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@ARTICLE{McTeague:873152,
author = {McTeague, Lisa M. and Rosenberg, Benjamin M. and Lopez,
James W. and Carreon, David M. and Huemer, Julia and Jiang,
Ying and Chick, Christina F. and Eickhoff, Simon and Etkin,
Amit},
title = {{I}dentification of {C}ommon {N}eural {C}ircuit
{D}isruptions in {E}motional {P}rocessing {A}cross
{P}sychiatric {D}isorders},
journal = {The American journal of psychiatry},
volume = {177},
number = {5},
issn = {1535-7228},
address = {Stanford, Calif.},
publisher = {HighWire Press},
reportid = {FZJ-2020-00597},
pages = {411-421},
year = {2020},
abstract = {Disrupted emotional processing is a common feature of many
psychiatric disorders. The authors investigated functional
disruptions in neural circuitry underlying emotional
processing across a range of tasks and across psychiatric
disorders through a transdiagnostic quantitative
meta-analysis of published neuroimaging data.METHODS:A
PubMed search was conducted for whole-brain functional
neuroimaging findings published through May 2018 that
compared activation during emotional processing tasks in
patients with psychiatric disorders (including
schizophrenia, bipolar or unipolar depression, anxiety, and
substance use) to matched healthy control participants.
Activation likelihood estimation (ALE) meta-analyses were
conducted on peak voxel coordinates to identify spatial
convergence.RESULTS:The 298 experiments submitted to
meta-analysis included 5,427 patients and 5,491 control
participants. ALE across diagnoses and patterns of patient
hyper- and hyporeactivity demonstrated abnormal activation
in the amygdala, the hippocampal/parahippocampal gyri, the
dorsomedial/pulvinar nuclei of the thalamus, and the
fusiform gyri, as well as the medial and lateral dorsal and
ventral prefrontal regions. ALE across disorders but
considering directionality demonstrated patient
hyperactivation in the amygdala and the
hippocampal/parahippocampal gyri. Hypoactivation was found
in the medial and lateral prefrontal regions, most
pronounced during processing of unpleasant stimuli. More
refined disorder-specific analyses suggested that these
overall patterns were shared to varying degrees, with
notable differences in patterns of hyper- and
hypoactivation.CONCLUSIONS:These findings demonstrate a
pattern of neurocircuit disruption across major psychiatric
disorders in regions and networks key to adaptive emotional
reactivity and regulation. More specifically, disruption
corresponded prominently to the "salience" network, the
ventral striatal/ventromedial prefrontal "reward" network,
and the lateral orbitofrontal "nonreward" network.
Consistent with the Research Domain Criteria initiative,
these findings suggest that psychiatric illness may be
productively formulated as dysfunction in transdiagnostic
neurobehavioral phenotypes such as neurocircuit
activation.KEYWORDS:Meta-Analysis; Neuroanatomy;
Neuroimaging; RDoC; Transdiagnostic; fMRI},
cin = {INM-7},
ddc = {610},
cid = {I:(DE-Juel1)INM-7-20090406},
pnm = {574 - Theory, modelling and simulation (POF3-574) / SMHB -
Supercomputing and Modelling for the Human Brain
(HGF-SMHB-2013-2017) / HBP SGA3 - Human Brain Project
Specific Grant Agreement 3 (945539)},
pid = {G:(DE-HGF)POF3-574 / G:(DE-Juel1)HGF-SMHB-2013-2017 /
G:(EU-Grant)945539},
typ = {PUB:(DE-HGF)16},
pubmed = {31964160},
UT = {WOS:000537832600009},
doi = {10.1176/appi.ajp.2019.18111271},
url = {https://juser.fz-juelich.de/record/873152},
}