, Tobias Banaschewski, Sabina Millenet, Arun L W Bokde and 22 more

Abstract readMulticenter Study
In one paragraph

Article in Cerebral cortex (New York, N.Y. : 1991), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. The progression of sex differences in brain networks across the lifespan.bioRxiv : the preprint server for biology · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. "Precision Medicine" and the Failed Search for Binary Brain Sex Differences to Address Gender Behavioral Health Disparities.American journal of human biology : the official journal of the Human Biology Council · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Sex and gender in neurodevelopmental conditions.Nature reviews. Neurology · 2023
    Review
  15. Article
  16. 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

32 authors.

Yi ZhangShanghai Centre for Mathematical Sciences, Fudan University, Shanghai, 200433, China.
Qiang LuoInstitute of Science and Technology for Brain-Inspired Intelligence, Ministry of Education-Key Laboratory of Computational Neuroscience and Brain-Inspired Intelligence and Research and Research Institute of Intelligent Complex Systems, Fudan University, Shanghai, 200433, China.
Chu-Chung HuangInstitute of Cognitive Neuroscience, School of Psychology and Cognitive Science, East China Normal University, Shanghai 200062, China.
Chun-Yi Zac LoInstitute of Science and Technology for Brain-Inspired Intelligence, Ministry of Education-Key Laboratory of Computational Neuroscience and Brain-Inspired Intelligence and Research and Research Institute of Intelligent Complex Systems, Fudan University, Shanghai, 200433, China.
Christelle LangleyDepartment of Psychiatry, University of Cambridge, Cambridge, CB2 0SZ, UK.
Sylvane DesrivièresMedical Research Council-Social, Genetic, and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, SE5 8AF, UK.
Erin Burke QuinlanMedical Research Council-Social, Genetic, and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, SE5 8AF, UK.
Tobias BanaschewskiDepartment of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, 69117, Germany.
Sabina MillenetDepartment of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, 69117, Germany.
Arun L W BokdeDiscipline of Psychiatry, School of Medicine and Trinity College Institute of Neuroscience, Trinity College Dublin, Dublin, D02 PN40, Ireland.
Herta FlorDepartment of Cognitive and Clinical Neuroscience, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Manheim, 69117, Germany.
Hugh GaravanDepartments of Psychiatry and Psychology, University of Vermont, Burlington, VT 05405, USA.
Penny GowlandSir Peter Mansfield Imaging Centre School of Physics and Astronomy, University of Nottingham, University Park, Nottingham, NG7 2RD, UK.
Andreas HeinzDepartment of Psychiatry and Psychotherapy, Campus Charité Mitte, Charité, Universitätsmedizin Berlin, Berlin, 10117, Germany.
Bernd IttermannPhysikalisch-Technische Bundesanstalt (PTB), Abbestraße 2, 10587 Berlin, Germany.
Jean-Luc MartinotInstitut National de la Santé et de la Recherche Médicale, INSERM U1299 ``Developmental trajectories & psychiatry''; Université Paris-Saclay, Ecole Normale supérieure Paris-Saclay, CNRS, Centre Borelli; 91190 Gif-sur-Yvette, France.
Eric ArtigesInstitut National de la Santé et de la Recherche Médicale, INSERM U1299 ``Developmental trajectories & psychiatry''; Université Paris-Saclay, Ecole Normale supérieure Paris-Saclay, CNRS, Centre Borelli; 91190 Gif-sur-Yvette, France.
Marie-Laure Paillère-MartinotInstitut National de la Santé et de la Recherche Médicale, INSERM U1299 ``Developmental trajectories & psychiatry''; Université Paris-Saclay, Ecole Normale supérieure Paris-Saclay, CNRS, Centre Borelli; 91190 Gif-sur-Yvette, France.
Frauke NeesDiscipline of Psychiatry, School of Medicine and Trinity College Institute of Neuroscience, Trinity College Dublin, Dublin, D02 PN40, Ireland.
Dimitri Papadopoulos OrfanosDepartment of Child and Adolescent Psychiatry and Psychotherapy, University Medical Center Göttingen, Göttingen, 37075, Germany.
Luise PoustkaClinic for Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, 1090 Wien, Austria.
Juliane H FröhnerSchool of Psychology and Global Brain Health Institute, Trinity College Dublin, Dublin, D02 PN40, Ireland.
Michael N SmolkaDepartment of Psychiatry, Taipei Veterans General Hospital, Taipei, 11217, Taiwan.
Henrik WalterDepartment of Psychiatry and Psychotherapy, Campus Charité Mitte, Charité, Universitätsmedizin Berlin, Berlin, 10117, Germany.
Robert WhelanSchool of Psychology and Global Brain Health Institute, Trinity College Dublin, Dublin, D02 PN40, Ireland.
Shih-Jen TsaiDepartment of Psychiatry, Taipei Veterans General Hospital, Taipei, 11217, Taiwan.
Ching-Po LinInstitute of Science and Technology for Brain-Inspired Intelligence, Ministry of Education-Key Laboratory of Computational Neuroscience and Brain-Inspired Intelligence and Research and Research Institute of Intelligent Complex Systems, Fudan University, Shanghai, 200433, China.
Ed BullmoreDepartment of Psychiatry, University of Cambridge, Cambridge, CB2 0SZ, UK.
Gunter SchumannPONS Research Group, Department of Psychiatry and Psychotherapy, Campus Charité Mitte, Charitéplatz 1, Berlin, 10117, Germany.
Barbara J SahakianInstitute of Science and Technology for Brain-Inspired Intelligence, Ministry of Education-Key Laboratory of Computational Neuroscience and Brain-Inspired Intelligence and Research and Research Institute of Intelligent Complex Systems, Fudan University, Shanghai, 200433, China.
Jianfeng FengShanghai Centre for Mathematical Sciences, Fudan University, Shanghai, 200433, China.
IMAGEN consortium

Funding

Training U54EB020403 · NIBIB · UNIVERSITY OF SOUTHERN CALIFORNIA · PI THOMPSON, PAUL M · 2014 to 2018
$10.1M
Axon, Testosterone and Mental Health during AdolescenceR01MH085772 · NIMH · BAYCREST CENTRE FOR GERIATRIC CARE · PI PAUS, TOMAS · 2010 to 2014
$1.5M
Medical Research Council MC_G0802534Medical Research Council MR/N000390/1Medical Research Council MR/R00465X/1Medical Research Council MR/S020306/1MRF_ MRF-058-0004-RG-DESRIMRF_ MRF-058-0009-RG-DESR-C0759NIBIB NIH HHS U54 EB020403NIMH NIH HHS R01 MH085772
6 · The paper itself

Abstract

Psychological androgyny has long been associated with greater cognitive flexibility, adaptive behavior, and better mental health, but whether a similar concept can be defined using neural features remains unknown. Using the neuroimaging data from 9620 participants, we found that global functional connectivity was stronger in the male brain before middle age but became weaker after that, when compared with the female brain, after systematic testing of potentially confounding effects. We defined a brain gender continuum by estimating the likelihood of an observed functional connectivity matrix to represent a male brain. We found that participants mapped at the center of this continuum had fewer internalizing symptoms compared with those at the 2 extreme ends. These findings suggest a novel hypothesis proposing that there exists a neuroimaging concept of androgyny using the brain gender continuum, which may be associated with better mental health in a similar way to psychological androgyny.

Indexed as

Sex CharacteristicsAdultAgedBrainDatabases, FactualFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedNerve NetNeuroimagingYoung Adultandrogynybrain functional networksex difference

Identifiers

PMID33471126
PMCPMC8107794

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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.