Evidence map›Paper›PMID 41731301›Full record

SynthesisPsychological medicine2026

Identification of a diagnosis-selective neurobiological substrate for bipolar disorder, major depressive disorder, and schizophrenia: a meta-analysis of 57,717 subjects.

Donato Liloia, Paola Rocca, Claudio Brasso, Masaru Tanaka, Jordi Manuello, Annachiara Crocetta, Sergio Duca, Tommaso Costa, Franco Cauda

Abstract readMeta-Analysis
In one paragraph

Synthesis in Psychological medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
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

9 authors.

Donato LiloiaFunctional Neuroimaging and Complex Neural Systems (FOCUS) Laboratory, Department of Psychology, University of Turin, Turin, Italy.ORCID https://orcid.org/0000-0002-9481-8510
Paola RoccaDepartment of Neuroscience "Rita Levi Montalcini", University of Turin, Turin, Italy.ORCID https://orcid.org/0000-0002-6414-3559
Claudio BrassoDepartment of Neuroscience "Rita Levi Montalcini", University of Turin, Turin, Italy.ORCID https://orcid.org/0000-0001-9363-2506
Masaru TanakaHUN-REN-SZTE Neuroscience Research Group, Hungarian Research Network,University of Szeged, Danube Neuroscience Research Laboratory, Szeged, Hungary.
Jordi ManuelloFunctional Neuroimaging and Complex Neural Systems (FOCUS) Laboratory, Department of Psychology, University of Turin, Turin, Italy.ORCID https://orcid.org/0000-0002-9928-0924
Annachiara CrocettaFunctional Neuroimaging and Complex Neural Systems (FOCUS) Laboratory, Department of Psychology, University of Turin, Turin, Italy.ORCID https://orcid.org/0009-0001-3408-7322
Sergio DucaTranslational Neuroimaging & Brain Connectivity Group, GCS-fMRI Koelliker Hospital, Turin, Italy.
Tommaso CostaFunctional Neuroimaging and Complex Neural Systems (FOCUS) Laboratory, Department of Psychology, University of Turin, Turin, Italy.ORCID https://orcid.org/0000-0002-0822-862X
Franco CaudaFunctional Neuroimaging and Complex Neural Systems (FOCUS) Laboratory, Department of Psychology, University of Turin, Turin, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeuroimaging studies have consistently revealed neuroanatomical abnormalities in individuals with bipolar disorder (BD), major depressive disorder (MDD), and schizophrenia (SZ). However, it remains unknown whether and to what extent disorder-selective gray matter variations occur in these prominent psychiatric disorders. This study conducted a meta-analysis of 25 years of published voxel-based morphometry (VBM) research to assess the presence of selective and robust neuroanatomical substrates of gray matter variation in BD, MDD, and SZ.

methodsPeer-reviewed experiments encompassing subjects with target disorders were systematically searched in the MEDLINE database. Additionally, peer-reviewed data on 30 other psychiatric disorders and 65 neurological diseases were obtained from the BrainMap database. Experiments reporting whole-brain group comparisons between patients and healthy controls were included if they identified significant reductions in gray matter morphometry.

resultsThe data were analyzed using the Bayes fACtor mOdeliNg algorithm. A total of 1,021 VBM experiments were included, comprising 29,540 patients and 28,177 healthy controls. Primary analyses of psychiatric data revealed strong evidence of gray matter reduction in the right middle temporal gyrus for BD and the posterior dorsal anterior cingulate cortex for SZ (

conclusionsTaken together, these findings offer a framework that underscores the significance of diagnosis-selective neural substrates in psychopathology, a new perspective that could inform distinct pathophysiological processes and assist in diagnosis and treatment.

Indexed as

Bipolar DisorderBrainGray MatterMajor Depressive DisorderSchizophreniaBayes TheoremHumansMagnetic Resonance ImagingNeuroimagingactivation likelihood estimationanterior cingulateBayes factorpsychiatric disordersquantitative synthesisreverse inferencestructural MRI

Identifiers

PMID41731301
PMCPMC12969203

What Socratic holds

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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.