Evidence map›Paper›PMID 36991129›Full record

Trial reportMolecular psychiatry2023

Deep brain stimulation normalizes amygdala responsivity in treatment-resistant depression.

Nora Runia, Isidoor O Bergfeld, Bart P de Kwaasteniet, Judy Luigjes, Jan van Laarhoven, Peter Notten, Guus Beute, Pepijn van den Munckhof, Rick Schuurman, Damiaan Denys and 1 more

Open access · greenAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Molecular psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
5.1field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 25 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Neurostimulation to Improve Cognitive Flexibility.Current opinion in behavioral sciences · 2025
    Article
  11. Review
  12. Article
  13. Article
  14. Intertwined associations between oxytocin, immune system and major depressive disorder.Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2023
    Review
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Nora RuniaAmsterdam UMC location University of Amsterdam, Department of Psychiatry, Meibergdreef 9, Amsterdam, The Netherlands. n.runia@amsterdamumc.nl.ORCID 0000-0002-4611-261X
Isidoor O BergfeldAmsterdam UMC location University of Amsterdam, Department of Psychiatry, Meibergdreef 9, Amsterdam, The Netherlands.ORCID 0000-0002-0601-7271
Bart P de KwaastenietIsala Hospital, Department of Radiology and Nuclear Medicine, Zwolle, The Netherlands.
Judy LuigjesAmsterdam UMC location University of Amsterdam, Department of Psychiatry, Meibergdreef 9, Amsterdam, The Netherlands.
Jan van LaarhovenDepartment of Psychiatry, ETZ, location Elisabeth, Tilburg, The Netherlands.
Peter NottenDepartment of Psychiatry, ETZ, location Elisabeth, Tilburg, The Netherlands.
Guus BeuteDepartment of Neurosurgery, ETZ, location Elisabeth, Tilburg, The Netherlands.
Pepijn van den MunckhofAmsterdam UMC location University of Amsterdam, Department of Neurosurgery, Amsterdam, The Netherlands.
Rick SchuurmanAmsterdam UMC location University of Amsterdam, Department of Neurosurgery, Amsterdam, The Netherlands.
Damiaan DenysAmsterdam UMC location University of Amsterdam, Department of Psychiatry, Meibergdreef 9, Amsterdam, The Netherlands.
Guido A van WingenAmsterdam UMC location University of Amsterdam, Department of Psychiatry, Meibergdreef 9, Amsterdam, The Netherlands. g.a.vanwingen@amsterdamumc.nl.ORCID 0000-0003-3076-5891
Amsterdam Neuroscience · NLElisabeth-TweeSteden Ziekenhuis · NLAmsterdam University Medical Centers · NLIsala · NL

Funding

ZonMw 171201008
6 · The paper itself

Abstract

Deep brain stimulation (DBS) of the ventral anterior limb of the internal capsule (vALIC) is a promising intervention for treatment-resistant depression (TRD). However, the working mechanisms of vALIC DBS in TRD remain largely unexplored. As major depressive disorder has been associated with aberrant amygdala functioning, we investigated whether vALIC DBS affects amygdala responsivity and functional connectivity. To investigate the long-term effects of DBS, eleven patients with TRD performed an implicit emotional face-viewing paradigm during functional magnetic resonance imaging (fMRI) before DBS surgery and after DBS parameter optimization. Sixteen matched healthy controls performed the fMRI paradigm at two-time points to control for test-retest effects. To investigate the short-term effects of DBS de-activation after parameter optimization, thirteen patients additionally performed the fMRI paradigm after double-blind periods of active and sham stimulation. Results showed that TRD patients had decreased right amygdala responsivity compared to healthy controls at baseline. Long-term vALIC DBS normalized right amygdala responsivity, which was associated with faster reaction times. This effect was not dependent on emotional valence. Furthermore, active compared to sham DBS increased amygdala connectivity with sensorimotor and cingulate cortices, which was not significantly different between responders and non-responders. These results suggest that vALIC DBS restores amygdala responsivity and behavioral vigilance in TRD, which may contribute to the DBS-induced antidepressant effect.

Indexed as

Deep Brain StimulationDepressive Disorder, Treatment-ResistantMajor Depressive DisorderAmygdalaDepressionHumansTreatment Outcome

Identifiers

PMID36991129
OpenAlexW4361297382

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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 Socratic graph.