Evidence map›Paper›PMID 42158379›Full record

ReviewIBRO neuroscience reports2026

Default modetwork connectivity and its clinical relevance for depression in multiple sclerosis: A scoping review.

Laura Culicetto, Giulia Marafioti, Viviana Lo Buono, Giangaetano D'Aleo, Carmela Rifici, Edoardo Sessa, Angelo Quartarone, Silvia Marino

Abstract readReview
In one paragraph

Review in IBRO neuroscience reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Laura CulicettoIRCCS Centro Neurolesi "Bonino-Pulejo", S.S. 113 Via Palermo C. da Casazza, Messina 98124, Italy.
Giulia MarafiotiIRCCS Centro Neurolesi "Bonino-Pulejo", S.S. 113 Via Palermo C. da Casazza, Messina 98124, Italy.
Viviana Lo BuonoIRCCS Centro Neurolesi "Bonino-Pulejo", S.S. 113 Via Palermo C. da Casazza, Messina 98124, Italy.
Giangaetano D'AleoIRCCS Centro Neurolesi "Bonino-Pulejo", S.S. 113 Via Palermo C. da Casazza, Messina 98124, Italy.
Carmela RificiIRCCS Centro Neurolesi "Bonino-Pulejo", S.S. 113 Via Palermo C. da Casazza, Messina 98124, Italy.
Edoardo SessaIRCCS Centro Neurolesi "Bonino-Pulejo", S.S. 113 Via Palermo C. da Casazza, Messina 98124, Italy.
Angelo QuartaroneIRCCS Centro Neurolesi "Bonino-Pulejo", S.S. 113 Via Palermo C. da Casazza, Messina 98124, Italy.
Silvia MarinoIRCCS Centro Neurolesi "Bonino-Pulejo", S.S. 113 Via Palermo C. da Casazza, Messina 98124, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Depression is one of the most disabling neuropsychiatric manifestations of multiple sclerosis (MS), yet its neural mechanisms have received limited investigation. Growing evidence suggests that large-scale brain network dysfunction, particularly the default mode network (DMN), may play a key role in MS-related depression. Objective: This scoping review aimed to synthesize the available evidence on the relationship between DMN resting-state functional connectivity and depressive symptoms in individuals with MS. Methods: A scoping review was conducted in accordance with PRISMA-ScR guidelines. PubMed, Scopus, Web of Science, and Embase were searched up to November 2025. Studies were included if they involved adults with MS, assessed depressive symptoms using validated measures, and examined DMN connectivity using resting-state fMRI. Results: Across the four included studies, consistent alterations of DMN connectivity were observed in relation to depressive symptoms in MS. These included posterior cingulate cortex hypoconnectivity, anterior cingulate cortex hyperconnectivity, and widespread hippocampal-DMN disconnection. DMN abnormalities were associated with depressive symptom severity and were only partially explained by lesion burden, brain atrophy, disability or cognitive status. Notably, aerobic exercise induced changes in DMN connectivity that paralleled reductions in depressive symptoms, suggesting that DMN dysfunction may be a modifiable target. Conclusions: Converging evidence indicates that depression in MS is linked to alterations in DMN functional organization, supporting a network-based model of MS-related depression rather than a purely reactive psychiatric interpretation. Although the current evidence is limited by small sample sizes and predominantly cross-sectional designs, these findings highlight the DMN as a promising neurobiological marker and potential therapeutic target.

Indexed as

Default mode networkDepressionMSMultiple SclerosisNeuroimaging

Identifiers

PMID42158379
PMCPMC13181290

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.