Evidence map›Paper›PMID 38844469›Full record

Trial reportTranslational psychiatry2024

General and anxiety-linked influences of acute serotonin reuptake inhibition on neural responses associated with attended visceral sensation.

James J A Livermore, Lina I Skora, Kristian Adamatzky, Sarah N Garfinkel, Hugo D Critchley, Daniel Campbell-Meiklejohn

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Translational psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
  4. 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

6 authors.

James J A LivermoreSchool of Psychology, University of Sussex, Brighton, UK.
Lina I SkoraSchool of Psychology, University of Sussex, Brighton, UK.
Kristian AdamatzkySchool of Psychology, University of Sussex, Brighton, UK.
Sarah N GarfinkelInstitute of Cognitive Neuroscience, University College London, London, UK.
Hugo D CritchleySussex Centre for Consciousness Science, University of Sussex, Brighton, UK.ORCID 0000-0002-2445-9284
Daniel Campbell-MeiklejohnSchool of Psychology, University of Sussex, Brighton, UK. daniel.cm@sussex.ac.uk.ORCID 0000-0002-8916-265X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ordinary sensations from inside the body are important causes and consequences of our affective states and behaviour, yet the roles of neurotransmitters in interoceptive processing have been unclear. With a within-subjects design, this experiment tested the impacts of acute increases of endogenous extracellular serotonin on the neural processing of attended internal sensations and the links of these effects to anxiety using a selective serotonin reuptake inhibitor (SSRI) (20 mg CITALOPRAM) and a PLACEBO. Twenty-one healthy volunteers (fourteen female, mean age 23.9) completed the Visceral Interoceptive Attention (VIA) task while undergoing functional magnetic resonance imaging (fMRI) with each treatment. The VIA task required focused attention on the heart, stomach, or visual sensation. The relative neural interoceptive responses to heart sensation [heart minus visual attention] (heart-IR) and stomach sensation [stomach minus visual attention] (stomach-IR) were compared between treatments. Visual attention subtraction controlled for the general effects of CITALOPRAM on sensory processing. CITALOPRAM was associated with lower interoceptive processing in viscerosensory (the stomach-IR of bilateral posterior insular cortex) and integrative/affective (the stomach-IR and heart-IR of bilateral amygdala) components of interoceptive neural pathways. In anterior insular cortex, CITALOPRAM reductions of heart-IR depended on anxiety levels, removing a previously known association between anxiety and the region's response to attended heart sensation observed with PLACEBO. Preliminary post hoc analysis indicated that CITALOPRAM effects on the stomach-IR of the amygdalae corresponded to acute anxiety changes. This direct evidence of general and anxiety-linked serotonergic influence on neural interoceptive processes advances our understanding of interoception, its regulation, and anxiety.

Indexed as

AnxietyCitalopramInteroceptionMagnetic Resonance ImagingSelective Serotonin Reuptake InhibitorsAdultAmygdalaAttentionBrainFemaleHeartHumansInsular CortexMaleYoung AdultCitalopramSelective Serotonin Reuptake Inhibitors

Identifiers

PMID38844469
PMCPMC11156930

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.