Evidence map›Paper›PMID 37369777›Full record

ReviewNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2024

Closed-loop neurostimulation for the treatment of psychiatric disorders.

Kristin K Sellers, Joshua L Cohen, Ankit N Khambhati, Joline M Fan, A Moses Lee, Edward F Chang, Andrew D Krystal

Open access · greenAbstract readReview
In one paragraph

Review in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
8.6field-weighted citation impact, top 2% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. Ethics of brain-computer interface in mental healthcare.Frontiers in human neuroscience · 2026
    Article
  11. Contemporary Ethical Considerations in Psychiatric Neurosurgery.Stereotactic and functional neurosurgery · 2026
    Review
  12. Review
  13. Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Review
  19. 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

7 authors at 1 institution in 1 country.

Kristin K SellersDepartment of Neurological Surgery, University of California, San Francisco, CA, USA.ORCID 0000-0002-0517-2296
Joshua L CohenWeill Institute for Neurosciences, University of California, San Francisco, CA, USA.
Ankit N KhambhatiDepartment of Neurological Surgery, University of California, San Francisco, CA, USA.
Joline M FanWeill Institute for Neurosciences, University of California, San Francisco, CA, USA.
A Moses LeeWeill Institute for Neurosciences, University of California, San Francisco, CA, USA.
Edward F ChangDepartment of Neurological Surgery, University of California, San Francisco, CA, USA.
Andrew D KrystalWeill Institute for Neurosciences, University of California, San Francisco, CA, USA. andrew.krystal@ucsf.edu.ORCID 0000-0002-6702-781X
University of California, San Francisco · US

Funding

TRAINING THE NEXT GENERATION OF MENTAL HEALTH RESEARCHERSR25MH060482 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DANIEL H MATHALON, Susan M. Voglmaier · 2000 to 2026
$5.2M
Responsive Neurostimulation for Treatment Resistant DepressionUH3NS123310 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ANDREW D KRYSTAL · 2023 to 2026
$4.9M
Network dynamics of sleep-wake states in epilepsyK23NS125123 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Joline Fan · 2023 to 2026
$868k
NIMH NIH HHS R25 MH060482NINDS NIH HHS K23 NS125123NINDS NIH HHS UH3 NS123310
6 · The paper itself

Abstract

Despite increasing prevalence and huge personal and societal burden, psychiatric diseases still lack treatments which can control symptoms for a large fraction of patients. Increasing insight into the neurobiology underlying these diseases has demonstrated wide-ranging aberrant activity and functioning in multiple brain circuits and networks. Together with varied presentation and symptoms, this makes one-size-fits-all treatment a challenge. There has been a resurgence of interest in the use of neurostimulation as a treatment for psychiatric diseases. Initial studies using continuous open-loop stimulation, in which clinicians adjusted stimulation parameters during patient visits, showed promise but also mixed results. Given the periodic nature and fluctuations of symptoms often observed in psychiatric illnesses, the use of device-driven closed-loop stimulation may provide more effective therapy. The use of a biomarker, which is correlated with specific symptoms, to deliver stimulation only during symptomatic periods allows for the personalized therapy needed for such heterogeneous disorders. Here, we provide the reader with background motivating the use of closed-loop neurostimulation for the treatment of psychiatric disorders. We review foundational studies of open- and closed-loop neurostimulation for neuropsychiatric indications, focusing on deep brain stimulation, and discuss key considerations when designing and implementing closed-loop neurostimulation.

Indexed as

Deep Brain StimulationMental DisordersHumans

Identifiers

PMID37369777
PMCPMC10700557
OpenAlexW4382243843

What OpenQuestion holds

Textmetadata
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.