Evidence map›Paper›PMID 38206841›Full record

ArticleSchizophrenia bulletin2024

Hypothalamic Subunit Volumes in Schizophrenia and Bipolar Spectrum Disorders.

Aurora Ruggeri, Stener Nerland, Lynn Mørch-Johnsen, Kjetil Nordbø Jørgensen, Claudia Barth, Laura Anne Wortinger, Dimitrios Andreou, Ole A Andreassen, Ingrid Agartz

Open access · hybridAbstract read
In one paragraph

Article in Schizophrenia bulletin, 2024. 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
3.3field-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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Nutritional state-dependent changes in subcortical limbic structures in anorexia nervosa are linked to leptin, ghrelin, and neurofilament light.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  2. Review
  3. Article
  4. Review
  5. 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

9 authors at 2 institutions in 2 countries.

Aurora RuggeriDepartment of Psychiatric Research, Diakonhjemmet Hospital, Oslo, Norway.ORCID 0009-0000-6729-454X
Stener NerlandDepartment of Psychiatric Research, Diakonhjemmet Hospital, Oslo, Norway.ORCID 0000-0001-8771-8856
Lynn Mørch-JohnsenNorwegian Centre for Mental Disorders Research, Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Kjetil Nordbø JørgensenNorwegian Centre for Mental Disorders Research, Institute of Clinical Medicine, University of Oslo, Oslo, Norway.ORCID 0000-0002-5751-4809
Claudia BarthDepartment of Psychiatric Research, Diakonhjemmet Hospital, Oslo, Norway.ORCID 0000-0001-6544-0945
Laura Anne WortingerDepartment of Psychiatric Research, Diakonhjemmet Hospital, Oslo, Norway.
Dimitrios AndreouDepartment of Psychiatric Research, Diakonhjemmet Hospital, Oslo, Norway.
Ole A AndreassenNorwegian Centre for Mental Disorders Research, Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Ingrid AgartzDepartment of Psychiatric Research, Diakonhjemmet Hospital, Oslo, Norway.
University of Oslo · NOOslo University Hospital · NO

Funding

Helse Sør-Øst RHF 2017-097, 2019-104, 2020-020K. G. Jebsen Foundation SKGJ-MED-008The Research Council 223273, 274359
6 · The paper itself

Abstract

backgroundThe hypothalamus is central to many hormonal and autonomous nervous system pathways. Emerging evidence indicates that these pathways may be disrupted in schizophrenia and bipolar disorder. Yet, few studies have examined the volumes of hypothalamic subunits in these patient groups. We compared hypothalamic subunit volumes in individuals with psychotic disorders to healthy controls. STUDY

designWe included 344 patients with schizophrenia spectrum disorders (SCZ), 340 patients with bipolar disorders (BPD), and 684 age- and-sex-matched healthy controls (CTR). Total hypothalamus and five hypothalamic subunit volumes were extracted from T1-weighted magnetic resonance imaging (MRI) using an automated Bayesian segmentation method. Regression models, corrected for age, age2, sex, and segmentation-based intracranial volume (sbTIV), were used to examine diagnostic group differences, interactions with sex, and associations with clinical symptoms, antipsychotic medication, antidepressants and mood stabilizers. STUDY

resultsSCZ had larger volumes in the left inferior tubular subunit and smaller right anterior-inferior, right anterior-superior, and right posterior hypothalamic subunits compared to CTR. BPD did not differ significantly from CTR for any hypothalamic subunit volume, however, there was a significant sex-by-diagnosis interaction. Analyses stratified by sex showed smaller right hypothalamus and right posterior subunit volumes in male patients, but not female patients, relative to same-sex controls. There was a significant association between BPD currently taking antipsychotic medication and the left inferior tubular subunits volumes.

conclusionsOur results show regional-specific alterations in hypothalamus subunit volumes in individuals with SCZ, with relevance to HPA-axis dysregulation, circadian rhythm disruption, and cognition impairment.

Indexed as

Bipolar DisorderHypothalamusMagnetic Resonance ImagingSchizophreniaAdultFemaleHumansMaleMiddle AgedYoung Adultantipsychoticsbipolar disorderhypothalamic nucleischizophreniasex differencesvolumetric differences

Identifiers

PMID38206841
PMCPMC11059784
OpenAlexW4390754314

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.