Evidence map›Paper›PMID 42068745›Full record

SynthesisNeuroImage. Clinical2026

Resting-state EEG activity in depression: a systematic review and meta-analysis.

Henrik Heitmann, Jean-François Siani, Paul Theo Zebhauser, Peter Henningsen, Stefan Leucht, Josef Priller, Markus Ploner

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in NeuroImage. Clinical, 2026. 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. Review
  2. Review
  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.

Henrik HeitmannDepartment of Psychosomatic Medicine and Psychotherapy, TUM School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany; Center for Interdisciplinary Pain Medicine, TUM School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany; TUM-Neuroimaging Center, TUM School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany. Electronic address: henrik.heitmann@tum.de.
Jean-François SianiDepartment of Neurology, TUM School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany; TUM-Neuroimaging Center, TUM School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany.
Paul Theo ZebhauserDepartment of Neurology, TUM School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany; TUM-Neuroimaging Center, TUM School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany.
Peter HenningsenDepartment of Psychosomatic Medicine and Psychotherapy, TUM School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany.
Stefan LeuchtDepartment of Psychiatry, TUM School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany.
Josef PrillerDepartment of Psychiatry, TUM School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany.
Markus PlonerCenter for Interdisciplinary Pain Medicine, TUM School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany; Department of Neurology, TUM School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany; TUM-Neuroimaging Center, TUM School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Depression is a highly prevalent and disabling disorder affecting approximately 5% of the adult population worldwide. Despite its impact, the underlying pathophysiology remains insufficiently understood, and current treatments are only partially effective. Understanding electrophysiological correlates of depression offers promise for a better grasp of the underlying brain mechanisms and might even guide novel treatment approaches, including neuromodulation. EEG is particularly attractive for this purpose due to its wide availability, cost-effectiveness, and potential for direct neuromodulatory targeting. We conducted a PROSPERO-registered systematic review in accordance with PRISMA guidelines to assess resting-state EEG activity in adult patients with depression, diagnosed according to DSM-IV/V or ICD-10/11. Included studies reported cross-sectional or correlational data on well-established quantitative EEG measures such as power, cordance, peak frequency, and alpha asymmetry. Semiquantitative analyses using modified albatross plots and meta-analyses were performed. Study quality was assessed with a modified Newcastle-Ottawa Scale. Fifty-two studies met the inclusion criteria. Semiquantitative findings showed a trend for increased low-frequency (delta and theta) and high-frequency (beta and gamma) power, as well as left frontal alpha asymmetry, in depressed patients compared to healthy controls. However, meta-analysis only confirmed a significant increase in beta power. Results regarding disease severity correlations and data on peak alpha frequency and cordance were insufficient for interpretation. Risk of bias across studies was high. Our results support a potential role for increased beta oscillations in depression. These oscillations may reflect disrupted corticolimbic control and reward processing and partially overlap with mechanisms implicated in chronic pain and fatigue. Further investigation is warranted into their potential as a diagnostic tool or even a biomarker, as well as their potential use as a neuromodulatory treatment target.

Indexed as

BrainBrain WavesDepressionElectroencephalographyHumansRestBeta powerBiomarkerEEGMeta-analysisResting-stateSystematic review

Identifiers

PMID42068745
PMCPMC13147395

What OpenQuestion holds

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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.