Evidence map›Paper›PMID 37414927›Full record

ArticleMolecular psychiatry2023

Neural mechanisms of emotional health in traumatic brain injury patients undergoing rTMS treatment.

Tajwar Sultana, Muhammad Abul Hasan, Xiaojian Kang, Victoria Liou-Johnson, Maheen Mausoof Adamson, Adeel Razi

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 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Early efficacy of rTMS intervention at week 2 predicts subsequent responses at week 24 in schizophrenia in a randomized controlled trial.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2024
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  6. Spectral imprint of structural embedding in effective connectivity.bioRxiv : the preprint server for biology · 2025
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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

6 authors at 3 institutions in 5 countries.

Tajwar SultanaDepartment of Computer and Information Systems Engineering, NED University of Engineering & Technology, Karachi, 75270, Pakistan.
Muhammad Abul HasanDepartment of Biomedical Engineering, NED University of Engineering & Technology, Karachi, 75270, Pakistan.
Xiaojian KangWRIISC-WOMEN, VA Palo Alto Healthcare System, Palo Alto, CA, 94304, USA.
Victoria Liou-JohnsonRehabilitation Service, Veterans Affairs Palo Alto Healthcare System (VAPAHCS), 3801 Miranda Avenue, Palo Alto, CA, 94304, USA.ORCID 0000-0002-7377-6147
Maheen Mausoof Adamson *WRIISC-WOMEN, VA Palo Alto Healthcare System, Palo Alto, CA, 94304, USA.
Adeel Razi *Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Clayton, VIC, 3800, Australia. adeel.razi@monash.edu.ORCID 0000-0002-0779-9439
VA Palo Alto Health Care System · USNED University of Engineering and Technology · PKCanadian Institute for Advanced Research · CA

Funding

Wellcome Trust
6 · The paper itself

Abstract

Emotional dysregulation such as that seen in depression, are a long-term consequence of mild traumatic brain injury (TBI), that can be improved by using neuromodulation treatments such as repetitive transcranial magnetic stimulation (rTMS). Previous studies provide insights into the changes in functional connectivity related to general emotional health after the application of rTMS procedures in patients with TBI. However, these studies provide little understanding of the underlying neuronal mechanisms that drive the improvement of the emotional health in these patients. The current study focuses on inferring the effective (causal) connectivity changes and their association with emotional health, after rTMS treatment of cognitive problems in TBI patients (N = 32). Specifically, we used resting state functional magnetic resonance imaging (fMRI) together with spectral dynamic causal model (spDCM) to investigate changes in brain effective connectivity, before and after the application of high frequency (10 Hz) rTMS over left dorsolateral prefrontal cortex. We investigated the effective connectivity of the cortico-limbic network comprised of 11 regions of interest (ROIs) which are part of the default mode, salience, and executive control networks, known to be implicated in emotional processing. The results indicate that overall, among extrinsic connections, the strength of excitatory connections decreased while that of inhibitory connections increased after the neuromodulation. The cardinal region in the analysis was dorsal anterior cingulate cortex (dACC) which is considered to be the most influenced during emotional health disorders. Our findings implicate the altered connectivity of dACC with left anterior insula and medial prefrontal cortex, after the application of rTMS, as a potential neural mechanism underlying improvement of emotional health. Our investigation highlights the importance of these brain regions as treatment targets in emotional processing in TBI.

Indexed as

Brain Injuries, TraumaticEmotionsMagnetic Resonance ImagingTranscranial Magnetic StimulationAdultBrainBrain MappingDorsolateral Prefrontal CortexFemaleGyrus CinguliHumansMaleMiddle AgedNerve NetNeural PathwaysYoung Adult

Identifiers

PMID37414927
PMCPMC11041778
OpenAlexW4383371964

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.