Evidence map›Paper›PMID 36630946›Full record

Trial reportPsychotherapy and psychosomatics2023

Real-Time fMRI Functional Connectivity Neurofeedback Reducing Repetitive Negative Thinking in Depression: A Double-Blind, Randomized, Sham-Controlled Proof-of-Concept Trial.

Aki Tsuchiyagaito, Masaya Misaki, Namik Kirlic, Xiaoqian Yu, Stella M Sánchez, Gabe Cochran, Jennifer L Stewart, Ryan Smith, Kate D Fitzgerald, Michael L Rohan and 2 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychotherapy and psychosomatics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.9field-weighted citation impact, top 4% 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

18 citing papers in PubMed, 28 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Neurofeedback in Major Depression.Advances in experimental medicine and biology · 2026
    Review
  7. Article
  8. Effectiveness of fMRI-based Neurofeedback Therapy on Depression: A Systematic Review.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2025
    Review
  9. Article
  10. Article
  11. 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

12 authors at 3 institutions in 2 countries.

Aki TsuchiyagaitoLaureate Institute for Brain Research, Tulsa, Oklahoma, USA.
Masaya MisakiLaureate Institute for Brain Research, Tulsa, Oklahoma, USA.
Namik KirlicLaureate Institute for Brain Research, Tulsa, Oklahoma, USA.
Xiaoqian YuLaureate Institute for Brain Research, Tulsa, Oklahoma, USA.
Stella M SánchezLaureate Institute for Brain Research, Tulsa, Oklahoma, USA.
Gabe CochranLaureate Institute for Brain Research, Tulsa, Oklahoma, USA.
Jennifer L StewartLaureate Institute for Brain Research, Tulsa, Oklahoma, USA.
Ryan SmithLaureate Institute for Brain Research, Tulsa, Oklahoma, USA.
Kate D FitzgeraldDepartment of Psychiatry, Columbia University, New York, New York, USA.
Michael L RohanLaureate Institute for Brain Research, Tulsa, Oklahoma, USA.
Martin P PaulusLaureate Institute for Brain Research, Tulsa, Oklahoma, USA.
Salvador M GuinjoanLaureate Institute for Brain Research, Tulsa, Oklahoma, USA.
Laureate Institute for Brain Research · USColumbia University · USOklahoma State University at Tulsa · US

Funding

The Center for Neuroscience-based Mental Health Assessment and Prediction (NEUROMAP)P20GM121312 · NIGMS · LAUREATE INSTITUTE FOR BRAIN RESEARCH · PI MARTIN P. PAULUS · 2017 to 2026
$23.7M
Plasticity of Aversive Salience in Opioid Use DisorderR01DA050677 · NIDA · LAUREATE INSTITUTE FOR BRAIN RESEARCH · PI STEWART, JENNIFER LORRAINE · 2021 to 2025
$3.0M
NIDA NIH HHS R01 DA050677NIGMS NIH HHS P20 GM121312
6 · The paper itself

Abstract

introductionRepetitive negative thinking (RNT) is a cognitive process focusing on self-relevant and negative experiences, leading to a poor prognosis of major depressive disorder (MDD). We previously identified that connectivity between the precuneus/posterior cingulate cortex (PCC) and right temporoparietal junction (rTPJ) was positively correlated with levels of RNT.

objectiveIn this double-blind, randomized, sham-controlled, proof-of-concept trial, we employed real-time functional magnetic resonance imaging neurofeedback (rtfMRI-nf) to delineate the neural processes that may be causally linked to RNT and could potentially become treatment targets for MDD.

methodsMDD-affected individuals were assigned to either active (n = 20) or sham feedback group (n = 19). RNT was measured by the Ruminative Response Scale-brooding subscale (RRS-B) before and 1 week after the intervention.

resultsIndividuals in the active but not in the sham group showed a significant reduction in the RRS-B; however, a greater reduction in the PCC-rTPJ connectivity was unrelated to a greater reduction in the RRS-B. Exploratory analyses revealed that a greater reduction in the retrosplenial cortex (RSC)-rTPJ connectivity yielded a more pronounced reduction in the RRS-B in the active but not in the sham group.

conclusionsRtfMRI-nf was effective in reducing RNT. Considering the underlying mechanism of rtfMIR-nf, the RSC and rTPJ could be part of a network (i.e., default mode network) that might collectively affect the intensity of RNT. Understanding the relationship between the functional organization of targeted neural changes and clinical metrics, such as RNT, has the potential to guide the development of mechanism-based treatment of MDD.

Indexed as

Major Depressive DisorderNeurofeedbackPessimismDepressionHumansMagnetic Resonance ImagingDepressionfMRI neurofeedbackFunctional connectivityRepetitive negative thinkingRumination

Identifiers

PMID36630946
PMCPMC10238612
OpenAlexW4315631008

What OpenQuestion holds

Textmetadata
LicenceTDM
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.