Evidence map›Paper›PMID 37191029›Full record

ArticlePsychological medicine2024

Trying to name what doesn't change: Neural nonresponse to Cognitive Therapy for depression.

Marlene V Strege, John A Richey, Greg J Siegle

Open access · greenAbstract read
In one paragraph

Article in Psychological medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 54% 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

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. 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

3 authors at 2 institutions in 1 country.

Marlene V StregeDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.ORCID 0000-0002-4105-7279
John A RicheyDepartment of Psychology, Virginia Polytechnic Institute and State University, Blacksburg, VA, USA.
Greg J SiegleDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
University of Pittsburgh · USVirginia Tech · US

Funding

CLINICAL RESEARCH TRAINING FOR PSYCHOLOGISTST32MH018269 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MICHELE D LEVINE · 1986 to 2026
$6.3M
PROPHYLACTIC COGNITIVE THERAPY FOR DEPRESSIONR01MH058356 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI THASE, MICHAEL E · 2000 to 2010
$3.5M
Functional Neuroanatomy of Recovery from DepressionR01MH074807 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SIEGLE, GREG J · 2006 to 2010
$1.9M
Are Cognitive Therapy's Antidepressant Effects Durable?R01MH069618 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI FRIEDMAN, EDWARD S. · 2004 to 2008
$1.5M
Translational Neuroimaging in Unipolar Depression: Towards Personalized TreatmentK02MH082998 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SIEGLE, GREG J · 2008 to 2012
$587k
NIMH NIH HHS K02 MH082998NIMH NIH HHS R01 MH058356NIMH NIH HHS R01 MH069618NIMH NIH HHS R01 MH074807NIMH NIH HHS T32 MH018269
6 · The paper itself

Abstract

backgroundTheoretical models of neural mechanisms underlying Cognitive Behavior Therapy (CBT) for major depressive disorder (MDD) propose that psychotherapy changes neural functioning of prefrontal cortical structures associated with cognitive-control processes (DeRubeis, Siegle, & Hollon, ); however, MDD is persistent and characterized by long-lasting vulnerabilities to recurrence after intervention, suggesting that underlying neural mechanisms of MDD remain despite treatment. It follows that identification of treatment-resistant aberrant neural processes in MDD may inform clinical and research efforts targeting sustained remission. Thus, we sought to identify brain regions showing aberrant neural functioning in MDD that either (1) fail to exhibit substantive change (nonresponse) or (2) exhibit functional changes (response) following CBT.

methodsTo identify treatment-resistant neural processes (as well as neural processes exhibiting change after treatment), we collected functional magnetic resonance imaging (fMRI) data of MDD patients (

resultsFindings revealed nonresponse in a cerebellar region and response in prefrontal and parietal regions.

conclusionsResults are consistent with prior theoretical models of CBT's direct effect on cortical regulatory processes but expand on them with identification of additional regions (and associated neural systems) of response and nonresponse to CBT.

Indexed as

Cognitive Behavioral TherapyMajor Depressive DisorderBrainDepressionHumansMagnetic Resonance ImagingTreatment OutcomeCognitive therapydepressionneuroscience

Identifiers

PMID37191029
PMCPMC10651800
OpenAlexW4376643657

What OpenQuestion holds

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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.