Evidence map›Paper›PMID 41251713›Full record

ArticleEuropean child & adolescent psychiatry2026

Reduced emotion-generated frontolimbic functional connectivity in psychostimulant-free ADHD youth with and without familial risk for bipolar I disorder.

Qian Li, Kun Qin, Du Lei, Wenbin Li, Maxwell J Tallman, L Rodrigo Patino, John A Sweeney, Qiyong Gong, Fei Li, Melissa P DelBello and 1 more

Abstract read
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In one paragraph

Article in European child & adolescent psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

4 citing papers in PubMed.

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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

11 authors.

Qian LiDepartment of Radiology, Huaxi MR Research Center (HMRRC), Institute of Radiology and Medical Imaging, West China Hospital of Sichuan University, No 37 Guo Xue Alley, Chengdu, Sichuan Province, 610041, P.R. China.
Kun QinDepartment of Radiology, Huaxi MR Research Center (HMRRC), Institute of Radiology and Medical Imaging, West China Hospital of Sichuan University, No 37 Guo Xue Alley, Chengdu, Sichuan Province, 610041, P.R. China.
Du LeiCollege of Medical Informatics, Chongqing Medical University, Chongqing, 400016, P.R. China.
Wenbin LiDepartment of Radiology, Huaxi MR Research Center (HMRRC), Institute of Radiology and Medical Imaging, West China Hospital of Sichuan University, No 37 Guo Xue Alley, Chengdu, Sichuan Province, 610041, P.R. China.
Maxwell J TallmanDepartment of Psychiatry and Behavioral Neuroscience, University of Cincinnati College of Medicine, Cincinnati, OH, 45219, USA.
L Rodrigo PatinoDepartment of Psychiatry and Behavioral Neuroscience, University of Cincinnati College of Medicine, Cincinnati, OH, 45219, USA.
John A SweeneyDepartment of Radiology, Huaxi MR Research Center (HMRRC), Institute of Radiology and Medical Imaging, West China Hospital of Sichuan University, No 37 Guo Xue Alley, Chengdu, Sichuan Province, 610041, P.R. China.
Qiyong GongDepartment of Radiology, Huaxi MR Research Center (HMRRC), Institute of Radiology and Medical Imaging, West China Hospital of Sichuan University, No 37 Guo Xue Alley, Chengdu, Sichuan Province, 610041, P.R. China. qiyonggong@hmrrc.org.cn.
Fei LiDepartment of Radiology, Huaxi MR Research Center (HMRRC), Institute of Radiology and Medical Imaging, West China Hospital of Sichuan University, No 37 Guo Xue Alley, Chengdu, Sichuan Province, 610041, P.R. China. charlie_lee@qq.com.
Melissa P DelBelloDepartment of Psychiatry and Behavioral Neuroscience, University of Cincinnati College of Medicine, Cincinnati, OH, 45219, USA.
Robert K McNamaraDepartment of Psychiatry and Behavioral Neuroscience, University of Cincinnati College of Medicine, Cincinnati, OH, 45219, USA.

Funding

National Key R&D Program 2022YFC2009900National Natural Science Foundation of China 82027808Sichuan Science and Technology Program 2024NSFSC0653Wellcome Trust 097818
6 · The paper itself

Abstract

Although youth with attention-deficit/hyperactivity disorder (ADHD) and a family history of bipolar I disorder (BD) are at increased risk for developing BD, the underlying neurobiological mechanisms remain poorly understood. Aberrant ventrolateral prefrontal cortex (VLPFC) and amygdala (AMY) functional connectivity (FC) have been implicated in the pathophysiology of BD. This study compared VLPFC-AMY FC in psychostimulant-free ADHD youth with (high-risk, HR) and without (low-risk, LR) a BD family history, and healthy controls (HCs). Subjects received a magnetic resonance scan while performing a continuous performance task with emotional and neutral distractors. Generalized psychophysiological interaction analysis was used to assess VLPFC-AMY FC in response to unpleasant emotional stimuli and attentional targets. A total of 144 adolescents (46 HC, 50 LR, and 48 HR) were included. In response to unpleasant emotional stimuli, FC between right VLPFC and left AMY differed among groups. HR youth exhibited lower right VLPFC-left AMY FC compared with both LR and HC, and LR youth exhibited lower right VLPFC-left AMY FC compared with HC. There were no group differences in right VLPFC-left AMY FC in response to attentional distractors. ADHD in conjunction with BD family history is associated with blunted emotion-generated right VLPFC-left AMY FC compared with ADHD youth without a BD family history and healthy youth, and may represent a neurobiological feature associated with genetic vulnerability to BD.

Indexed as

AmygdalaAttention Deficit Disorder with HyperactivityBipolar DisorderEmotionsPrefrontal CortexAdolescentChildFemaleGenetic Predisposition to DiseaseHumansMagnetic Resonance ImagingMaleNeural PathwaysADHDAdolescentBipolar I disorderFamilial riskFunctional connectivityPsychoradiology

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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.