Evidence map›Paper›PMID 34482948›Full record

ArticleBiological psychiatry2022

Mapping Neural Circuit Biotypes to Symptoms and Behavioral Dimensions of Depression and Anxiety.

Andrea N Goldstein-Piekarski, Tali M Ball, Zoe Samara, Brooke R Staveland, Arielle S Keller, Scott L Fleming, Katherine A Grisanzio, Bailey Holt-Gosselin, Patrick Stetz, Jun Ma and 1 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Biological psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06837207 (Safety and Efficacy Study of Precise Transcranial Magnetic Stimulation for Depression Based on Individualized Functional Connectivity Localization of Orbital Frontal Cortex-habenula), which is not on this map. Cited by 78 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 3 pooled it
10.7field-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.

NCT06837207 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Safety and Efficacy Study of Precise Transcranial Magnetic Stimulation for Depression Based on Individualized Functional Connectivity Localization of Orbital Frontal Cortex-habenula

TypeinterventionalSponsorXijing HospitalRan2025 to 2026Enrolled30ConditionsDepression, Transcranial Magnetic StimulationArmstranscranial magnetic stimulation
3 · Its place in the literature

Who cites it

78 citing papers in PubMed, 3 syntheses or guidelines pooled it, 146 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Examining fronto-limbic brain and sleep mechanisms of antidepressant effects in cognitive-behavioral therapy for insomnia.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Trial
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  8. Neural complexity EEG biomarkers of rapid and post-rapid ketamine effects in late-life treatment-resistant depression: a randomized control trial.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2023
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  13. Article
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  17. Review
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  20. Cognition in Treatment-Resistant Depression: Obstacles and Challenges?Advances in experimental medicine and biology · 2026
    Review

18 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Andrea N Goldstein-PiekarskiDepartment of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California; Sierra-Pacific Mental Illness Research, Education, and Clinical Center, Veterans Affairs Palo Alto Health Care System, Palo Alto, California.
Tali M BallDepartment of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California.
Zoe SamaraDepartment of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California.
Brooke R StavelandDepartment of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California.
Arielle S KellerDepartment of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California; Department of Graduate Program in Neurosciences, Stanford University, Stanford, California.
Scott L FlemingDepartment of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California; Department of Biomedical Informatics, Stanford University, Stanford, California.
Katherine A GrisanzioDepartment of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California.
Bailey Holt-GosselinDepartment of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California.
Patrick StetzDepartment of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California; Sierra-Pacific Mental Illness Research, Education, and Clinical Center, Veterans Affairs Palo Alto Health Care System, Palo Alto, California.
Jun MaDepartment of Medicine, University of Illinois at Chicago, Chicago, Illinois; Institute for Health Research and Policy, University of Illinois at Chicago, Chicago, Illinois.
Leanne M WilliamsDepartment of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California; Sierra-Pacific Mental Illness Research, Education, and Clinical Center, Veterans Affairs Palo Alto Health Care System, Palo Alto, California. Electronic address: leawilliams@stanford.edu.
Stanford University · USVA Palo Alto Health Care System · USStanford Medicine · USUniversity of Illinois Chicago · US

Funding

Training CoreP50DA042012 · NIDA · STANFORD UNIVERSITY · PI Karl A. Deisseroth · 2017 to 2026
$27.1M
A BIOBEHAVIORAL RESEARCH TRAINING PROGRAMT32MH019938 · NIMH · STANFORD UNIVERSITY · PI Corey J Keller, RACHEL MANBER · 1994 to 2026
$9.4M
Mapping connectomes for disordered emotional statesU01MH109985 · NIMH · STANFORD UNIVERSITY · PI WILLIAMS, LEANNE · 2017 to 2020
$3.1M
Engaging self-regulation targets to understand the mechanisms of behavior change and improve mood and weight outcomesUH2HL132368 · NHLBI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI MA, JUN, WILLIAMS, LEANNE · 2015 to 2017
$2.6M
Neural Dimensions of Threat Reactivity and Regulation for Understanding AnxietyR01MH101496 · NIMH · STANFORD UNIVERSITY · PI WILLIAMS, LEANNE · 2013 to 2016
$2.3M
Developing a mechanistic neurobiological model of exposure therapy response based on fear extinction theoryK23MH113708 · NIMH · STANFORD UNIVERSITY · PI BALL, TALI MANBER · 2018 to 2021
$746k
Neuroimaging and Machine Learning to Redefine Anxiety and DepressionF32MH108299 · NIMH · STANFORD UNIVERSITY · PI GOLDSTEIN-PIEKARSKI, ANDREA · 2016 to 2017
$51k
NHLBI NIH HHS UH2 HL132368NIDA NIH HHS P50 DA042012NIMH NIH HHS F32 MH108299NIMH NIH HHS K23 MH113708NIMH NIH HHS R01 MH101496NIMH NIH HHS T32 MH019938NIMH NIH HHS U01 MH109985
6 · The paper itself

Abstract

backgroundDespite tremendous advances in characterizing human neural circuits that govern emotional and cognitive functions impaired in depression and anxiety, we lack a circuit-based taxonomy for depression and anxiety that captures transdiagnostic heterogeneity and informs clinical decision making.

methodsWe developed and tested a novel system for quantifying 6 brain circuits reproducibly and at the individual patient level. We implemented standardized circuit definitions relative to a healthy reference sample and algorithms to generate circuit clinical scores for the overall circuit and its constituent regions.

resultsIn new data from primary and generalizability samples of depression and anxiety (N = 250), we demonstrated that overall disconnections within task-free salience and default mode circuits map onto symptoms of anxious avoidance, loss of pleasure, threat dysregulation, and negative emotional biases-core characteristics that transcend diagnoses-and poorer daily function. Regional dysfunctions within task-evoked cognitive control and affective circuits may implicate symptoms of cognitive and valence-congruent emotional functions. Circuit dysfunction scores also distinguished response to antidepressant and behavioral intervention treatments in an independent sample (n = 205).

conclusionsOur findings articulate circuit dimensions that relate to transdiagnostic symptoms across mood and anxiety disorders. Our novel system offers a foundation for deploying standardized circuit assessments across research groups, trials, and clinics to advance more precise classifications and treatment targets for psychiatry.

Indexed as

DepressionPsychiatryAnxietyAnxiety DisordersHumansAnxietyBiotypeClinical translationDepressionFunctional brain circuit imagingPrecision mental health

Identifiers

PMID34482948
PMCPMC9511971
OpenAlexW3182305578

What OpenQuestion holds

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Registered trials

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.