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

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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

DOI 10.1176/appi.ajp.2017.16040400PMC PMC5543416

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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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Background
Subjective cognitive assessments and N-back are not correlated, and they are differentially affected by anxiety and depression
Eser, H. Y., Yalçınay-İnan, M., Küçüker, M. U., Kilçiksiz, C. M., Yılmaz, S., Di̇nçer, N., Kılıç, Ö., Ercan, A. C., & Aydemır, Ö. (2021) · Applied Neuropsychology Adult · doi:10.1080/23279095.2021.1969400 · Cited by 5
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“Widge is with the Department of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis, MN 55455, USA current, frequency, and duty cycle)? Dysfunctional decisionmaking and cognitive control are common features in a wide range of mental disorders such as depression, addiction, anxiety disorders, autis…”
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Cingulate-Prefrontal Connectivity During Dynamic Cognitive Control Mediates Association Between p Factor and Adaptive Functioning in a Transdiagnostic Pediatric Sample
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Neural Correlates of the p Factor in Adolescence: Cognitive Control With and Without Enhanced Positive Affective Demands
Rodriguez-Thompson, A., Miller, A. B., Wade, M., Meyer, K. N., Machlin, L., Bonar, A. S., Patel, K. K., Giletta, M., Hastings, P. D., Nock, M. K., et al. (2023) · Biological Psychiatry Cognitive Neuroscience and Neuroimaging · doi:10.1016/j.bpsc.2023.03.012 · Cited by 7
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Subjective and objective cognitive functioning in untreated late-life depression: An exploration centered on comorbid generalized anxiety disorder
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Prenatal Delta-9-Tetrahydrocannabinol Exposure Induces Transcriptional Alterations in Dopaminergic System with Associated Electrophysiological Dysregulation in the Prefrontal Cortex of Adolescent Rats
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“…suggests that MCG is activated during a range of response-inhibition tasks in healthy populations (Zhang, Geng, & Lee, 2017), while a transdiag-nostic meta-analysis demonstrated abnormal MCG activation in cognitive control across psychiatric disorders, including MDD (McTeague et al., 2017).”
Influential
The BAsic NeuroCognitive Continuum ( BANCC ): Delineation of dimensional and categorical features for etiological and treatment investigations of idiopathic psychosis
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Heterogeneous Brain Atrophy Sites in Anxiety Disorders Map to a Common Brain Network
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Self-citation
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Male practitioners of physical activity present lower absolute power of beta band in time perception test
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Investigating the molecular genetic, genomic, brain structural, and brain functional correlates of latent transdiagnostic dimensions of psychopathology across the lifespan: Protocol for a systematic review and meta-analysis of cross-sectional and longitudinal studies in the general population
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“Similarly, recent meta-analytic research has demonstrated evidence of shared abnormalities in both brain structure and function across a range of common psychiatric disorders (27, 28).”
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An automated platform for Assessing Working Memory and prefrontal circuit function
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A Novel Cognitive Training Program Targets Stimulus-Driven Attention to Alter Symptoms, Behavior, and Neural Circuitry in Pediatric Anxiety Disorders: Pilot Clinical Trial
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“Alterations in CON activity have consistently been linked to psychiatric illnesses in meta-analyses, with CON regions thought to be overactive in anxiety disorders (Cocchi et al., 2012; Liao et al., 2010; McTeague et al., 2017).”
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The American Psychiatric Association Publishing Textbook of Psychopharmacology
Schatzberg, A. F., & Nemeroff, C. B. (2024) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615375523 · Cited by 6
Decoding Human Cognitive Control Using Functional Connectivity of Local Field Potentials
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Testing the sensitivity of diagnosis‐derived patterns in functional brain networks to symptom burden in a Norwegian youth sample
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“…reported that RSFC patterns relating to psychopathology are transdiagnostic or shared across disorders (Elliott et al., 2018; Karcher et al., 2021; Kebets et al., 2023; Lees et al., 2021; Linke et al., 2021; McTeague et al., 2017, 2020; Sha et al., 2019; Voldsbekk et al., 2023; Xia et al., 2018).”
Background
Electroconvulsive therapy “corrects” the neural architecture of visuospatial memory: Implications for typical cognitive-affective functioning
Petrican, R., Söderlund, H., Kumar, N., Daskalakis, Z. J., Flint, A. J., & Levine, B. (2019) · NeuroImage Clinical · doi:10.1016/j.nicl.2019.101816 · Cited by 5
Chapter 49. Treatment of Bipolar Disorder
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Unravelling symptom interplay of depression, anxiety, insomnia and suicidality in adolescents: A network analysis
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“…factors, such as genetics, neural and neurobiological abnormalities, and psychological dysfunction (e.g., emotional dysregulation, negative emotionality) among these three conditions (Blake et al., 2018; Gibson et al., 2023; Goodkind et al., 2015; Lane et al., 2019; McTeague et al., 2017).”
Stress and alcohol impact network states involved in emotional processing: relevance of comorbid AUD and psychiatric illnesses
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“These task-based functional assessments point to emotional and executive processing dysfunction across disorders (McTeague et al. 2017, 2020; Zhukovsky et al. 2022).”
Executive functions and psychopathology: A transdiagnostic network analysis
Ganai, U. J., & Bhushan, B. (2025) · PLoS ONE · doi:10.1371/journal.pone.0338435 · Cited by 5
“This interpretation aligns with meta-analytic evidence showing that working memory deficits contribute to emotional vulnerability, attentional dysregulation, and impairments in social functioning [92,93].”
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Illuminating posterior targets for transcranial magnetic stimulation beyond the prefrontal cortex
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Test-retest reliability and repeatability of behavioral and electrophysiological markers of cognitive control in an Eriksen Flanker Task
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“…cognitive control, defined as the general ability to monitor and adjust thoughts and actions to enable goal-directed behavior, ranks among the processes most commonly impaired across psychiatric diagnoses (Goschke, 2014; Luciana & Collins, 2022; McTeague et al., 2016; 2017; Snyder et al., 2015).”
A common neural signature between genetic and environmental risk for mental illness
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“Our ﬁ ndings add to a growing body of evidence that traditional diagnostic boundaries may not map onto distinct neurobiological processes [27, 71, 72].”
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Wang, D., Fan, Q., Xiao, X., He, H., Yang, Y., & Li, Y. (2023) · Journal of Neuroscience · doi:10.1523/jneurosci.0628-23.2023 · Cited by 4
Evaluation of a Nondepleted Plasma Multiprotein-Based Model for Discriminating Psychiatric Disorders Using Multiple Reaction Monitoring-Mass Spectrometry: Proof-of-Concept Study
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Neural Circuit Disruptions of Eye Gaze Processing in Autism Spectrum Disorder and Schizophrenia: An Activation Likelihood Estimation Meta-Analysis
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Self-citation
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Self-citation
Concurrent and longitudinal neurostructural correlates of irritability in children
Archer, C., Jeong, H. J., Reimann, G. E., Durham, E. L., Moore, T. M., Wang, S., Ashar, D. A., & Kaczkurkin, A. N. (2024) · Neuropsychopharmacology · doi:10.1038/s41386-024-01966-4 · Cited by 4
“…a broad range of mental health conditions are characterized by similarities in brain activation patterns [29, 30] and impaired inhibitory control [31 – 33], particularly in regions associated with processing and assigning salience to environmental stimuli, such as the salience network [34].”
Background
Examining neural correlates of psychopathology using a lesion-based approach
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Method
The colors of our brain: an integrated approach for dimensionality reduction and explainability in fMRI through color coding (i-ECO)
Tarchi, L., Damiani, S., La‐Torraca‐Vittori, P., Marini, S., Nazzicari, N., Castellini, G., Pisano, T., Politi, P., & Ricca, V. (2021) · Brain Imaging and Behavior · doi:10.1007/s11682-021-00584-8 · Cited by 4
“According to previous research in fact, neuroimaging biomarkers may have the potential to find different correspondences of psychopathology (Kebets et al., 2019; McTeague et al., 2017), in order to arrive to a more specific definition of cornerstone symptoms, their biological correlates and overall classifications sup…”
Categorical and Dimensional Deficits in Hippocampal Subfields Among Schizophrenia, Obsessive-Compulsive Disorder, Bipolar Disorder, and Major Depressive Disorder
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Decoding human spontaneous spiking activity in medial temporal lobe from scalp EEG
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Neurobiological Clusters Are Associated With Trajectories of Overall Psychopathology in Youth
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Elucidating the Role of the Ventrolateral Prefrontal Cortex in Economic Decision-Making
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“The VLPFC has been shown to be coactive with numerous regions within both the central executive network (e.g., dorsolateral PFC and posterior parietal cortex) and the salience network (e.g., anterior insula and anterior cingulate cortex) (e.g., McTeague et al., 2017).”
BackgroundMethod
Evaluating the modified common liability hypothesis of psychiatric comorbidity
Blanco, C., Wall, M. M., Feng, T., & Olfson, M. (2021) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2021.06.017 · Cited by 3
Shared dynamic functional connectivity across schizophrenia, bipolar disorder and major depressive disorderPreprint
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Chapter 57. Treatment of Eating Disorders
Agras, W. S. (2024) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615375523.as57 · Cited by 4

Authors: McTeague, L. M., Huemer, J., Carreon, D. M., Jiang, Y., Eickhoff, S. B., & Etkin, A.
Affiliations: Medical University of South Carolina (US)
ORCID: McTeague, Lisa M.
Huemer, Julia
Carreon, David M.
Jiang, Ying
Eickhoff, Simon B.
Etkin, Amit
Venue: American Journal of Psychiatry
Publisher: American Psychiatric Association Publishing
Published: 2017-07-01
Volume: 174
Issue: 7
Pages: 676-685
ISSN: 0002-953X (ISSN-L)
1535-7228
DOI: 10.1176/appi.ajp.2017.16040400
PMC: PMC5543416
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: bronze
doi.org
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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Identification of Common Neural Circuit Disruptions in Cognitive Control Across Psychiatric Disorders

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