Evidence map›Paper›PMID 39256549›Full record

ArticleMolecular psychiatry2025

Whole-brain turbulent dynamics predict responsiveness to pharmacological treatment in major depressive disorder.

Anira Escrichs, Yonatan Sanz Perl, Patrick M Fisher, Noelia Martínez-Molina, Elvira G-Guzman, Vibe G Frokjaer, Morten L Kringelbach, Gitte M Knudsen, Gustavo Deco

Abstract read
In one paragraph

Article in Molecular psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Trial
  2. Article
  3. Hierarchical whole-brain modeling of critical synchronization dynamics in the human brain.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  4. Article
  5. Article
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  7. Altered intrinsic ignition dynamics linked to Amyloid-bioRxiv : the preprint server for biology · 2025
    Article
  8. Article
  9. Article
  10. 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.

Anira Escrichs *Computational Neuroscience Group, Center for Brain and Cognition, Department of Information and Communication Technologies, Universitat Pompeu Fabra, Barcelona, Catalonia, Spain.ORCID 0000-0002-6482-9737
Yonatan Sanz Perl *Computational Neuroscience Group, Center for Brain and Cognition, Department of Information and Communication Technologies, Universitat Pompeu Fabra, Barcelona, Catalonia, Spain.
Patrick M FisherNeurobiology Research Unit, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.ORCID 0000-0002-8115-0611
Noelia Martínez-MolinaComputational Neuroscience Group, Center for Brain and Cognition, Department of Information and Communication Technologies, Universitat Pompeu Fabra, Barcelona, Catalonia, Spain.
Elvira G-GuzmanComputational Neuroscience Group, Center for Brain and Cognition, Department of Information and Communication Technologies, Universitat Pompeu Fabra, Barcelona, Catalonia, Spain.
Vibe G FrokjaerNeurobiology Research Unit, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
Morten L KringelbachDepartment of Psychiatry, University of Oxford, Oxford, UK. morten.kringelbach@psych.ox.ac.uk.ORCID 0000-0002-3908-6898
Gitte M KnudsenNeurobiology Research Unit, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
Gustavo DecoComputational Neuroscience Group, Center for Brain and Cognition, Department of Information and Communication Technologies, Universitat Pompeu Fabra, Barcelona, Catalonia, Spain.ORCID 0000-0002-8995-7583

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Depression is a multifactorial clinical syndrome with a low pharmacological treatment response rate. Therefore, identifying predictors of treatment response capable of providing the basis for future developments of individualized therapies is crucial. Here, we applied model-free and model-based measures of whole-brain turbulent dynamics in resting-state functional magnetic resonance imaging (fMRI) in healthy controls and unmedicated depressed patients. After eight weeks of treatment with selective serotonin reuptake inhibitors (SSRIs), patients were classified as responders and non-responders according to the Hamilton Depression Rating Scale 6 (HAMD6). Using the model-free approach, we found that compared to healthy controls and responder patients, non-responder patients presented disruption of the information transmission across spacetime scales. Furthermore, our results revealed that baseline turbulence level is positively correlated with beneficial pharmacological treatment outcomes. Importantly, our model-free approach enabled prediction of which patients would turn out to be non-responders. Finally, our model-based approach provides mechanistic evidence that non-responder patients are less sensitive to stimulation and, consequently, less prone to respond to treatment. Overall, we demonstrated that different levels of turbulent dynamics are suitable for predicting response to SSRIs treatment in depression.

Indexed as

BrainMajor Depressive DisorderAdultAntidepressive AgentsFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedPsychiatric Status Rating ScalesSelective Serotonin Reuptake InhibitorsTreatment OutcomeAntidepressive AgentsSelective Serotonin Reuptake Inhibitors

Identifiers

PMID39256549
PMCPMC11835742

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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.