Evidence map›Paper›PMID 38266332›Full record

ArticleJournal of psychiatric research2024

Self-focused brain predictors of cognitive behavioral therapy response in a transdiagnostic sample.

Angela Fang, Bengi Baran, Jamie D Feusner, K Luan Phan, Clare C Beatty, Jessica Crane, Ryan J Jacoby, Dara S Manoach, Sabine Wilhelm

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of psychiatric research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02808702 (Brain Correlates of Self-Focused Processing as a Biomarker of Treatment Response), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
3.0field-weighted citation impact, top 10% 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.

NCT02808702 nacompletednot on this map

Brain Correlates of Self-Focused Processing as a Biomarker of Treatment Response

TypeinterventionalSponsorMassachusetts General HospitalRan2017 to 2020Enrolled89ConditionsSocial Phobia, Body Dysmorphic DisorderArmsCognitive-behavioral therapy
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 3 countries.

Angela FangDepartment of Psychology, University of Washington, Seattle, WA, 98195-1525, USA. Electronic address: angfang@uw.edu.
Bengi BaranDepartment of Psychological and Brain Sciences, University of Iowa, Iowa City, IA, 52242-1407, USA.
Jamie D FeusnerCentre for Addiction and Mental Health, Brain Imaging Health Center, Ontario, Toronto, Canada, M5T1R8; Department of Psychiatry, University of Toronto, Ontario, Toronto, Canada, M5T1R8; Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
K Luan PhanDepartment of Psychiatry and Behavioral Health, Ohio State University Wexner Medical Center, Columbus, OH, 43210-1240, USA.
Clare C BeattyDepartment of Psychology, Stony Brook University, Stony Brook, NY, 11794-2500, USA.
Jessica CraneDepartment of Psychology, University of Washington, Seattle, WA, 98195-1525, USA.
Ryan J JacobyDepartment of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 02114-2696, USA.
Dara S ManoachDepartment of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 02114-2696, USA; Athinoula A. Martinos Center for Biomedical Imaging, Charlestown, MA, 02129-2020, USA.
Sabine WilhelmDepartment of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 02114-2696, USA.
Harvard University · USUniversity of Washington · USCentre for Addiction and Mental Health · CAStony Brook University · USThe Ohio State University Wexner Medical Center · USUniversity of Iowa · US

Funding

University of Iowa Hawkeye Intellectual and Developmental Disabilities Research Center (Hawk-IDDRC)P50HD103556 · NICHD · UNIVERSITY OF IOWA · PI Lane Strathearn · 2021 to 2026
$8.5M
Neural mechanisms of perceptual abnormalities and their malleability in bodydysmorphic disorderR01MH121520 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI FEUSNER, JAMIE · 2020 to 2025
$2.8M
Targeting Attentional and Cognitive Control to Enhance the Transdiagnostic Treatment of Repetitive Negative ThinkingK23MH120351 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI JACOBY, RYAN J · 2020 to 2024
$977k
Brain Correlates of Self-Focused Processing as a Biomarker of Treatment ResponseK23MH109593 · NIMH · UNIVERSITY OF WASHINGTON · PI FANG, ANGELA · 2016 to 2020
$888k
The Role of Thalamic Circuitry Dysfunction in Cognitive Deficits in Schizophrenia:Wake and SleepK01MH114012 · NIMH · UNIVERSITY OF IOWA · PI BARAN, BENGI · 2018 to 2022
$771k
Exogenous Modulation of Visual Perception And Connectivity in Body Dysmorphic Disorder (EMPAC-BDD)R21MH128815 · NIMH · CENTRE FOR ADDICTION AND MENTAL HEALTH · PI FEUSNER, JAMIE · 2022 to 2023
$273k
NICHD NIH HHS P50 HD103556NIMH NIH HHS K01 MH114012NIMH NIH HHS K23 MH109593NIMH NIH HHS K23 MH120351NIMH NIH HHS R01 MH121520NIMH NIH HHS R21 MH128815
6 · The paper itself

Abstract

backgroundEffective biomarkers of cognitive behavioral therapy (CBT) response provide information beyond available behavioral or self-report measures and may optimize treatment selection for patients based on likelihood of benefit. No single biomarker reliably predicts CBT response. In this study, we evaluated patterns of brain connectivity associated with self-focused attention (SFA) as biomarkers of CBT response for anxiety and obsessive-compulsive disorders. We hypothesized that pre-treatment as well as pre-to post-treatment changes in functional connectivity would be associated with improvement during CBT in a transdiagnostic sample.

methodsTwenty-seven patients with primary social anxiety disorder (n = 14) and primary body dysmorphic disorder (n = 13) were scanned before and after 12 sessions of CBT targeting their primary disorder. Eligibility was based on elevated trait SFA scores on the Public Self-Consciousness Scale. Seed-based resting state functional connectivity associated with symptom improvement was computed using a seed in the posterior cingulate cortex of the default mode network.

resultsAt pre-treatment, stronger positive connectivity of the seed with the cerebellum, and stronger negative connectivity with the putamen, were associated with greater clinical improvement. Between pre-to post-treatment, greater anticorrelation between the seed and postcentral gyrus, extending into the inferior parietal lobule and precuneus/superior parietal lobule was associated with clinical improvement, although this did not survive thresholding.

conclusionsPre-treatment functional connectivity with the default mode network was associated with CBT response. Behavioral and self-report measures of SFA did not contribute to predictions, thus highlighting the value of neuroimaging-based measures of SFA. CLINICAL TRIALS REGISTRATION: ClinicalTrials.gov Identifier: NCT02808702 https://clinicaltrials.gov/ct2/show/NCT02808702.

Indexed as

BrainCognitive Behavioral TherapyAnxietyBiomarkersBrain MappingEmotionsHumansMagnetic Resonance ImagingBiomarkersBody dysmorphic disorderCognitive behavioral therapyDefault mode networkPredictionResting state functional connectivitySelf-focused attentionSocial anxiety disorder

Identifiers

PMID38266332
PMCPMC10922639
OpenAlexW4390909633

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.