Evidence map›Paper›PMID 34711810›Full record

ArticleTranslational psychiatry2021

Networks of worry-towards a connectivity-based signature of late-life worry using higher criticism.

Andrew R Gerlach, Helmet T Karim, Joseph Kazan, Howard J Aizenstein, Robert T Krafty, Carmen Andreescu

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 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

14 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Older and wiser? The neural correlates of worry induction and reappraisal in older adults.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
    Article
  4. Article
  5. Network homeostasis: functional brain network alterations and relapse in remitted late-life depression.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
    Article
  6. Article
  7. Article
  8. Specific Association of Worry With Amyloid-β But Not Tau in Cognitively Unimpaired Older Adults.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2024
    Article
  9. Review
  10. White Noise-Is Anxiety in Late-Life Associated With White Matter Hyperintensity Burden?The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2024
    Article
  11. Article
  12. Cognitive, Disability, and Treatment Outcome Implications of Symptom-Based Phenotyping in Late-Life Depression.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2023
    Article
  13. Article
  14. 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

6 authors at 2 institutions in 1 country.

Andrew R GerlachDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
Helmet T KarimDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
Joseph KazanDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
Howard J AizensteinDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
Robert T KraftyDepartment of Biostatistics and Bioinformatics, Emory University, Atlanta, GA, USA.
Carmen AndreescuDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA. andrcx@upmc.edu.ORCID http://orcid.org/0000-0003-3767-5127
University of Pittsburgh · USEmory University · US

Funding

The RAW Brain - The Effect of Rumination, Anxiety and Worry on Aging and Dementia RiskR01MH108509 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Carmen Andreescu · 2016 to 2026
$10.6M
Pharmacologic MRI Predictors of Treatment Response in Late-Life DepressionR01MH076079 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI AIZENSTEIN, HOWARD J, ANDREESCU, CARMEN · 2006 to 2022
$7.1M
CLINICAL RESEARCH TRAINING IN LATE-LIFE MOOD DISORDERST32MH019986 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HOWARD J AIZENSTEIN, Carmen Andreescu · 1997 to 2026
$6.9M
Recurrence markers, cognitive burden and neurobiological homeostasis in latelife depression (REMBRANDT) - SupplementR01MH121619 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ANDREESCU, CARMEN · 2020 to 2024
$5.1M
A Statistical Framework for the Spectral Analysis of High-Dimensional Physiological Time Series SignalsR01GM113243 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KRAFTY, ROBERT T · 2014 to 2020
$2.0M
Machine Learning Models for Identifying Neural Predictors of TMS Treatment Response in MDDK01MH122741 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KARIM, HELMET TALIB · 2021 to 2025
$852k
NIGMS NIH HHS R01 GM113243NIMH NIH HHS K01 MH122741NIMH NIH HHS R01 MH076079NIMH NIH HHS R01 MH108509NIMH NIH HHS R01 MH121619NIMH NIH HHS T32 MH019986U.S. Department of Health & Human Services | NIH | National Institute of General Medical Sciences (NIGMS) R01GM113243.U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) K01MH122741U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) R01MH076079U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) R01MH108509U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) R01MH121619U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) T32MH019986
6 · The paper itself

Abstract

Severe worry is a complex transdiagnostic phenotype independently associated with increased morbidity, including cognitive impairment and cardiovascular diseases. We investigated the neurobiological basis of worry in older adults by analyzing resting state fMRI using a large-scale network-based approach. We collected resting fMRI on 77 participants (>50 years old) with varying worry severity. We computed region-wise connectivity across the default mode network (DMN), anterior salience network, and left executive control network. All 22,366 correlations were regressed on worry severity and adjusted for age, sex, race, education, disease burden, depression, anxiety, rumination, and neuroticism. We employed higher criticism, a second-level method of significance testing for rare and weak features, to reveal the functional connectivity patterns associated with worry. The analysis suggests that worry has a complex, yet distinct signature associated with resting state functional connectivity. Intra-connectivities and inter-connectivities of the DMN comprise the dominant contribution. The anterior cingulate, temporal lobe, and thalamus are heavily represented with overwhelmingly negative association with worry. The prefrontal regions are also strongly represented with a mix of positive and negative associations with worry. Identifying the most salient connections may be useful for targeted interventions for reducing morbidity associated with severe worry in older adults.

Indexed as

BrainMagnetic Resonance ImagingAgedAnxietyAnxiety DisordersBrain MappingHumansMiddle AgedNeural PathwaysRest

Identifiers

PMID34711810
PMCPMC8553743
OpenAlexW3208914332

What OpenQuestion holds

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LicenceCC BY
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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.