Evidence map›Paper›PMID 33559216›Full record

Trial reportBrain and behavior2021

Effects of short-term cognitive-coping therapy on resting-state brain function in obsessive-compulsive disorder.

Jian-Dong Ma, Chang-Hong Wang, Ping Huang, Xunan Wang, Li-Jing Shi, Heng-Fen Li, De-En Sang, Shao-Jie Kou, Zhi-Rong Li, Hong-Zeng Zhao and 2 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Brain and behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. 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

12 authors at 3 institutions in 1 country.

Jian-Dong MaXinxiang Medical University Affiliated Second Hospital, Xinxiang, Henan, P. R. China.
Chang-Hong WangXinxiang Medical University Affiliated Second Hospital, Xinxiang, Henan, P. R. China.
Ping HuangThe Fifth People's Hospital of Kaifeng, Kaifeng, Henan, P. R. China.
Xunan WangXinxiang Medical University Affiliated Second Hospital, Xinxiang, Henan, P. R. China.
Li-Jing ShiXinxiang Medical University Affiliated Second Hospital, Xinxiang, Henan, P. R. China.
Heng-Fen LiZhengzhou University First Affiliated Hospital, Zhengzhou, Henan, P. R. China.
De-En SangXinxiang Medical University Affiliated Second Hospital, Xinxiang, Henan, P. R. China.
Shao-Jie KouThe Fifth People's Hospital of Kaifeng, Kaifeng, Henan, P. R. China.
Zhi-Rong LiThe Fifth People's Hospital of Kaifeng, Kaifeng, Henan, P. R. China.
Hong-Zeng ZhaoXinxiang Medical University Affiliated Second Hospital, Xinxiang, Henan, P. R. China.
Hong-Kai LianZhengzhou University Affiliated Zhengzhou Central Hospital, Zhengzhou, P. R. China.
Xian-Zhang HuXinxiang Medical University Affiliated Second Hospital, Xinxiang, Henan, P. R. China.ORCID 0000-0002-0913-0536
Henan Psychiatric Hospital · CNFirst Affiliated Hospital of Zhengzhou University · CNZhengzhou Central Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObsessive-compulsive disorder (OCD) tends to be treatment refractory. Recently, cognitive-coping therapy (CCT) for OCD is reported to be an efficacious psychotherapy. However, the underlying neurophysiological mechanism remains unknown. Here, the effects of CCT on OCD and the resting-state brain function were investigated.

methodsFifty-nine OCD patients underwent CCT, pharmacotherapy plus CCT (pCCT), or pharmacotherapy. Before and after a 4-week treatment, Yale-Brown obsessive-compulsive scale (Y-BOCS) was evaluated and resting-state functional magnetic resonance imaging (rs-fMRI) was scanned.

resultsCompared with the baseline, significant reduction of Y-BOCS scores was found after four-week treatment (p < .001) in groups of CCT and pCCT, not in pharmacotherapy. Post-treatment Y-BOCS scores of CCT group and pCCT group were not different, but significantly lower than that of pharmacotherapy group (p < .001). Compared with pretreatment, two clusters of brain regions with significant change in amplitude of low-frequency fluctuation (ALFF) were obtained in those who treated with CCT and pCCT, but not in those who received pharmacotherapy. The ALFF in cluster 1 (insula, putamen, and postcentral gyrus in left cerebrum) was decreased, while the ALFF in cluster 2 (occipital medial gyrus, occipital inferior gyrus, and lingual gyrus in right hemisphere) was increased after treatment (corrected p < .05). The changes of ALFF were correlated with the reduction of Y-BOCS score and were greater in remission than in nonremission. The reduction of the fear of negative events was correlated to the changes of ALFF of clusters and the reduction of Y-BOCS score.

conclusionsThe effectiveness of CCT for OCD was related to the alteration of resting-state brain function-the brain plasticity.

trial registrationChiCTR-IPC-15005969.

Indexed as

Cognitive Behavioral TherapyObsessive-Compulsive DisorderAdaptation, PsychologicalBrainCognitionHumanscognitive-coping therapyobsessive-compulsive disorderOCDpsychotherapyrs-fMRItreatment

Identifiers

PMID33559216
PMCPMC8035441
OpenAlexW3126793013

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.