Evidence map›Paper›PMID 37415081›Full record

ReviewNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2024

Closing the loop in psychiatric deep brain stimulation: physiology, psychometrics, and plasticity.

Alik S Widge

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

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
8.4field-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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Reversible modulation of a deep white matter surgical target for depression with low-intensity focused ultrasound.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Trial
  3. Article
  4. Review
  5. Article
  6. Contemporary Ethical Considerations in Psychiatric Neurosurgery.Stereotactic and functional neurosurgery · 2026
    Review
  7. Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Prefrontal Network Mechanisms of Psychiatric Deep Brain Stimulation.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
    Review
  17. Review
  18. Review
  19. Review
  20. Neurostimulation to Improve Cognitive Flexibility.Current opinion in behavioral sciences · 2025
    Article
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

1 author at 1 institution in 1 country.

Alik S WidgeDepartment of Psychiatry & Behavioral Sciences, University of Minnesota, Minneapolis, MN, USA. awidge@umn.edu.ORCID 0000-0001-8510-341X
University of Minnesota · US

Funding

Implantable Neurostimulators for Control of Oscillatory Brain NetworksR01MH123634 · NIMH · UNIVERSITY OF MINNESOTA · PI SHOARAN, MAHSA, WIDGE, ALIK S. · 2020 to 2024
$6.7M
Explainable Machine Learning to Guide Prefrontal Brain StimulationR01MH125429 · NIMH · UNIVERSITY OF WASHINGTON · PI Zaid Harchaoui, Azadeh Yazdan Shahmorad · 2022 to 2026
$4.0M
Modeling circuit-specific psychiatric deep brain stimulation and its cognitive effects in macaquesR01MH124687 · NIMH · UNIVERSITY OF MINNESOTA · PI HAYDEN, BENJAMIN Y, WIDGE, ALIK S. · 2020 to 2024
$3.5M
Combined Cortical and Subcortical Recording and Stimulation as a Circuit-Oriented Treatment for Obsessive-Compulsive DisorderUH3NS100548 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI DOUGHERTY, DARIN D, WIDGE, ALIK S. · 2016 to 2024
$3.2M
Circuit and Cognitive Mechanisms of Striatal Deep Brain StimulationR01NS120851 · NINDS · UNIVERSITY OF MINNESOTA · PI WIDGE, ALIK S. · 2021 to 2025
$3.0M
Circuit Specific Electrical Brain StimulationR01MH119384 · NIMH · UNIVERSITY OF MINNESOTA · PI WIDGE, ALIK S. · 2019 to 2023
$2.4M
NIMH NIH HHS R01 MH119384NIMH NIH HHS R01 MH123634NIMH NIH HHS R01 MH124687NIMH NIH HHS R01 MH125429NINDS NIH HHS R01 NS120851NINDS NIH HHS UH3 NS100548
6 · The paper itself

Abstract

Deep brain stimulation (DBS) is an invasive approach to precise modulation of psychiatrically relevant circuits. Although it has impressive results in open-label psychiatric trials, DBS has also struggled to scale to and pass through multi-center randomized trials. This contrasts with Parkinson disease, where DBS is an established therapy treating thousands of patients annually. The core difference between these clinical applications is the difficulty of proving target engagement, and of leveraging the wide range of possible settings (parameters) that can be programmed in a given patient's DBS. In Parkinson's, patients' symptoms change rapidly and visibly when the stimulator is tuned to the correct parameters. In psychiatry, those same changes take days to weeks, limiting a clinician's ability to explore parameter space and identify patient-specific optimal settings. I review new approaches to psychiatric target engagement, with an emphasis on major depressive disorder (MDD). Specifically, I argue that better engagement may come by focusing on the root causes of psychiatric illness: dysfunction in specific, measurable cognitive functions and in the connectivity and synchrony of distributed brain circuits. I overview recent progress in both those domains, and how it may relate to other technologies discussed in companion articles in this issue.

Indexed as

Deep Brain StimulationMajor Depressive DisorderParkinson DiseaseCognitionHumansPsychometrics

Identifiers

PMID37415081
PMCPMC10700701
OpenAlexW4383341703

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.