Evidence map›Paper›PMID 39971594›Full record

Trial reportBMJ mental health2025

Chronotherapeutic intervention targeting emotion regulation brain circuitry, symptoms, and suicide risk in adolescents and young adults with bipolar disorder: a pilot randomised trial.

Jihoon A Kim, Anjali Sankar, Rebecca Marks, Erin Carrubba, Bernadette Lecza, Susan Quatrano, Linda Spencer, R Todd Constable, Brian Pittman, Eli R Lebowitz and 3 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03183388 (Brain Emotion Circuitry-Targeted Self-Monitoring and Regulation Therapy), which is not on this 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.

NCT03183388 nacompletednot on this map

Brain Emotion Circuitry-Targeted Self-Monitoring and Regulation Therapy (BE-SMART)

TypeinterventionalSponsorYale UniversityRan2017 to 2022Enrolled76ConditionsMood DisordersArmsBE-SMART
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Bipolar disorder.Lancet (London, England) · 2025
    Review
  4. Circadian rhythms and mental health.BMJ mental health · 2025
    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

13 authors.

Jihoon A KimPsychiatry, Yale School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0002-2573-4866
Anjali SankarNeurobiology Research Unit, Copenhagen University Hospital, Kobenhavn, Denmark.
Rebecca MarksPsychiatry, Yale School of Medicine, New Haven, Connecticut, USA.
Erin CarrubbaPsychiatry, Yale School of Medicine, New Haven, Connecticut, USA.
Bernadette LeczaPsychiatry, Yale School of Medicine, New Haven, Connecticut, USA.
Susan QuatranoPsychiatry, Yale School of Medicine, New Haven, Connecticut, USA.
Linda SpencerPsychiatry, Yale School of Medicine, New Haven, Connecticut, USA.
R Todd ConstablePsychiatry, Yale School of Medicine, New Haven, Connecticut, USA.
Brian PittmanPsychiatry, Yale School of Medicine, New Haven, Connecticut, USA.
Eli R LebowitzChild Study Center, Yale School of Medicine, New Haven, Connecticut, USA.
Wendy K SilvermanPsychiatry and Child Study Center, Yale School of Medicine, New Haven, Connecticut, USA.
Holly A SwartzPsychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.ORCID 0000-0002-7611-9900
Hilary P BlumbergPsychiatry, Radiology and Biomedical Imaging, and Child Study Center, Yale School of Medicine, New Haven, Connecticut, USA hilary.blumberg@yale.edu.ORCID 0000-0002-6363-4698

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Schizophrenia Research FellowshipR25MH071584 · NIMH · YALE UNIVERSITY · PI Christopher John Pittenger · 2005 to 2026
$4.4M
Research Education in Child and Adolescent Psychiatry ResidencyR25MH125775 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI Kate Dimond Fitzgerald, Jeremy Veenstra-VanderWeele · 2021 to 2026
$1.3M
Brain Emotion Circuitry-Targeted Self-Monitoring and Regulation Therapy (BE-SMART)UG3MH111929 · NIMH · YALE UNIVERSITY · PI BLUMBERG, HILARY PATRICIA · 2018 to 2019
$943k
Brain Emotion Circuitry-Targeted Self-Monitoring and Regulation Therapy (BE-SMART)R61MH111929 · NIMH · YALE UNIVERSITY · PI BLUMBERG, HILARY PATRICIA · 2017 to 2017
$750k
NCATS NIH HHS UL1 TR001863NIMH NIH HHS R25 MH071584NIMH NIH HHS R25 MH125775NIMH NIH HHS R61 MH111929NIMH NIH HHS UG3 MH111929
6 · The paper itself

Abstract

backgroundMood episodes and high suicide risk of bipolar disorder (BD) are thought to derive from amygdala-ventral prefrontal cortex emotion regulation brain circuitry dysfunction and resulting emotion dysregulation, making these potential intervention targets.

objectiveTo assess feasibility, acceptability, and preliminary efficacy in engaging the emotion regulation targets of two Brain Emotion Circuitry-targeted Self-Monitoring and Regulation Therapy (BE-SMART) variations in adolescents and young adults with BD (BD

methodsIn a single-blind, parallel, pilot-randomised trial, 60 BD

findingsIn addition to demonstrating feasibility, only BE-SMART-DR showed pre-treatment to post-treatment improvements in DR regularity (Cohen's

conclusionsRegularising DRs may enhance emotion regulation brain circuitry functioning, emotion regulation, and reduce suicide risk in BD CLINICAL IMPLICATIONS: Chronotherapeutic interventions regularising DRs, such as SRT, should be studied further as potential treatment strategies for BD TRIAL REGISTRATION NUMBER: NCT03183388.

Indexed as

Bipolar DisorderEmotional RegulationSuicide PreventionAdolescentAdultBrainFemaleHumansMagnetic Resonance ImagingMalePilot ProjectsSingle-Blind MethodYoung AdultChild & adolescent psychiatryDepression & mood disordersPSYCHIATRYSleepSuicide & self-harm

Identifiers

PMID39971594
PMCPMC11840897

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.