Evidence map›Paper›PMID 39935045›Full record

ArticleBrain and behavior2025

Altered Self-Referential-Related Brain Regions in Depersonalization-Derealization Disorder.

Yuan Jia, Nan Song, Yanzhe Ning, Hong Zhu, Linrui Dong, Sitong Feng, Hongxiao Jia, Mingkang Song, Sisi Zheng

Abstract read
In one paragraph

Article in Brain and behavior, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
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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.

Yuan JiaThe National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China.
Nan SongXiamen Xianyue Hospital, Xianyue Hospital Affiliated with Xiamen Medical College, Fujian Psychiatric Center, Fujian Clinical Research Center for Mental Disorders, Xiamen, China.
Yanzhe NingThe National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China.
Hong ZhuThe National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China.
Linrui DongThe National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China.
Sitong FengThe National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China.
Hongxiao JiaThe National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0002-4924-1388
Mingkang SongThe National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0001-8146-1543
Sisi ZhengThe National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China.

Funding

Beijing Hospitals Authority Clinical Medicine Development of Special Funding ZYLX202129Beijing Hospitals Authority's Ascent Plan DFL20191901Beijing Hospitals Authority Youth Program QML20191901Capital's Funds for Health Improvement and Research Grantno.2024-4-21211National Natural Science Foundation of China Grantno.8240152532Research Cultivation Program of Beijing Municipal Hospital PZ2023032Training Plan for High Level Public Health Technical Talents Construction Project TTL-02-40
6 · The paper itself

Abstract

objectiveWe aimed to explore the alteration in topology and network properties in self-referential-related brain regions of individuals with depersonalization-derealization disorders (DPD), using evidence from resting-state functional magnetic resonance imaging (rs-fMRI).

methodsWe first determined the regions of interest (ROIs) using Neurosynth, based on which we conducted an ROI-wise functional connectivity search to create a self-referential-related network and performed a topographical analysis. We then compared the analyzed properties from the rs-fMRI of disordered individuals to those of healthy controls to generate differential properties, based on which we conducted a machine learning-based disease diagnostic model.

resultsThe study found significant changes in connectivity between brain regions associated with self-referential processing in individuals with DPD compared to healthy controls. Correlation analysis showed negative correlations between "unreality of surroundings" and connectivity between the left inferior frontal gyrus (IFG) pars orbitalis and left insula and between "perceptual alterations" and connectivity between the left pregenual and subgenual anterior cingulate cortex (ACC). Graph theoretical analysis revealed increased local and global efficiency but decreased characteristic path length. The accuracy of the classification model was 0.885, and the area under the curve was 0.928.

conclusionsIndividuals with DPD showed alterations in brain topography and changes in network properties within self-referential-related brain regions; specifically, the changes in cortical midline structures and insula could be related to the underlying mechanism of DPD, highlighting potential targets for future research and therapeutic strategies.

Indexed as

BrainDepersonalizationAdultBrain MappingConnectomeFemaleGyrus CinguliHumansMagnetic Resonance ImagingMaleNerve NetYoung Adultdepersonalizationderealizationrest‐state functional magnetic resonanceself‐referential

Identifiers

PMID39935045
PMCPMC11813808

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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.