Evidence map›Paper›PMID 39547412›Full record

ArticleBiological psychiatry. Cognitive neuroscience and neuroimaging2025

Aperiodic (1/f) Neural Activity Robustly Tracks Symptom Severity Changes in Treatment-Resistant Depression.

Carl Hacker, Madaline M Mocchi, Jiayang Xiao, Brian Metzger, Joshua Adkinson, Bailey Pascuzzi, Raissa Mathura, Denise Oswalt, Andrew Watrous, Eleonora Bartoli and 17 more

Abstract read
In one paragraph

Article in Biological psychiatry. Cognitive neuroscience and neuroimaging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Electrophysiological features of signals recorded from white matter.bioRxiv : the preprint server for biology · 2026
    Article
  6. Article
  7. Schizophrenia recognition via eye movement features in video paradigm.European archives of psychiatry and clinical neuroscience · 2026
    Article
  8. Increased Aperiodic Exponents Track Depression Symptom Severity.bioRxiv : the preprint server for biology · 2026
    Article
  9. Article
  10. Article
  11. 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

27 authors.

Carl HackerDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas; Department of Neurosurgery, Washington University in St. Louis, St. Louis, Missouri.
Madaline M MocchiDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas.
Jiayang XiaoDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas.
Brian MetzgerDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas.
Joshua AdkinsonDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas.
Bailey PascuzziDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas.
Raissa MathuraDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas.
Denise OswaltDepartment of Neurosurgery, University of Pennsylvania, Philadelphia, Pennsylvania.
Andrew WatrousDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas.
Eleonora BartoliDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas.
Anusha AllawalaDepartment of Biomedical Engineering, Carney Institute for Brain Science, Brown University, Providence, Rhode Island.
Victoria PirtleDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas.
Xiaoxu FanDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas.
Isabel DanstromDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas.
Ben ShoftyDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas.
Garrett BanksDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas.
Yue ZhangDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas.
Michelle Armenta-SalasDepartment of Neurosurgery, University of Texas Southwestern, Dallas, Texas.
Koorosh MirpourDepartment of Neurosurgery, University of Texas Southwestern, Dallas, Texas.
Nicole ProvenzaDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas.
Sanjay MathewDepartment of Psychiatry, Baylor College of Medicine, Houston, Texas.
Jeffrey F CohnDepartment of Psychology, University of Pittsburgh, Pittsburgh, Pennsylvania.
David BortonDepartment of Biomedical Engineering, Carney Institute for Brain Science, Brown University, Providence, Rhode Island; Department of Veterans Affairs, Center for Neurorestoration and Neurotechnology, Brown University, Providence, Rhode Island.
Wayne GoodmanDepartment of Psychiatry, Baylor College of Medicine, Houston, Texas.
Nader PouratianDepartment of Neurosurgery, University of Texas Southwestern, Dallas, Texas.
Sameer Anil ShethDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas.
Kelly R BijankiDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas. Electronic address: bijanki@bcm.edu.

Funding

Deep brain stimulation for depression using directional current steering an individualized network targetingUH3NS103549 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GOODMAN, WAYNE K, POURATIAN, NADER · 2017 to 2025
$8.7M
Intracranial Investigation of Neural Circuity Underlying Human MoodR01MH130597 · NIMH · BAYLOR COLLEGE OF MEDICINE · PI Kelly Rowe Bijanki, Zachary Samuel Pitkow · 2023 to 2026
$3.5M
Mapping and Modulating the Spatiotemporal dynamics of socio-affective processing.R01MH127006 · NIMH · BAYLOR COLLEGE OF MEDICINE · PI BIJANKI, KELLY ROWE · 2021 to 2025
$3.2M
The human amygdala in social processing: circuits, physiology, behavior, and neuromodulationK01MH116364 · NIMH · EMORY UNIVERSITY · PI BIJANKI, KELLY ROWE · 2018 to 2021
$650k
Novel Strategies for Mapping the Emotional Neural Circuitry Using Human Brain StimulationR21NS104953 · NINDS · EMORY UNIVERSITY · PI BIJANKI, KELLY ROWE, WILLIE, JON TIMOTHY · 2018 to 2019
$385k
Modulation of network dynamics across mood states using closed-loop deep brain stimulation for depressionK00MH138156 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Anusha Allawala · 2024 to 2026
$321k
NIMH NIH HHS K00 MH138156NIMH NIH HHS K01 MH116364NIMH NIH HHS R01 MH127006NIMH NIH HHS R01 MH130597NINDS NIH HHS R21 NS104953NINDS NIH HHS UH3 NS103549
6 · The paper itself

Abstract

backgroundA reliable physiological biomarker for major depressive disorder is essential for developing and optimizing neuromodulatory treatment paradigms. In this study, we investigated a passive electrophysiologic biomarker that tracks changes in depressive symptom severity on the order of minutes to hours.

methodsWe analyzed brief recordings from intracranial electrodes implanted deep in the brain during a clinical trial of deep brain stimulation for treatment-resistant depression in 5 human participants (n

resultsOur findings demonstrated that shifts in aperiodic slope correlated with depression severity, with flatter (less negative) slopes indicating reduced depression severity. This significant correlation was observed in all 5 participants, particularly in the ventromedial prefrontal cortex.

conclusionsThis biomarker offers a new way to track patient responses to major depressive disorder treatment, thus paving the way for individualized therapies in both intracranial and noninvasive monitoring contexts.

Indexed as

Depressive Disorder, Treatment-ResistantMajor Depressive DisorderPrefrontal CortexAdultDeep Brain StimulationElectrodes, ImplantedFemaleHumansMaleMiddle AgedSeverity of Illness IndexBiomarkerDBSElectrophysiologyIntracranialMDDSlope

Identifiers

PMID39547412
PMCPMC12694767

What OpenQuestion holds

Textmetadata
LicenceTDM
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.