Evidence map›Paper›PMID 38665603›Full record

ArticlePsychoradiology2022

The pattern of cortical thickness underlying disruptive behaviors in Alzheimer's disease.

Raymond M Xiong, Teng Xie, Haifeng Zhang, Tao Li, Gaolang Gong, Xin Yu, Yong He

Open access · diamondAbstract read
In one paragraph

Article in Psychoradiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 33% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Metabolic, demographic, and behavioral risk factors predict brain structural variability in the general population: an analysis of the human connectome project young adults.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    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

7 authors at 4 institutions in 1 country.

Raymond M XiongExperimental High School Attached to Beijing Normal University, Beijing 100032, China.
Teng XieDementia Care & Research Center, Peking University Institute of Mental Health & National Clinical Research Center for Mental Disorders, Beijing 100191, China.
Haifeng ZhangDementia Care & Research Center, Peking University Institute of Mental Health & National Clinical Research Center for Mental Disorders, Beijing 100191, China.
Tao LiDementia Care & Research Center, Peking University Institute of Mental Health & National Clinical Research Center for Mental Disorders, Beijing 100191, China.
Gaolang GongState Key Laboratory of Cognitive Neuroscience and Learning, Beijing 100875, China.
Xin YuDementia Care & Research Center, Peking University Institute of Mental Health & National Clinical Research Center for Mental Disorders, Beijing 100191, China.
Yong HeState Key Laboratory of Cognitive Neuroscience and Learning, Beijing 100875, China.
Peking University · CNState Key Laboratory of Cognitive Neuroscience and LearningBeijing Normal University · CNPeking University Sixth Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Disruptive behaviors, including agitation, disinhibition, irritability, and aberrant motor behaviors, are commonly observed in patients with Alzheimer's disease (AD). However, the neuroanatomical basis of these disruptive behaviors is not fully understood. Objective: To confirm the differences in cortical thickness and surface area between AD patients and healthy controls and to further investigate the features of cortical thickness and surface area associated with disruptive behaviors in patients with AD. Methods: One hundred seventy-four participants (125 AD patients and 49 healthy controls) were recruited from memory clinics at the Peking University Institute of Sixth Hospital. Disruptive behaviors, including agitation/aggression, disinhibition, irritability/lability, and aberrant motor activity subdomain scores, were evaluated using the Neuropsychiatry Inventory. Both whole-brain vertex-based and region-of-interest-based cortical thickness and surface area analyses were automatically conducted with the CIVET pipeline based on structural magnetic resonance images. Both group-based statistical comparisons and brain-behavior association analyses were performed using general linear models, with age, sex, and education level as covariables. Results: Compared with healthy controls, the AD patients exhibited widespread reduced cortical thickness, with the most significant thinning located in the medial and lateral temporal and parietal cortex, and smaller surface areas in the left fusiform and left inferior temporal gyrus. High total scores of disruptive behaviors were significantly associated with cortical thinning in several regions that are involved in sensorimotor processing, language, and expression functions. The total score of disruptive behaviors did not show significant associations with surface areas. Conclusion: We highlight that disruptive behaviors in patients with AD are selectively associated with cortical thickness abnormalities in sensory, motor, and language regions, which provides insights into neuroanatomical substrates underlying disruptive behaviors. These findings could lead to sensory, motor, and communication interventions for alleviating disruptive behaviors in patients with AD.

Indexed as

Alzheimer's diseaseCIVET algorithmcortical thicknessDisruptive behaviorsmagnetic resonance imaging (MRI)surface area

Identifiers

PMID38665603
PMCPMC10917178
OpenAlexW4312916713

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Registered trials

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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.