Evidence map›Paper›PMID 42273591›Full record

ArticleFrontiers in psychiatry2026

Altered anterior cingulate cortex functional connectivity in treatment-naïve obsessive-compulsive disorder: a resting-state fMRI study.

Yujing Li, Lisha Ma, Jun Hu, Zonghong Li, Xiaofang Shang, Shu Xu, Junjun Liu

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Article in Frontiers in psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Yujing Li *Department of Psychiatry, Nanjing Medical University Affiliated Brain Hospital, Nanjing, China.
Lisha Ma *Department of Psychosomatic Medicine, Zhejiang University Affiliated Hangzhou Seventh People's Hospital, Hangzhou, China.
Jun HuDepartment of Radiology, Nanjing Medical University Affiliated Nanjing Brain Hospital, Nanjing, China.
Zonghong LiDepartment of Radiology, Nanjing Medical University Affiliated Nanjing Brain Hospital, Nanjing, China.
Xiaofang ShangDepartment of Psychiatry, Nanjing Medical University Affiliated Brain Hospital, Nanjing, China.
Shu XuDepartment of Psychology, Nanjing Medical University Affiliated Brain Hospital, Nanjing, China.
Junjun LiuDepartment of Psychiatry, Nanjing Meishan Hospital, Nanjing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To investigate the anterior cingulate cortex (ACC) resting-state functional connectivity patterns in OCD patients who have not yet received therapy and analyze how they relate to the intensity of their clinical symptoms. Methods: Resting-state fMRI data were acquired from 46 medication-naïve participants with OCD and 33 demographically comparable neurotypical control subjects. The region of focus for the seed-based whole-brain functional connectivity investigation was bilateral ACC. Relationships between aberrant connections and clinical characteristics measured by the Y-BOCS, HAMD-17, and HAMA were investigated using Pearson's correlation coefficient and partial correlation analysis. Results: Key findings (OCD patients vs. healthy controls): Increased functional connectivity (FC) in OCD patients: Right insula (Brodmann area 48), Right hippocampus (BA 20), Right fusiform gyrus (BA 37); Decreased FC involving the anterior cingulate cortex (ACC) with: Right supplementary motor area (SMA, BA 32), Left inferior frontal gyrus (IFG, BA 47) (AlphaSim corrected, P < 0.05). Clinical association: There was a significant positive relationship between Y-BOCS total scores (a measure of OCD symptom severity) and FC strength linking the left IFG to the ACC (r = 0.351, P = 0.017). In practical terms, greater symptom severity is associated with stronger coupling between these two regions. No other clear brain-behavior relationships were found in the other regions examined. Conclusion: Treatment-naïve OCD patients demonstrate distinct ACC functional connectivity alterations involving cognitive control, motor planning, and limbic processing regions. The specific association between left inferior frontal gyrus (IFG)-ACC connectivity and symptom severity suggests that this pathway may serve as a neurobiological marker for OCD pathophysiology.

Indexed as

Anterior cingulate cortexfunctional connectivityobsessive-compulsive disorderresting-state fMRItreatment-naïve

Identifiers

PMID42273591
PMCPMC13248406

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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.