Evidence map›Paper›PMID 34288223›Full record

ArticleHuman brain mapping2021

Structural atrophy of the right superior frontal gyrus in adolescents with severe irritability.

Ji-Woo Seok, Sahil Bajaj, Brigette Soltis-Vaughan, Arica Lerdahl, William Garvey, Alexandra Bohn, Ryan Edwards, Christopher J Kratochvil, James Blair, Soonjo Hwang

Open access · goldAbstract read
In one paragraph

Article in Human brain mapping, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 19% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Sex-Specific Associations of Irritability With Subcortical Brain Volumes.Biological psychiatry global open science · 2026
    Article
  3. Article
  4. Concurrent and longitudinal neurostructural correlates of irritability in children.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. 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

10 authors at 2 institutions in 1 country.

Ji-Woo SeokDepartment of Psychiatry, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Sahil BajajCenter for Neurobehavioral Research, Boys Town National Research Hospital, Boys Town, Nebraska, USA.
Brigette Soltis-VaughanDepartment of Psychiatry, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Arica LerdahlDepartment of Psychiatry, University of Nebraska Medical Center, Omaha, Nebraska, USA.
William GarveyDepartment of Psychiatry, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Alexandra BohnDepartment of Psychiatry, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Ryan EdwardsDepartment of Psychiatry, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Christopher J KratochvilDepartment of Psychiatry, University of Nebraska Medical Center, Omaha, Nebraska, USA.
James BlairCenter for Neurobehavioral Research, Boys Town National Research Hospital, Boys Town, Nebraska, USA.
Soonjo HwangDepartment of Psychiatry, University of Nebraska Medical Center, Omaha, Nebraska, USA.ORCID 0000-0001-5117-2468
University of Nebraska Medical Center · USBoys Town · US

Funding

Tracking and Evaluation CoreU54GM115458 · NIGMS · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI HOLSTEIN, SARAH A · 2016 to 2025
$42.8M
Dose-Response Relationship and Pharmacokinetics of Intranasal Oxytocin on Neural Impact in Youths with High Levels of IrritabilityU01MH120155 · NIMH · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI HWANG, SOONJO, SHAFFER, CHRISTOPHER LEE · 2020 to 2022
$2.3M
NIGMS NIH HHS U54 GM115458NIH HHS 1U54GM115458NIMH NIH HHS U01 MH120155NIMH NIH HHS U01MH120155-01A1
6 · The paper itself

Abstract

Severe irritability is common in youths with psychiatric disorders and results in significant dysfunction across domains (academic, social, and familial). Prior structural MRI studies in the pediatric population demonstrated that aberrations of cortical thickness (CT) and gray matter volume (GMV) in the fronto-striatal-temporal regions which have been associated with irritability. However, the directions of the correlations between structural alteration and irritability in the individual indices were not consistent. Thus, we aim to address this by implementing comprehensive assessments of CT, GMV, and local gyrification index (LGI) simultaneously in youths with severe levels of irritability by voxel-based morphometry and surface-based morphometry. One hundred and eight adolescents (46 youths with severe irritability and 62 healthy youths, average age = 14.08 years, standard deviation = 2.36) were scanned with a T1-weighted MRI sequence. The severity of irritability was measured using the affective reactivity index. In youths with severe irritability, there was decreased CT, GMV, and LGI in the right superior frontal gyrus (SFG) compared to healthy youths, and negative correlations between these indices of the SFG and irritability. Our findings suggest that structural deficits in the SFG, potentially related to its role in inhibitory control, may be critical for the neurobiology of irritability.

Indexed as

AdolescentAffective SymptomsAtrophyChildFemaleHumansIrritable MoodMagnetic Resonance ImagingMalePatient AcuityPrefrontal Cortexcortical thicknessgray matter volumegyrificationinsulasuperior frontal gyrussuperior temporal gyrus

Identifiers

PMID34288223
PMCPMC8410540
OpenAlexW3185429872

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.