Evidence map›Paper›PMID 33965516›Full record

ArticleJournal of the American Academy of Child and Adolescent Psychiatry2022

Reward-Related Neural Circuitry in Depressed and Anxious Adolescents: A Human Connectome Project.

Randy P Auerbach, David Pagliaccio, Nicholas A Hubbard, Isabelle Frosch, Rebecca Kremens, Elizabeth Cosby, Robert Jones, Viviana Siless, Nicole Lo, Aude Henin and 5 more

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Academy of Child and Adolescent Psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
5.2field-weighted citation impact, top 4% 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

39 citing papers in PubMed, 61 citations in OpenAlex.

  1. Trial
  2. The efficacy and cerebral mechanism of intradermal acupuncture for major depressive disorder: a multicenter randomized controlled trial.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
    Trial
  3. Review
  4. Article
  5. Article
  6. Sex-Specific Associations of Irritability With Subcortical Brain Volumes.Biological psychiatry global open science · 2026
    Article
  7. Review
  8. Review
  9. Striatal and hippocampal contributions to value-based learning in adolescence.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 9 institutions in 1 country.

Randy P AuerbachColumbia University, New York; New York State Psychiatric Institute, New York; Division of Clinical Developmental Neuroscience, Sackler Institute, New York. Electronic address: rpa2009@cumc.columbia.edu.
David PagliaccioColumbia University, New York; New York State Psychiatric Institute, New York.
Nicholas A HubbardMassachusetts Institute of Technology, Cambridge, Massachusetts; University of Nebraska, Lincoln.
Isabelle FroschMassachusetts Institute of Technology, Cambridge, Massachusetts.
Rebecca KremensCenter for Depression, Anxiety and Stress Research, McLean Hospital, Belmont, Massachusetts.
Elizabeth CosbyCenter for Depression, Anxiety and Stress Research, McLean Hospital, Belmont, Massachusetts.
Robert JonesDepartment of Radiology, Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Boston; Harvard Medical School, Boston, Massachusetts.
Viviana SilessDepartment of Radiology, Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Boston; Harvard Medical School, Boston, Massachusetts.
Nicole LoMassachusetts Institute of Technology, Cambridge, Massachusetts.
Aude HeninHarvard Medical School, Boston, Massachusetts; Massachusetts General Hospital, Boston, Massachusetts.
Stefan G HofmannBoston University, Massachusetts.
John D E GabrieliMassachusetts Institute of Technology, Cambridge, Massachusetts.
Anastasia YendikiDepartment of Radiology, Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Boston; Massachusetts General Hospital, Boston, Massachusetts.
Susan Whitfield-GabrieliNortheastern University, Boston, Massachusetts.
Diego A PizzagalliCenter for Depression, Anxiety and Stress Research, McLean Hospital, Belmont, Massachusetts; Harvard Medical School, Boston, Massachusetts.
Harvard University · USMassachusetts Institute of Technology · USMcLean Hospital · USBoston University · USColumbia University Irving Medical Center · USMassachusetts General Hospital · USNew York Psychoanalytic Society and Institute · USNortheastern University · USUniversity of Nebraska–Lincoln · US

Funding

Testing the Efficacy of Ibudilast to Attenuate Meth-seeking and Associated Synaptic Inflammation at the Synapse (TEAMS)P20GM130461 · NIGMS · UNIVERSITY OF NEBRASKA LINCOLN · PI KIMBERLY A TYLER · 2019 to 2026
$20.6M
CONNECTOME 2.0: DEVELOPING THE NEXT GENERATION HUMAN MRI SCANNER FOR BRIDGING STUDIES OF THE MICRO-, MESO- AND MACRO-CONNECTOMEU01EB026996 · NIBIB · MASSACHUSETTS GENERAL HOSPITAL · PI BASSER, PETER J., HUANG, SUSIE YI · 2018 to 2022
$14.2M
Neuroimaging Studies of Reward Processing in DepressionR37MH068376 · NIMH · UNIVERSITY OF CALIFORNIA-IRVINE · PI Diego A Pizzagalli · 2016 to 2026
$7.4M
Connectomes Related to Anxiety and Depression in AdolescentsU01MH108168 · NIMH · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI GABRIELI, JOHN, WHITFIELD-GABRIELI, SUSAN · 2015 to 2019
$4.6M
Social Processing Deficits in Remitted Adolescent DepressionR01MH119771 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI AUERBACH, RANDY PATRICK, SHANKMAN, STEWART AARON · 2020 to 2025
$3.7M
Multi level Analysis of Positive Valence Systems Across Mood DisordersR01MH101521 · NIMH · MCLEAN HOSPITAL · PI PIZZAGALLI, DIEGO A · 2013 to 2016
$2.1M
Multimodal mapping of the neurocircuitry of the human prefrontal cortexR01EB021265 · NIBIB · MASSACHUSETTS GENERAL HOSPITAL · PI YENDIKI, ANASTASIA · 2016 to 2019
$2.0M
Imaging the neurodevelopmental trajectory of depression and anxiety disorders with HCP protocolsR56MH121426 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI WHITFIELD-GABRIELI, SUSAN, YENDIKI, ANASTASIA · 2020 to 2020
$1.2M
Predicting Internet-Based Treatment Response for Major Depressive DisorderR56MH109566 · NIMH · MCLEAN HOSPITAL · PI AUERBACH, RANDY PATRICK · 2016 to 2017
$685k
Adolescent Brain Bases of Intergenerational Risk for DepressionF32MH114525 · NIMH · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI HUBBARD, NICHOLAS · 2017 to 2019
$123k
NIBIB NIH HHS R01 EB021265NIBIB NIH HHS U01 EB026996NIGMS NIH HHS P20 GM130461NIMH NIH HHS F32 MH114525NIMH NIH HHS R01 MH101521NIMH NIH HHS R01 MH119771NIMH NIH HHS R37 MH068376NIMH NIH HHS R56 MH109566NIMH NIH HHS R56 MH121426NIMH NIH HHS U01 MH108168
6 · The paper itself

Abstract

objectiveAlthough depression and anxiety often have distinct etiologies, they frequently co-occur in adolescence. Recent initiatives have underscored the importance of developing new ways of classifying mental illness based on underlying neural dimensions that cut across traditional diagnostic boundaries. Accordingly, the aim of the study was to clarify reward-related neural circuitry that may characterize depressed-anxious youth.

methodThe Boston Adolescent Neuroimaging of Depression and Anxiety Human Connectome Project tested group differences regarding subcortical volume and nucleus accumbens activation during an incentive processing task among 14- to 17-year-old adolescents presenting with a primary depressive and/or anxiety disorder (n = 129) or no lifetime history of mental disorders (n = 64). In addition, multimodal modeling examined predictors of depression and anxiety symptom change over a 6-month follow-up period.

resultsOur findings highlighted considerable convergence. Relative to healthy youth, depressed-anxious adolescents exhibited reduced nucleus accumbens volume and activation following reward receipt. These findings remained when removing all medicated participants (∼59% of depressed-anxious youth). Subgroup analyses comparing anxious-only, depressed-anxious, and healthy youth also were largely consistent. Multimodal modeling showed that only structural alterations predicted depressive symptoms over time.

conclusionMultimodal findings highlight alterations within nucleus accumbens structure and function that characterize depressed-anxious adolescents. In the current hypothesis-driven analyses, however, only reduced nucleus accumbens volume predicted depressive symptoms over time. An important next step will be to clarify why structural alterations have an impact on reward-related processes and associated symptoms.

Indexed as

ConnectomeAdolescentAnxietyAnxiety DisordersBostonDepressionHumansMagnetic Resonance ImagingRewardanhedoniaconnectomicsinternalizing disordersstriatumsubcortical volume

Identifiers

PMID33965516
PMCPMC8643367
OpenAlexW3163781787

What OpenQuestion holds

Textmetadata
LicenceTDM
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.