Evidence map›Paper›PMID 34083701›Full record

ArticleScientific reports2021

Long-term stability of computational parameters during approach-avoidance conflict in a transdiagnostic psychiatric patient sample.

Ryan Smith, Namik Kirlic, Jennifer L Stewart, James Touthang, Rayus Kuplicki, Timothy J McDermott, Samuel Taylor, Sahib S Khalsa, Martin P Paulus, Robin L Aupperle

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
59.3field-weighted citation impact, top 1% 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

28 citing papers in PubMed, 47 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Decision-Making in Repeated Games: Insights from Active Inference.Behavioral sciences (Basel, Switzerland) · 2025
    Review
  6. Review
  7. The role of affective states in computational psychiatry.The international journal of neuropsychopharmacology · 2025
    Review
  8. Article
  9. Article
  10. How Distributed Subcortical Integration of Reward and Threat May Inform Subsequent Approach-Avoidance Decisions.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2024
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Invasive Computational Psychiatry.Biological psychiatry · 2023
    Review
  19. Article
  20. Review
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

10 authors at 1 institution in 1 country.

Ryan SmithLaureate Institute for Brain Research, 6655 S Yale Ave, Tulsa, OK, 74136, USA. rsmith@laureateinstitute.org.
Namik KirlicLaureate Institute for Brain Research, 6655 S Yale Ave, Tulsa, OK, 74136, USA.
Jennifer L StewartLaureate Institute for Brain Research, 6655 S Yale Ave, Tulsa, OK, 74136, USA.
James TouthangLaureate Institute for Brain Research, 6655 S Yale Ave, Tulsa, OK, 74136, USA.
Rayus KuplickiLaureate Institute for Brain Research, 6655 S Yale Ave, Tulsa, OK, 74136, USA.
Timothy J McDermottLaureate Institute for Brain Research, 6655 S Yale Ave, Tulsa, OK, 74136, USA.
Samuel TaylorLaureate Institute for Brain Research, 6655 S Yale Ave, Tulsa, OK, 74136, USA.
Sahib S KhalsaLaureate Institute for Brain Research, 6655 S Yale Ave, Tulsa, OK, 74136, USA.
Martin P PaulusLaureate Institute for Brain Research, 6655 S Yale Ave, Tulsa, OK, 74136, USA.
Robin L AupperleLaureate Institute for Brain Research, 6655 S Yale Ave, Tulsa, OK, 74136, USA.
Laureate Institute for Brain Research · US

Funding

The Center for Neuroscience-based Mental Health Assessment and Prediction (NEUROMAP)P20GM121312 · NIGMS · LAUREATE INSTITUTE FOR BRAIN RESEARCH · PI Maëlle Camille Marie Gueguen · 2017 to 2026
$23.7M
Plasticity of Aversive Salience in Opioid Use DisorderR01DA050677 · NIDA · LAUREATE INSTITUTE FOR BRAIN RESEARCH · PI STEWART, JENNIFER LORRAINE · 2021 to 2025
$3.0M
An Approach-Avoidance, Computational Framework for Predicting Behavioral Therapy Outcome in Anxiety and DepressionR01MH123691 · NIMH · LAUREATE INSTITUTE FOR BRAIN RESEARCH · PI AUPPERLE, ROBIN L · 2020 to 2024
$2.6M
Approach-Avoidance Conflict-a multi-level predictor for exposure therapy responseK23MH108707 · NIMH · LAUREATE INSTITUTE FOR BRAIN RESEARCH · PI AUPPERLE, ROBIN L · 2016 to 2020
$976k
Self-regulation of Prefrontal Cortex during Emotional Cognitive ControlF31MH122090 · NIMH · UNIVERSITY OF TULSA · PI MCDERMOTT, TIMOTHY · 2020 to 2022
$102k
NIDA NIH HHS R01 DA050677NIGMS NIH HHS P20 GM121312NIMH NIH HHS F31 MH122090NIMH NIH HHS K23 MH108707NIMH NIH HHS R01 MH123691
6 · The paper itself

Abstract

Maladaptive behavior during approach-avoidance conflict (AAC) is common to multiple psychiatric disorders. Using computational modeling, we previously reported that individuals with depression, anxiety, and substance use disorders (DEP/ANX; SUDs) exhibited differences in decision uncertainty and sensitivity to negative outcomes versus reward (emotional conflict) relative to healthy controls (HCs). However, it remains unknown whether these computational parameters and group differences are stable over time. We analyzed 1-year follow-up data from a subset of the same participants (N = 325) to assess parameter stability and relationships to other clinical and task measures. We assessed group differences in the entire sample as well as a subset matched for age and IQ across HCs (N = 48), SUDs (N = 29), and DEP/ANX (N = 121). We also assessed 2-3 week reliability in a separate sample of 30 HCs. Emotional conflict and decision uncertainty parameters showed moderate 1-year intra-class correlations (.52 and .46, respectively) and moderate to excellent correlations over the shorter period (.84 and .54, respectively). Similar to previous baseline findings, parameters correlated with multiple response time measures (ps < .001) and self-reported anxiety (r = .30, p < .001) and decision difficulty (r = .44, p < .001). Linear mixed effects analyses revealed that patients remained higher in decision uncertainty (SUDs, p = .009) and lower in emotional conflict (SUDs, p = .004, DEP/ANX, p = .02) relative to HCs. This computational modelling approach may therefore offer relatively stable markers of transdiagnostic psychopathology.

Indexed as

Conflict, PsychologicalAnxietyComputational BiologyDepressionDiagnosis, Computer-AssistedEmotionsFemaleHumansMaleMental DisordersReproducibility of ResultsSelf Report

Identifiers

PMID34083701
PMCPMC8175390
OpenAlexW3165453618

What OpenQuestion holds

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LicenceCC BY
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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.