Evidence map›Paper›PMID 40867126›Full record

ReviewBrain sciences2025

Insular Cortex-Biology and Its Role in Psychiatric Disorders: A Narrative Review.

Darko Laketić, Nikola M Stojanović, Isidora Laketić, Milorad Pavlović, Bojan Milosević, Ana Starčević, Slobodan Kapor

Abstract readReview
In one paragraph

Review in Brain sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

7 authors.

Darko LaketićFaculty of Medicine, Niko Miljanić Institute of Anatomy, University of Belgrade, 11000 Belgrade, Serbia.ORCID 0000-0001-8228-8041
Nikola M StojanovićCenter for Mental Health Protection, University Clinical Center, 18000 Nis, Serbia.ORCID 0000-0002-0124-3501
Isidora LaketićIQVIA RDS, 11070 Belgrade, Serbia.
Milorad PavlovićClinic of Thoracic Surgery, University Clinical Center, 18000 Nis, Serbia.
Bojan MilosevićDepartment of Surgery, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.
Ana StarčevićFaculty of Medicine, Niko Miljanić Institute of Anatomy, University of Belgrade, 11000 Belgrade, Serbia.
Slobodan KaporFaculty of Medicine, Niko Miljanić Institute of Anatomy, University of Belgrade, 11000 Belgrade, Serbia.ORCID 0000-0002-6695-6393

Funding

The Ministry of Science, Technological Development and Innovation of the Republic of Serbia 451-03-66/202403/200110
6 · The paper itself

Abstract

The insular cortex has emerged as a key region implicated in a wide array of cognitive, emotional, and sensory processes. The anterior part of the insula (AIC) is central to emotional awareness, decision-making, and interoception, while the posterior insula (PIC) is more associated with somatosensory processing. The insula acts as a functional hub within the salience network and integrates homeostatic, affective, and cognitive information; thus, its role in different mental disorders seems to be prominent. Altered structure and connectivity of the insular cortex are evident in several psychiatric conditions. In schizophrenia, reductions in insular volume-especially on the left-correlate with hallucinations, emotional dysregulation, and cognitive deficits. Bipolar and major depressive disorders exhibit AIC volume loss and aberrant connectivity patterns linked to impaired affect regulation and interoceptive awareness. Anxiety disorders show functional hyperactivity of the insula, especially in response to fear-inducing stimuli, though findings on structural changes are mixed. Overall, growing evidence underscores the insular cortex's central role in psychiatric pathophysiology and highlights its potential as a target for future diagnostic and therapeutic strategies.

Indexed as

anxiety disordersbipolar disordergamblinginsulaschizophrenia

Identifiers

PMID40867126
PMCPMC12384716

What OpenQuestion holds

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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.