Evidence map›Paper›PMID 40226720›Full record

Trial reportDepression and anxiety2024

Enhancing Agency in Individuals with Depressive Symptoms: The Roles of Effort, Outcome Valence, and Its Underlying Cognitive Mechanisms and Neural Basis.

Jingyuan Lin, Xuemei Yang, Hong Li, Wuji Lin, Jie Zhang, Yi Lei

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Depression and anxiety, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

2 citing papers in PubMed.

  1. The Impact of Pet Videos on Emotional Face Processing.European journal of investigation in health, psychology and education · 2026
    Article
  2. 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

6 authors.

Jingyuan LinThe Institute of Brain and Psychological Science, Sichuan Normal University, Chengdu, China.ORCID 0000-0001-6547-2111
Xuemei YangCollege Students Mental Health Education Service Center, Sichuan Normal University, Chengdu, China.ORCID 0009-0002-1003-4362
Hong LiThe Institute of Brain and Psychological Science, Sichuan Normal University, Chengdu, China.ORCID 0000-0002-3620-5548
Wuji LinThe Institute of Brain and Psychological Science, Sichuan Normal University, Chengdu, China.ORCID 0000-0001-5555-6215
Jie ZhangSchool of Psychology, South China Normal University, Guangzhou, China.ORCID 0009-0003-0583-1372
Yi LeiThe Institute of Brain and Psychological Science, Sichuan Normal University, Chengdu, China.ORCID 0000-0002-8874-923X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Agency, a sense of control over one's actions and outcomes, is crucial for recovery from depressive symptoms. However, the mechanisms that enhance agency in individuals with depressive symptoms remain poorly understood. This study endeavors to elucidate these fundamental processes. Materials and Methods: We recruited 52 participants exhibiting depressive symptoms to participate in a novel Judgment of Agency (JoA) task. This task was structured with a 3 (effort: high load, medium load, low load) × 2 (outcome: win, miss) within-subject design to assess the impact of effort and outcome valence on agency. Throughout the task, we utilized functional near-infrared spectroscopy (fNIRS) to explore the neural mechanisms underlying agency. Furthermore, we conducted a randomized, sham-controlled, pre-post-test trial involving intermittent theta-burst stimulation (iTBS) targeted at the left dorsolateral prefrontal cortex (DLPFC) to investigate its potential to enhance agency. Participants were randomly allocated to either an active iTBS group or a sham group, with each receiving a single session of stimulation (600 pulses). The JoA task was conducted both before and after the stimulation. Results: Effort significantly influenced agency in individuals with depressive symptoms, with this effect being moderated by the outcomes' valences. Agency was positively correlated with self-efficacy ( Conclusions: Our study highlights the critical role of effort in enhancing agency for individuals with depressive symptoms, with iTBS applied to the left DLPFC showing potential to enhance agency postgoal achievement. Moreover, the activation of the left IFG and the presence of anxiety are associated with maladaptive self-attributed agency, offering potential targets for therapeutic intervention.

Indexed as

DepressionDorsolateral Prefrontal CortexJudgmentPsychomotor PerformanceTranscranial Magnetic StimulationAdultFemaleFunctional NeuroimagingHumansMalePrefrontal CortexSpectroscopy, Near-InfraredYoung Adult

Identifiers

PMID40226720
PMCPMC11919012

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Registered trials

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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.