Evidence map›Paper›PMID 37853935›Full record

ArticleHuman brain mapping2023

Revisiting deficits in threat and safety appraisal in obsessive-compulsive disorder.

Luke J Hearne, Michael Breakspear, Ben J Harrison, Caitlin V Hall, Hannah S Savage, Conor Robinson, Saurabh Sonkusare, Emma Savage, Zoie Nott, Leo Marcus and 4 more

Abstract read
In one paragraph

Article in Human brain mapping, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
  2. Altered Striatal Functional Gradients in Obsessive-Compulsive Disorder.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2025
    Article
  3. Article
  4. Article
  5. Altered striatal functional gradients in obsessive-compulsive disorder.medRxiv : the preprint server for health sciences · 2025
    Article
  6. 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

14 authors.

Luke J HearneQIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.ORCID 0000-0002-2014-1148
Michael BreakspearCollege of Engineering Science and Environment, College of Health and Medicine, University of Newcastle, Callaghan, New South Wales, Australia.
Ben J HarrisonMelbourne Neuropsychiatry Centre, Department of Psychiatry, The University of Melbourne & Melbourne Health, Melbourne, Victoria, Australia.
Caitlin V HallQIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.
Hannah S SavageCollege of Engineering Science and Environment, College of Health and Medicine, University of Newcastle, Callaghan, New South Wales, Australia.
Conor RobinsonQIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.
Saurabh SonkusareQIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.
Emma SavageQIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.
Zoie NottQIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.
Leo MarcusQIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.
Sebastien NazeQIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.
Bjorn BurgherQIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.
Andrew ZaleskyMelbourne Neuropsychiatry Centre, Department of Psychiatry, The University of Melbourne & Melbourne Health, Melbourne, Victoria, Australia.
Luca CocchiQIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.ORCID 0000-0003-3651-2676

Funding

National Health and Medical Research Council
6 · The paper itself

Abstract

Current behavioural treatment of obsessive-compulsive disorder (OCD) is informed by fear conditioning and involves iteratively re-evaluating previously threatening stimuli as safe. However, there is limited research investigating the neurobiological response to conditioning and reversal of threatening stimuli in individuals with OCD. A clinical sample of individuals with OCD (N = 45) and matched healthy controls (N = 45) underwent functional magnetic resonance imaging. While in the scanner, participants completed a well-validated fear reversal task and a resting-state scan. We found no evidence for group differences in task-evoked brain activation or functional connectivity in OCD. Multivariate analyses encompassing all participants in the clinical and control groups suggested that subjective appraisal of threatening and safe stimuli were associated with a larger difference in brain activity than the contribution of OCD symptoms. In particular, we observed a brain-behaviour continuum whereby heightened affective appraisal was related to increased bilateral insula activation during the task (r = 0.39, p

Indexed as

Obsessive-Compulsive DisorderBrainBrain MappingFearHumansInsular CortexMagnetic Resonance Imagingconnectivityfear conditioningfMRIOCDsafetysymptom dimensions

Identifiers

PMID37853935
PMCPMC10681637

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.