Evidence map›Paper›PMID 41992767›Full record

SynthesisBrain and behavior2026

Neurofunctional Correlates of Emotional Dysregulation: Systematic Review and ALE Meta-Analysis.

Ern Wong, Riccardo Loconte, Francesca Terigi, Elisa Giani, Matteo Bucci, Maurilio Menduni De Rossi, Davide Coraci, Annarita Milone, Gabriele Masi, Luca Cecchetti and 1 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Brain and behavior, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Ern WongIMT School for Advanced Studies, Lucca, Italy.
Riccardo LoconteIMT School for Advanced Studies, Lucca, Italy.
Francesca TerigiUniversity of Pisa, Pisa, Italy.
Elisa GianiUniversity of Pisa, Pisa, Italy.
Matteo BucciSant'Anna School of Advanced Studies, Pisa, Italy.
Maurilio Menduni De RossiSant'Anna School of Advanced Studies, Pisa, Italy.
Davide CoraciIMT School for Advanced Studies, Lucca, Italy.
Annarita MiloneDevelopmental Psychiatry and Psychopharmacology Unit, IRCCS Stella Maris Foundation, Pisa, Italy.
Gabriele MasiDevelopmental Psychiatry and Psychopharmacology Unit, IRCCS Stella Maris Foundation, Pisa, Italy.
Luca CecchettiSocial and Affective Neuroscience (SANe) Group, MoMiLab Research Unit, IMT School for Advanced Studies Lucca, Lucca, Italy.
Gianluca SessoIMT School for Advanced Studies, Lucca, Italy.

Funding

Ministero della SaluteMinistry of Health
6 · The paper itself

Abstract

backgroundEmotional dysregulation (ED) is a transdiagnostic feature of several psychiatric and neurodevelopmental disorders, characterized by heightened emotional reactivity, mood instability, and difficulties regulating emotional responses.

methodsIn this study, an activation likelihood estimation (ALE) meta-analysis was conducted to examine the neural underpinnings of ED across different clinical populations. A systematic search based on preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines identified 35 task-based fMRI studies (n = 1989 subjects), including patients with borderline personality disorder (BPD), attention-deficit/hyperactivity disorder (ADHD), bipolar disorder (BD), and other conditions.

resultsHyper-activation was observed in emotion-related regions, particularly bilateral amygdala and left insula, indicating heightened emotional sensitivity and reactivity. Hypo-activation, detected through Bayesian thresholding, was found in areas such as the anterior cingulate cortex and supplementary motor area, suggesting impairments in cognitive control and emotional regulation. Functional connectivity analysis revealed distinct patterns of coactivation, with the amygdala showing isolated activity and the left insula coactivating with regions related to sensory processing and cognitive control.

conclusionsThese findings provide new insights into the neural circuitry of transdiagnostic ED and suggest that disorders, such as BPD, ADHD, and BD, share common neural mechanisms, particularly in regions involved in emotional reactivity and cognitive regulation. The results have important clinical implications for developing targeted interventions to address both emotional and cognitive deficits in ED. Future research should explore causal mechanisms and incorporate diverse clinical populations to further understand neurobiological basis of ED.

Indexed as

Affective SymptomsBrainEmotional RegulationAmygdalaAttention Deficit Disorder with HyperactivityBipolar DisorderBorderline Personality DisorderHumansLikelihood FunctionsMagnetic Resonance Imagingactivation likelihood estimation (ALE) meta‐analysisemotional dysregulationfMRIsystematic review

Identifiers

PMID41992767
PMCPMC13087441

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.