Evidence map›Paper›PMID 33947831›Full record

ArticleTranslational psychiatry2021

A digital intervention targeting cognitive control network dysfunction in middle age and older adults with major depression.

Faith M Gunning, Joaquin A Anguera, Lindsay W Victoria, Patricia A Areán

Open access · goldAbstract read
In one paragraph

Article in Translational psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

20 citing papers in PubMed, 44 citations in OpenAlex.

  1. A pilot study of a targeted cognitive intervention for cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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  4. A digital intervention for cognitive deficits following COVID-19: a randomized clinical trial.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
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  6. Trial
  7. Article
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  9. Psychotherapy for older adults with depression: a narrative review.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
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  11. Article
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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

4 authors at 3 institutions in 1 country.

Faith M GunningDepartment of Psychiatry, Weill Cornell Medicine, New York, NY, USA. fgd2002@med.cornell.edu.ORCID http://orcid.org/0000-0003-1854-9969
Joaquin A AngueraDepartments of Neurology and Psychiatry, University of California San Francisco, San Francisco, CA, USA.
Lindsay W VictoriaDepartment of Psychiatry, Weill Cornell Medicine, New York, NY, USA.
Patricia A AreánDepartment of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA.
Cornell University · USUniversity of California, San Francisco · USUniversity of Washington · US

Funding

A Computerized Intervention Targeting Cognitive Control Network Deficits in DepressionR33MH110509 · NIMH · UNIVERSITY OF WASHINGTON · PI ANGUERA, JOAQUIN A, AREAN, PATRICIA A. · 2018 to 2020
$2.0M
A Computerized Intervention Targeting Cognitive Control Network Deficits in DepressionR61MH110509 · NIMH · UNIVERSITY OF WASHINGTON · PI ANGUERA, JOAQUIN A, AREAN, PATRICIA A. · 2016 to 2018
$1.3M
U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) MH110509
6 · The paper itself

Abstract

Nonpharmacological interventions targeting putative network mechanisms of major depressive disorder (MDD) may represent novel treatments. This mechanistic study investigates how a video game-like intervention, designed to improve cognitive control network (CCN) functioning by targeting multitasking, influences the CCN of middle-aged and older adults with MDD. The sample consisted of 34 adults aged 45-75 with SCID-defined diagnosis of MDD, Hamilton depression rating scale scores ≥20, and a deficit in cognitive control. Participants were instructed to play at home for 20-25 min per day, at least 5 times per week, for 4 weeks. Evidence of target engagement was defined a priori as >2/3 of participants showing CCN improvement. CCN engagement was defined as a change in a Z score of ≥0.5 on functional magnetic resonance imaging (fMRI) in activation and functional connectivity of the CCN during task-based and resting-state fMRI, respectively. 74% of participants showed a change in activation of the CCN, and 72% showed an increase in resting-state functional connectivity. Sixty-eight percent demonstrated improved cognitive control function, measured as either improvement on sustained attention or working memory performance or reduced self-reported symptoms of apathy on the frontal systems behavioral scale (FrsBe). Participants also reported a significant reduction in mood symptoms measured by PHQ-9. A remotely deployed neuroscience-informed video game-like intervention improves both CCN functions and mood in middle-aged and older adults with MDD. This easily-disseminated intervention may rescue CCN dysfunction present in a substantial subset of middle-aged and older adults with MDD.

Indexed as

Cognitive DysfunctionMajor Depressive DisorderAgedCognitionDepressionHumansMagnetic Resonance ImagingMiddle Aged

Identifiers

PMID33947831
PMCPMC8096948
OpenAlexW3158134706

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.