Evidence map›Paper›PMID 40384942›Full record

ArticleJournal of mood and anxiety disorders2025

Neural activity to reward and loss predicting treatment outcomes for adults with generalized anxiety disorder: A randomized clinical trial.

Hannah Berg, Yu-Jin Eun, Xiaoqian Yu, Timothy J McDermott, Elisabeth Akeman, Rayus Kuplicki, Hung-Wen Yeh, Wesley Thompson, Christopher R Martell, Kate B Wolitzky-Taylor and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in Journal of mood and anxiety disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02807480 (Approach-Avoidance Conflict-a Multi-level Predictor for Therapy Response), which is not on this 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.

NCT02807480 nacompletednot on this map

Approach-Avoidance Conflict-a Multi-level Predictor for Therapy Response

TypeinterventionalSponsorLaureate Institute for Brain Research, Inc.Ran2016 to 2022Enrolled121ConditionsGeneralized Anxiety DisorderArmsExposure-based therapy, Behavioral Activation therapy, Computer-based behavioral assessment, Surveys and Interviews, Magnetic resonance imaging (MRI)
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  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

13 authors.

Hannah BergLaureate Institute for Brain Research, 6655 South Yale Avenue, Tulsa, OK 74136, USA.ORCID 0000-0002-8283-0133
Yu-Jin EunEastern Illinois University, 600 Lincoln Ave, Charleston, IL 61920, USA.
Xiaoqian YuLaureate Institute for Brain Research, 6655 South Yale Avenue, Tulsa, OK 74136, USA.
Timothy J McDermottLaureate Institute for Brain Research, 6655 South Yale Avenue, Tulsa, OK 74136, USA.ORCID 0000-0002-8860-0646
Elisabeth AkemanLaureate Institute for Brain Research, 6655 South Yale Avenue, Tulsa, OK 74136, USA.
Rayus KuplickiLaureate Institute for Brain Research, 6655 South Yale Avenue, Tulsa, OK 74136, USA.ORCID 0000-0003-2954-6421
Hung-Wen YehHealth Services & Outcomes Research, Children's Mercy Hospital, 2401 Gillham Road, Kansas City, MO 64108, USA.
Wesley ThompsonLaureate Institute for Brain Research, 6655 South Yale Avenue, Tulsa, OK 74136, USA.
Christopher R MartellDepartment of Psychological and Brain Sciences, University of Massachusetts-Amherst, 135 Hicks Way, Amherst, MA 01003, USA.
Kate B Wolitzky-TaylorPsychology, Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, 405 Hilgard Avenue, Los Angeles, CA 90077, USA.
Michelle G CraskePsychology, Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, 405 Hilgard Avenue, Los Angeles, CA 90077, USA.
Martin P PaulusLaureate Institute for Brain Research, 6655 South Yale Avenue, Tulsa, OK 74136, USA.ORCID 0000-0002-0825-3606
Robin L AupperleLaureate Institute for Brain Research, 6655 South Yale Avenue, Tulsa, OK 74136, USA.

Funding

Approach-Avoidance Conflict-a multi-level predictor for exposure therapy responseK23MH108707 · NIMH · LAUREATE INSTITUTE FOR BRAIN RESEARCH · PI AUPPERLE, ROBIN L · 2016 to 2020
$976k
NIMH NIH HHS K23 MH108707
6 · The paper itself

Abstract

Aberrant reward processing has been predominantly associated with depressive disorders, with evidence that pre-treatment abnormalities in striatal reward responsiveness relates to treatment outcomes. Emerging research also implicates reward processing differences in anxiety disorders, particularly generalized anxiety disorder (GAD). The current study examined whether pre-treatment reward- and loss-related neural activity predicts symptom improvement with behavioral activation (BA) and exposure therapy (EXP) for GAD. In this randomized clinical trial (ClinicalTrials.gov NCT02807480) conducted from 2016 to 2021, treatment-seeking adults with GAD completed the monetary incentive delay task during functional magnetic resonance imaging pre-treatment, then were randomized to 10-session EXP or BA. The primary outcome measure was the GAD-7. Of 101 participants consented, 69 completed treatment, the 46 completers with quality imaging data were included in analyses (22 EXP, 24 BA; mean 32.7 years, 10.9 % male).

Indexed as

FMRIGADLossPsychotherapyReward

Identifiers

PMID40384942
PMCPMC12083846

What OpenQuestion holds

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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.