Evidence map›Paper›PMID 35058584›Full record

SynthesisNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2022

Common and specific large-scale brain changes in major depressive disorder, anxiety disorders, and chronic pain: a transdiagnostic multimodal meta-analysis of structural and functional MRI studies.

Felix Brandl, Benedikt Weise, Satja Mulej Bratec, Nazia Jassim, Daniel Hoffmann Ayala, Teresa Bertram, Markus Ploner, Christian Sorg

Registry-linked trialOpen access · hybridAbstract readMeta-Analysis
In one paragraph

Synthesis in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05986513 (Investigating Brain Abnormalities in People With Knee Osteoarthritis Using MRI), which is not on this map. Cited by 66 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 8 pooled it
13.9field-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.

NCT05986513 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Investigating Brain Abnormalities in People With Knee Osteoarthritis Using MRI: a Nociplastic Pain Mechanism Based Assessment

TypeinterventionalSponsorToronto Rehabilitation InstituteRan2023 to 2025Enrolled66ConditionsChronic Pain, Central Sensitisation, Knee OsteoarthritisArmsCold Pressor Gel Test
3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 8 syntheses or guidelines pooled it, 131 citations in OpenAlex.

  1. Transdiagnostic mapping of common and specific regional homogeneity alterations across affective and psychotic disorders.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
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  13. Decoding Transdiagnostic Subtypes in Emotional Disorders.CNS neuroscience & therapeutics · 2026
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6 more citing papers are in PubMed but not listed here.

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

8 authors at 2 institutions in 2 countries.

Felix Brandl *Technical University of Munich, School of Medicine, Department of Psychiatry, 81675, Munich, Germany. felix.brandl@tum.de.ORCID http://orcid.org/0000-0003-3719-9263
Benedikt Weise *Technical University of Munich, School of Medicine, Department of Neuroradiology, 81675, Munich, Germany.
Satja Mulej BratecTechnical University of Munich, School of Medicine, Department of Neuroradiology, 81675, Munich, Germany.
Nazia JassimTechnical University of Munich, School of Medicine, Department of Neuroradiology, 81675, Munich, Germany.
Daniel Hoffmann AyalaTechnical University of Munich, School of Medicine, Department of Neuroradiology, 81675, Munich, Germany.
Teresa BertramTechnical University of Munich, School of Medicine, Department of Psychiatry, 81675, Munich, Germany.
Markus Ploner *Technical University of Munich, School of Medicine, TUM-NIC Neuroimaging Center, 81675, Munich, Germany.ORCID http://orcid.org/0000-0002-7767-7170
Christian Sorg *Technical University of Munich, School of Medicine, Department of Psychiatry, 81675, Munich, Germany.
Technical University of Munich · DEUniversity of Maribor · SI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Major depressive disorder (MDD), anxiety disorders (ANX), and chronic pain (CP) are closely-related disorders with both high degrees of comorbidity among them and shared risk factors. Considering this multi-level overlap, but also the distinct phenotypes of the disorders, we hypothesized both common and disorder-specific changes of large-scale brain systems, which mediate neural mechanisms and impaired behavioral traits, in MDD, ANX, and CP. To identify such common and disorder-specific brain changes, we conducted a transdiagnostic, multimodal meta-analysis of structural and functional MRI-studies investigating changes of gray matter volume (GMV) and intrinsic functional connectivity (iFC) of large-scale intrinsic brain networks across MDD, ANX, and CP. The study was preregistered at PROSPERO (CRD42019119709). 320 studies comprising 10,931 patients and 11,135 healthy controls were included. Across disorders, common changes focused on GMV-decrease in insular and medial-prefrontal cortices, located mainly within the so-called default-mode and salience networks. Disorder-specific changes comprised hyperconnectivity between default-mode and frontoparietal networks and hypoconnectivity between limbic and salience networks in MDD; limbic network hyperconnectivity and GMV-decrease in insular and medial-temporal cortices in ANX; and hypoconnectivity between salience and default-mode networks and GMV-increase in medial temporal lobes in CP. Common changes suggested a neural correlate for comorbidity and possibly shared neuro-behavioral chronification mechanisms. Disorder-specific changes might underlie distinct phenotypes and possibly additional disorder-specific mechanisms.

Indexed as

Chronic PainMajor Depressive DisorderAnxiety DisordersBrainHumansMagnetic Resonance Imaging

Identifiers

PMID35058584
PMCPMC8938548
OpenAlexW4205408103

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.