Evidence map›Paper›PMID 34860349›Full record

Trial reportBrain imaging and behavior2022

Ruminative reflection is associated with anticorrelations between the orbitofrontal cortex and the default mode network in depression: implications for repetitive transcranial magnetic stimulation.

Tobin J Ehrlich, Jyoti Bhat, Andrea M Horwege, Daniel H Mathalon, Gary H Glover, Brian J Roach, Bashar W Badran, Steven D Forman, Mark S George, J Cobb Scott and 4 more

Abstract readClinical Trial
In one paragraph

Trial report in Brain imaging and behavior, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Article
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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

14 authors.

Tobin J EhrlichVeterans Affairs Palo Alto Health Care System, 3801 Miranda Ave (151Y), Palo Alto, CA, 94304, USA.ORCID http://orcid.org/0000-0001-8066-2044
Jyoti BhatVeterans Affairs Palo Alto Health Care System, 3801 Miranda Ave (151Y), Palo Alto, CA, 94304, USA.
Andrea M HorwegeVeterans Affairs Palo Alto Health Care System, 3801 Miranda Ave (151Y), Palo Alto, CA, 94304, USA.
Daniel H MathalonMental Health Service, San Francisco Veterans Affairs Health Care System, University of California, San Francisco, San Francisco, CA, USA.
Gary H GloverDepartment of Radiology, Stanford University, Stanford, CA, USA.
Brian J RoachMental Health Service, San Francisco Veterans Affairs Health Care System, University of California, San Francisco, San Francisco, CA, USA.
Bashar W BadranBrain Stimulation Division, Department of Psychiatry, Medical University of South Carolina, Charleston, SC, USA.
Steven D FormanDepartment of Veterans Affairs, Veterans Affairs Medical Center, Pittsburgh, PA, USA.
Mark S GeorgeBrain Stimulation Division, Department of Psychiatry, Medical University of South Carolina, Charleston, SC, USA.
J Cobb ScottVISN4 Mental Illness Research, Education, and Clinical Center at the Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, 19104, USA.
Michael E ThaseVISN4 Mental Illness Research, Education, and Clinical Center at the Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, 19104, USA.
Jerome A YesavageVeterans Affairs Palo Alto Health Care System, 3801 Miranda Ave (151Y), Palo Alto, CA, 94304, USA.
Deborah A Yurgelun-ToddRocky Mountain Network Mental Illness Research Education and Clinical Centers (VISN 19), VA Salt Lake City Health Care System, Salt Lake City, UT, USA.
Allyson C RosenVeterans Affairs Palo Alto Health Care System, 3801 Miranda Ave (151Y), Palo Alto, CA, 94304, USA. rosena@stanford.edu.

Funding

Stanford Alzheimer's Disease Research CenterAdmin Supp: Developing iPSC models for AD and PDP30AG066515 · NIA · STANFORD UNIVERSITY · PI Lisa Goldman Rosas · 2020 to 2026
$29.0M
Treating Depression and Enhancing Locomotor Recovery Post-strokeP20GM109040 · NIGMS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI KAUTZ, STEVEN A. · 2014 to 2024
$23.5M
Stanford Medicine Center for Longevity and Healthy Aging Research Education CoreP30AG059307 · NIA · STANFORD UNIVERSITY · PI PERIYAKOIL, VYJEYANTHI S, YESAVAGE, JEROME A · 2018 to 2025
$4.9M
MRI Analysis of Coil Position to Improve the rTMS Treatment of DepressionI01CX000604 · VA · VETERANS ADMIN PALO ALTO HEALTH CARE SYS · PI ROSEN, ALLYSON C · 2014 to 2019
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Targeting Functional Improvement in rTMS TherapyI01RX003152 · VA · VETERANS ADMIN PALO ALTO HEALTH CARE SYS · PI ROSEN, ALLYSON C · 2019 to 2024
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CSP VA 556CSRD VA I01 CX000604Merit Award CX000604NIA NIH HHS P30 AG059307NIA NIH HHS P30 AG066515NIGMS NIH HHS P20 GM109040RRD VA I01 RX003152
6 · The paper itself

Abstract

Patients with depression who ruminate repeatedly focus on depressive thoughts; however, there are two cognitive subtypes of rumination, reflection and brooding, each associated with different prognoses. Reflection involves problem-solving and is associated with positive outcomes, whereas brooding involves passive, negative, comparison with other people and is associated with poor outcomes. Rumination has also been related to atypical functional hyperconnectivity between the default mode network and subgenual prefrontal cortex. Repetitive pulse transcranial magnetic stimulation of the prefrontal cortex has been shown to alter functional connectivity, suggesting that the abnormal connectivity associated with rumination could potentially be altered. This study examined potential repetitive pulse transcranial magnetic stimulation prefrontal cortical targets that could modulate one or both of these rumination subtypes. Forty-three patients who took part in a trial of repetitive pulse transcranial magnetic stimulation completed the Rumination Response Scale questionnaire and resting-state functional magnetic resonance imaging. Seed to voxel functional connectivity analyses identified an anticorrelation between the left lateral orbitofrontal cortex (-44, 26, -8; k = 172) with the default mode network-subgenual region in relation to higher levels of reflection. Parallel analyses were not significant for brooding or the RRS total score. These findings extend previous studies of rumination and identify a potential mechanistic model for symptom-based neuromodulation of rumination.

Indexed as

Major Depressive DisorderTranscranial Magnetic StimulationDefault Mode NetworkDepressionHumansMagnetic Resonance ImagingPrefrontal CortexDefault mode networkReflectionRepetitive transcranial magnetic stimulationRuminationTreatment-resistant depression

Identifiers

PMID34860349
PMCPMC9107429

What OpenQuestion holds

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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.