Cited by 635Neural and Behavioral Psychology StudiesFunctional Brain Connectivity StudiesSchizophrenia research and treatment

Identification of Common Neural Circuit Disruptions in Cognitive Control Across Psychiatric Disorders

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McTeague, Lisa M., Huemer, Julia, Carreon, David M., Jiang, Ying, Eickhoff, Simon B., Etkin, Amit·2017·American Journal of Psychiatry

Abstract

OBJECTIVE: Cognitive deficits are a common feature of psychiatric disorders. The authors investigated the nature of disruptions in neural circuitry underlying cognitive control capacities across psychiatric disorders through a transdiagnostic neuroimaging meta-analysis. METHOD: A PubMed search was conducted for whole-brain functional neuroimaging articles published through June 2015 that compared activation in patients with axis I disorders and matched healthy control participants during cognitive control tasks. Tasks that probed performance or conflict monitoring, response inhibition or selection, set shifting, verbal fluency, and recognition or working memory were included. Activation likelihood estimation meta-analyses were conducted on peak voxel coordinates. RESULTS: The 283 experiments submitted to meta-analysis included 5,728 control participants and 5,493 patients with various disorders (schizophrenia, bipolar or unipolar depression, anxiety disorders, and substance use disorders). Transdiagnostically abnormal activation was evident in the left prefrontal cortex as well as the anterior insula, the right ventrolateral prefrontal cortex, the right intraparietal sulcus, and the midcingulate/presupplementary motor area. Disruption was also observed in a more anterior cluster in the dorsal cingulate cortex, which overlapped with a network of structural perturbation that the authors previously reported in a transdiagnostic meta-analysis of gray matter volume. CONCLUSIONS: These findings demonstrate a common pattern of disruption across major psychiatric disorders that parallels the "multiple-demand network" observed in intact cognition. This network interfaces with the anterior-cingulo-insular or "salience network" demonstrated to be transdiagnostically vulnerable to gray matter reduction. Thus, networks intrinsic to adaptive, flexible cognition are vulnerable to broad-spectrum psychopathology. Dysfunction in these networks may reflect an intermediate transdiagnostic phenotype, which could be leveraged to advance therapeutics.

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Crossref · 10.1176/appi.ajp.2017.16040400

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  • Many adult PTSD neuroimaging findings are unlikely to be specific to PTSD and may represent common neural abnormalities across psychiatric disorders.

    “many of these findings are unlikely to be specific to PTSD, and may instead represent common neural abnormalities across psychiatric disorders [9,10].”

    From Trauma, PTSD, and the Developing Brain (2017) · cites this paper as [10]

    The Experiment Inclusion Criteria section includes PTSD among the anxiety disorders studied, and the Discussion reports common cognitive-control circuit disruptions across disorders with limited diagnosis-specific effects. That supports the possibility that some PTSD neuroimaging findings are transdiagnostic, but the paper does not establish that many adult PTSD neuroimaging findings generally are nonspecific; its analysis is limited to cognitive-control tasks. (LLM, conf=0.84)

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  • Meta-analyses across psychiatric disorders have found more similarities than differences in functional and structural neuroimaging abnormalities across disorders, despite variance in symptoms.

    “Further, meta-analyses across psychiatric disorders have found evidence of more similarities in functional and structural neuroimaging abnormalities across disorders than differences, despite variance in symptoms (Goodkind et al., 2015; McTeague et al., 2017).”

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Authors
McTeague, L. M., Huemer, J., Carreon, D. M., Jiang, Y., Eickhoff, S. B., & Etkin, A.
Affiliations
Medical University of South Carolina (US)
Venue
American Journal of Psychiatry
Published
2017-07-01
Volume
174
Issue
7
Pages
676-685
ISSN
  • 0002-953X (ISSN-L)
  • 1535-7228
OpenAlex
W2602886720
Cited by
635
References
48
Citations by year
2026: 55 · 2025: 61 · 2024: 127 · 2023: 60 · 2022: 74 · 2021: 86 · 2020: 66 · 2019: 50 · 2018: 40 · 2017: 16
FWCI
26.67
Type
journal article
Language
en
Open access
Locations
  • American Journal of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • JuSER (Forschungszentrum Jülich) (submittedVersion)
Funders
  • Deutsche Forschungsgemeinschaft
  • Österreichischen Akademie der Wissenschaften
  • National Institute of Mental Health (R01MH074457, K23MH104849)
Topics
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Functional Brain Connectivity Studies
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
Keywords
cognitive control, mental illness, multiple-demand network, salience network, prefrontal cortex, anterior insula, intraparietal sulcus, schizophrenia, bipolar disorder, depression, anxiety disorders, substance use disorders, cognitive impairment, activation likelihood estimation
MeSH terms
Mental Disorders, Brain, Brain Mapping, Dominance, Cerebral, Humans, Nerve Net, Neuropsychological Tests, Psychometrics, Reference Values, Cognitive Dysfunction

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