Evidence map›Paper›PMID 36991135›Full record

ArticleMolecular psychiatry2023

Reducing default mode network connectivity with mindfulness-based fMRI neurofeedback: a pilot study among adolescents with affective disorder history.

Jiahe Zhang, Jovicarole Raya, Francesca Morfini, Zoi Urban, David Pagliaccio, Anastasia Yendiki, Randy P Auerbach, Clemens C C Bauer, Susan Whitfield-Gabrieli

Open access · hybridAbstract read
In one paragraph

Article in Molecular psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
10.6field-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.

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

40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 60 citations in OpenAlex.

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  16. A protocol formedRxiv : the preprint server for health sciences · 2025
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  20. Closed-Loop Systems and Real-Time Neurofeedback in Mindfulness Meditation Research.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2025
    Review
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

9 authors at 4 institutions in 1 country.

Jiahe ZhangDepartment of Psychology, Northeastern University, Boston, MA, 02115, USA. j.zhang@northeastern.edu.ORCID 0000-0002-7520-074X
Jovicarole RayaDepartment of Psychology, Northeastern University, Boston, MA, 02115, USA.
Francesca MorfiniDepartment of Psychology, Northeastern University, Boston, MA, 02115, USA.
Zoi UrbanDepartment of Psychology, Northeastern University, Boston, MA, 02115, USA.
David PagliaccioDepartment of Psychiatry, Columbia University, New York, NY, 10032, USA.ORCID 0000-0002-1214-1965
Anastasia YendikiAthinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, Boston, MA, 02129, USA.
Randy P Auerbach *Department of Psychiatry, Columbia University, New York, NY, 10032, USA.ORCID 0000-0003-2319-4744
Clemens C C Bauer *Department of Psychology, Northeastern University, Boston, MA, 02115, USA.
Susan Whitfield-Gabrieli *Department of Psychology, Northeastern University, Boston, MA, 02115, USA.
Northeastern University · USArthur M. Sackler Gallery · USHarvard University · USNew York State Psychiatric Institute

Funding

Real-time fMRI Neurofeedback as a Tool to Mitigate Auditory Hallucinations in Patients with SchizophreniaR33MH113751 · NIMH · HARVARD MEDICAL SCHOOL · PI NIZNIKIEWICZ, MARGARET A, WHITFIELD-GABRIELI, SUSAN · 2021 to 2023
$3.1M
Real-time fMRI Neurofeedback as a Tool to Mitigate Auditory Hallucinations in Patients with SchizophreniaR61MH113751 · NIMH · HARVARD MEDICAL SCHOOL · PI NIZNIKIEWICZ, MARGARET A, WHITFIELD-GABRIELI, SUSAN · 2018 to 2019
$1.4M
Imaging the neurodevelopmental trajectory of depression and anxiety disorders with HCP protocolsR56MH121426 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI WHITFIELD-GABRIELI, SUSAN, YENDIKI, ANASTASIA · 2020 to 2020
$1.2M
NIMH NIH HHS R33 MH113751NIMH NIH HHS R56 MH121426NIMH NIH HHS R61 MH113751
6 · The paper itself

Abstract

Adolescents experience alarmingly high rates of major depressive disorder (MDD), however, gold-standard treatments are only effective for ~50% of youth. Accordingly, there is a critical need to develop novel interventions, particularly ones that target neural mechanisms believed to potentiate depressive symptoms. Directly addressing this gap, we developed mindfulness-based fMRI neurofeedback (mbNF) for adolescents that aims to reduce default mode network (DMN) hyperconnectivity, which has been implicated in the onset and maintenance of MDD. In this proof-of-concept study, adolescents (n = 9) with a lifetime history of depression and/or anxiety were administered clinical interviews and self-report questionnaires, and each participant's DMN and central executive network (CEN) were personalized using a resting state fMRI localizer. After the localizer scan, adolescents completed a brief mindfulness training followed by a mbNF session in the scanner wherein they were instructed to volitionally reduce DMN relative to CEN activation by practicing mindfulness meditation. Several promising findings emerged. First, mbNF successfully engaged the target brain state during neurofeedback; participants spent more time in the target state with DMN activation lower than CEN activation. Second, in each of the nine adolescents, mbNF led to significantly reduced within-DMN connectivity, which correlated with post-mbNF increases in state mindfulness. Last, a reduction of within-DMN connectivity mediated the association between better mbNF performance and increased state mindfulness. These findings demonstrate that personalized mbNF can effectively and non-invasively modulate the intrinsic networks associated with the emergence and persistence of depressive symptoms during adolescence.

Indexed as

Major Depressive DisorderMindfulnessNeurofeedbackAdolescentBrainBrain MappingDefault Mode NetworkHumansMagnetic Resonance ImagingNeural PathwaysPilot Projects

Identifiers

PMID36991135
PMCPMC10611577
OpenAlexW4361277797

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.