Evidence map›Paper›PMID 37820789›Full record

Trial reportBiological psychiatry. Cognitive neuroscience and neuroimaging2024

Changes in Brain Network Connections After Exposure and Response Prevention Therapy for Obsessive-Compulsive Disorder in Adolescents and Adults.

Hannah C Becker, Adriene M Beltz, Joseph A Himle, James L Abelson, Stefanie Russman Block, Stephan F Taylor, Kate D Fitzgerald

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Biological psychiatry. Cognitive neuroscience and neuroimaging, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

9 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. 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 2 institutions in 1 country.

Hannah C BeckerDepartment of Psychology, University of Michigan, Ann Arbor, Michigan; Department of Psychiatry, University of Michigan, Ann Arbor, Michigan. Electronic address: hcbecker@umich.edu.
Adriene M BeltzDepartment of Psychology, University of Michigan, Ann Arbor, Michigan.
Joseph A HimleDepartment of Psychiatry, University of Michigan, Ann Arbor, Michigan; School of Social Work, University of Michigan, Ann Arbor, Michigan.
James L AbelsonDepartment of Psychiatry, University of Michigan, Ann Arbor, Michigan.
Stefanie Russman BlockDepartment of Psychiatry, University of Michigan, Ann Arbor, Michigan.
Stephan F TaylorDepartment of Psychiatry, University of Michigan, Ann Arbor, Michigan.
Kate D FitzgeraldColumbia University and New York State Psychiatric Institute, New York, New York.
University of Michigan · USNew York Psychoanalytic Society and Institute · US

Funding

TRAINING PROGRAM IN DEVELOPMENTAL PSYCHOLOGYT32HD007109 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GELMAN, SUSAN A., MONK, CHRISTOPHER STEPHEN · 1985 to 2025
$6.6M
Neurocircuit mechanisms of OCD across the lifespanR01MH102242 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI FITZGERALD, KATE DIMOND, TAYLOR, STEPHAN F · 2014 to 2018
$3.3M
NICHD NIH HHS T32 HD007109NIMH NIH HHS R01 MH102242
6 · The paper itself

Abstract

backgroundFunctional alterations of tripartite neural networks during cognitive control (i.e., frontoparietal network [FPN], cingulo-opercular network, and default mode network) occur in patients with obsessive-compulsive disorder (OCD) and may contribute to illness expression. However, the degree to which changes in these networks are elicited by gold standard treatment (e.g., exposure and response prevention [EX/RP]) remains unknown. Understanding how EX/RP modulates network connectivity in adolescent versus adult patients with OCD may aid the identification of developmentally sensitive treatment targets that enhance cognitive control.

methodsData from a total of 169 adolescents (13-17 years) and adults (25-40 years; 57% female) were analyzed, including healthy control participants (n = 58) and patients with OCD (n = 111) who were randomized to either EX/RP or an active control therapy (stress management training). Participants performed a flanker task during functional magnetic resonance imaging pre- and posttreatment. To retain sensitivity to individual differences in connectivity, group iterative multiple model estimation was used to assess functional connectivity (i.e., density) within and between brain networks.

resultsSignificant increases in FPN density and decreases in FPN-default mode network density were observed from pre- to posttreatment in patients who received EX/RP. The opposite patterns of change occurred in patients who received stress management training. These treatment-related changes in network density did not differ across age group.

conclusionsResults suggest EX/RP-specific changes in task-based connectivity in patients with OCD. Given baseline differences between healthy control participants and patients by age group, these treatment-related changes may indicate restoration of healthy FPN and default mode network development across patients, providing targets for improving response to EX/RP.

Indexed as

BrainObsessive-Compulsive DisorderAdolescentAdultBrain MappingFemaleHealthy VolunteersHumansMagnetic Resonance ImagingMaleBrain networkCognitive controlConnectivityfMRIOCDPsychotherapy

Identifiers

PMID37820789
PMCPMC10842137
OpenAlexW4387502708

What OpenQuestion holds

Textmetadata
LicenceTDM
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.