Evidence map›Paper›PMID 40119402›Full record

SynthesisBMC psychiatry2025

Grey matter volume differences in pediatric obsessive-compulsive disorder: a meta-analysis of voxel-based morphometry studies.

Lei Li, Yihao Liu, Tingting Luo, Yujie Tao, Shengnan Zhao, Pei Liu, Zhaozhi Yang, Yuchu Jiang, Manxue Zhang, Xiaoxia Duan and 2 more

Abstract readMeta-Analysis
In one paragraph

Synthesis in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
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

12 authors.

Lei Li *Mental Health Center, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Yihao Liu *Mental Health Center, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Tingting LuoMental Health Center, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Yujie TaoMental Health Center, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Shengnan ZhaoMental Health Center, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Pei LiuMental Health Center, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Zhaozhi YangMental Health Center, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Yuchu JiangMental Health Center, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Manxue ZhangMental Health Center, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Xiaoxia DuanMental Health Center, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Mingjing SituMental Health Center, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Yi HuangMental Health Center, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, China. huangyu@scu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObsessive-compulsive disorder (OCD) is one of the most commonly seen mental disorders onset from childhood. The neural mechanisms underlying OCD development and maintenance remain poorly understood. Various empirical evidence from structural magnetic resonance imaging (MRI) studies has reported structural differences in grey matter (GM) among pediatric OCD patients. However, some of the findings diverge from others, and the association between GM and individual differences in pediatric OCD remains inconclusive. To address this gap, we conducted a meta-analysis to synthesize findings quantitatively.

methodsThe current research conducted a quantitative meta-analysis of voxel-based GM studies to elucidate existence of neural correlates in pediatric OCD. A whole brain-based d-mapping approach was utilized to explore GM changes and further analyze the relationship between GM and individual differences in pediatric OCD patients.

resultsThirteen studies were included with 288 patients and 273 controls. Compared with controls, pediatric OCD demonstrated significantly greater GM volume in the left insula (SDM value = 1.72, p < 0.005) and left superior frontal gyrus (SFG) (orbital part) (SDM value = 1.47, p < 0.005), whereas we showed lower GM volume in the right superior temporal gyrus (STG) (SDM value = -1.87, p < 0.005), left inferior parietal gyri (IPG) (SDM value = -1.60, p < 0.005), left middle occipital gyrus (MOG) (SDM value = -1.66, p < 0.005), and left inferior frontal gyrus (IFG) (SDM value = -1.69, p < 0.005). The increase in SFG (orbital part) and decrease IPG was commonly found in those without psychiatric comorbidities and treatment-naive subgroup. Meta-regression analysis revealed that longer OCD duration was associated with less GM volume in IPG (SDM value = -3.057, p < 0.005). Finally, the onset age and the OCD symptoms severity were positively associated with GM volume in the SFG (SDM z = 2.387, p < 0.005).

conclusionsOur findings confirmed the most consistent GM differences in pediatric OCD, particularly in the MOG, IPG and SFG (orbital part), suggesting they are potential markers in pediatric OCD. Larger SFG (orbital part) and smaller IPG volumes are specific to those without comorbidities and untreated patients. The duration of OCD, symptom severity and onset age also influence GM structure. This research provides evidence of the underlying neuroanatomical characteristics of pediatric OCD.

trial registrationPROSPERO CRD42024601906.

Indexed as

BrainCerebral CortexGray MatterObsessive-Compulsive DisorderAdolescentChildHumansMagnetic Resonance ImagingMaleOrgan SizeChildhood psychiatric disordersGrey matterMeta-analysisObsessive–compulsive disorderVoxel-based morphometry

Identifiers

PMID40119402
PMCPMC11927120

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.