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Identification of Common Neural Circuit Disruptions in Cognitive Control Across Psychiatric Disorders
Open accessAbstract
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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“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]
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“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).”
From Meta-analyses of the neural mechanisms and predictors of response to psychotherapy in depression and anxiety (2018) · cites this paper as McTeague et al., 2017
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Chapter 20. Duloxetine, Milnacipran, and Levomilnacipran
Jha, M. K., Mayes, T. L., & Trivedi, M. H. (2024) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615375523.as20 · Cited by 2
Schatzberg, A. F. (2024) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615375523.as17 · Cited by 1
Chapter 31. Ziprasidone and Asenapine
Newcomer, J. W., Lipsey, J., Strassnig, M., & Citrome, L. (2024) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615375523.as31 · Cited by 1
Chapter 11. Tricyclic and Tetracyclic Drugs
Nelson, J. (2024) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615375523.as11 · Cited by 2
Yang, Y. W.-H., & Marder, S. R. (2024) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615375523.as26 · Cited by 1
Buckley, P. F., & Foster, A. E. (2024) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615375523.as32 · Cited by 1
Chapter 29. Risperidone and Paliperidone
Lopez, L. V., Hill, M. B., & GOFF, D. C. (2024) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615375523.as29 · Cited by 1
Chapter 39. Carbamazepine, Oxcarbazepine, and Eslicarbazepine
Post, R. M., Wang, P. W., & Ketter, T. A. (2024) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615375523.as39 · Cited by 1
Hirsch, F., Bumanglag, Â., Zhang, Y., & Wohlschlaeger, A. M. (2024) · NeuroImage Clinical · doi:10.1016/j.nicl.2024.103657 · Cited by 2
“Psychosis spectrum disorders (PSDs) are marked by positive and negative symptoms, as well as cognitive impairment (McTeague et al., 2017; Murray et al., 2004; Pearlson et al., 2016; Sharma et al., 2017).”
BackgroundXu, H., Xu, J., & Li, Y. (2024) · Neurobiology of Stress · doi:10.1016/j.ynstr.2024.100705 · Cited by 1
“CSA, cortical surface area; CT, cortical thickness; GMV, gray matter volume. including emotion regulation anxiety induction procedures (Balderston et al., 2017b; McTeague et al., 2017).”
Carlisi, C. O., Fielder, J. C., Knodt, A. R., Romer, A. L., Hariri, A. R., & Viding, E. M. (2024) · Journal of Personality Disorders · doi:10.1521/pedi.2024.38.6.535 · Cited by 1
Thomaidou, M. A., Berryessa, C. M., & Xie, S. S. (2025) · International Journal of Law and Psychiatry · doi:10.1016/j.ijlp.2025.102126 · Cited by 1
Considerations for conducting developmental neuroimaging research on mental health topics
Church, J. A., Greene, D. J., & Petersen, S. E. (2025) · Neuropsychopharmacology · doi:10.1038/s41386-025-02221-0 · Cited by 1
Miró‐Padilla, A., Adrián‐Ventura, J., Costumero, V., Palomar‐García, M., Villar‐Rodríguez, E., Marín-Marín, L., Aguirre, N., & Bueichekú, E. (2021) · Brain Structure and Function · doi:10.1007/s00429-021-02297-6 · Cited by 1
Schizophrenia: A Disorder of Timing and Sensorimotor Integration During Decision-Making
Bittencourt, J., Velasques, B., Teixeira, S. S., Alves, D. D. P. A., Gongora, M., Cagy, M., Fernandes, T. R. S., Ribeiro, P. F. M., & Marinho, V. (2022) · Integrated science · doi:10.1007/978-3-030-96814-4_6 · Cited by 1
Suominen, P. (2020) · SSRN Electronic Journal · doi:10.2139/ssrn.3721233 · Cited by 2
Venables, N. C., & Verona, E. (2021) · International Journal of Psychophysiology · doi:10.1016/j.ijpsycho.2021.02.007 · Cited by 1
Zheng, K., Lu, H., Wu, Y., Wang, H., Hu, D., Chen, B., & Baojuan Li, A. (2022) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2022.06.07.495073 · Cited by 1
“Clinically, an MDD diagnosis can be given when a patient shows at least five of nine symptoms [5], which have high heterogeneity within major depression and overlapping phenotypes across psychotic disorders [6-9], and has restricted progress towards improving treatment effectiveness and outcomes.”
BackgroundBrandão, C. C., Camargos, G. S., Garcia, M. A. V. A., Filho, G. M. D. A., Borghi, F. A., & de Mattos, L. C. (2022) · Research Square · doi:10.21203/rs.3.rs-1862506/v1 · Cited by 1
Ibrahim, K., Iturmendi-Sabater, I., Vasishth, M., Barron, D. S., Guardavaccaro, M., Funaro, M. C., Holmes, A. J., McCarthy, G., Eickhoff, S. B., & Sukhodolsky, D. G. (2022) · Research Square · doi:10.21203/rs.3.rs-2297758/v1 · Cited by 1
Self-citationTranssemptomatic Diagnosis as a Replacement for Transdiagnostic Approach in Psychiatry
Özdemir, O. (2023) · Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry · doi:10.18863/pgy.1275976 · Cited by 1
Editorial: New discoveries in the field of brain stimulation and addiction disorders
Kang, D., Baker, T. E., & Steele, V. R. (2023) · Frontiers in Neuroscience · doi:10.3389/fnins.2023.1337773 · Cited by 1
Chapter 63. Psychopharmacology During Pregnancy and Lactation
Newport, D. J., di Scalea, T. L., Richardson, E., Smith, T. L., Scott, N. P., & Stowe, Z. N. (2024) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615375523.as63 · Cited by 1
Chapter 3. Genetics and Epigenetics
Keverne, J., Czamara, D., & Binder, E. B. (2024) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781615375523.as03 · Cited by 1
Bogdanov, M., Scott, J. N., Esfand, S. M., Boyle, B. W., Lees, T., Li, M., Woronko, S. E., Linton, S. R., Miller, C., Li, S., et al. (2024) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2024.09.28.615624 · Cited by 1
“…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), which led to its inclusion as a construct of interest in the Research Domain Criteria (RDoC)…”
BackgroundShekara, A., Ross, A., Soper, D. J., Paulk, A. C., Cash, S. S., Widge, A. S., Shear, P. K., Sheehy, J. P., & Basu, I. (2024) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2024.10.10.617540 · Cited by 1
mPFC axons drive cognitive control enhancement during striatal stimulationPreprint
Sachse, E. M., Rijn, E. M. D.-V., Bennek, J. P., Buccini, M. C., Mensinger, M. E., Angstadt, B., Iacobucci, F. A., Esguerra, M., & Widge, A. S. (2026) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.64898/2026.04.07.717020 · Cited by 4
Semantic Processing of Emotional Words in Schizophrenia
Dar, S. (2018) · Digital Access to Scholarship at Harvard (DASH) (Harvard University)
Metadata
- 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
- 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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