Evidence map›Paper›PMID 41759716›Full record

ArticleBrain stimulation

Network-targeted TMS modulates nicotine craving and default mode network connectivity in psychotic disorders.

Heather Burrell Ward, Sophia H Blyth, Simon Vandekar, Baxter P Rogers, Gulcan Yildiz, Jillian G Connolly, Brett Clementz, Elliot Gershon, Matcheri Keshavan, Jennifer McDowell and 5 more

Abstract read
In one paragraph

Article in Brain stimulation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

15 authors.

Heather Burrell WardDepartment of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN, USA. Electronic address: heather.b.ward@vumc.org.
Sophia H BlythDepartment of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN, USA.
Simon VandekarDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, TN, USA.
Baxter P RogersDepartment of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN, USA.
Gulcan YildizDepartment of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN, USA.
Jillian G ConnollyDepartment of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN, USA.
Brett ClementzDepartment of Psychology, University of Georgia, Athens, GA, USA.
Elliot GershonDepartment of Psychiatry, University of Chicago, Chicago, IL, USA.
Matcheri KeshavanDepartment of Psychiatry, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA.
Jennifer McDowellDepartment of Psychology, University of Georgia, Athens, GA, USA.
Shashwath MedaDepartment of Psychiatry, Yale University, New Haven, CT, USA.
Godfrey PearlsonDepartment of Psychiatry, Yale University, New Haven, CT, USA.
Carol TammingaDepartment of Psychiatry, University of Texas Southwestern, Dallas, TX, USA.
Mark A HalkoMcLean Hospital and Harvard Medical School, Belmont, MA, USA.
Roscoe O BradyDepartment of Psychiatry, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA; McLean Hospital and Harvard Medical School, Belmont, MA, USA.

Funding

Network Mediation of Experiential and Expressive Deficits in Psychotic DisordersR01MH116170 · NIMH · BETH ISRAEL DEACONESS MEDICAL CENTER · PI Roscoe O. Brady, KATHRYN Eve LEWANDOWSKI · 2019 to 2026
$5.4M
Replacement and Upgrade of a 3T MR Scanner for ResearchS10OD021771 · OD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI GORE, JOHN C · 2016 to 2016
$2.0M
Ultra-High Performance Gradients for a 3T MRI Research ScannerS10MH133645 · NIMH · VANDERBILT UNIVERSITY MEDICAL CENTER · PI GORE, JOHN C · 2023 to 2023
$600k
Network-Targeted Neuromodulation for Nicotine Dependence in SchizophreniaK23DA059690 · NIDA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Heather Burrell Ward · 2024 to 2026
$557k
NIDA NIH HHS K23 DA059690NIH HHS S10 OD021771NIMH NIH HHS R01 MH116170NIMH NIH HHS S10 MH133645
6 · The paper itself

Abstract

objectiveTobacco use is the top preventable cause of early mortality in schizophrenia, but the underlying pathophysiology remains unknown. In schizophrenia, small studies have linked default mode network (DMN) organization to tobacco use and showed that nicotine normalizes DMN disorganization. We sought to 1) validate the relationship between DMN organization and tobacco use using a large psychosis-spectrum sample (Bipolar-Schizophrenia Network on Intermediate Phenotypes 2, B-SNIP2); and 2) test if targeting this network with single and multiple sessions of transcranial magnetic stimulation (TMS) would affect craving.

methodsIn B-SNIP2 (n = 596), we tested associations between DMN connectivity and tobacco use. In the Single Session DMN-targeted TMS study, 10 individuals received single TMS sessions (intermittent theta burst stimulation, iTBS; continuous theta burst stimulation, cTBS; sham) with pre-/post-neuroimaging and craving assessment. In the Accelerated, Multi-Session DMN-targeted cTBS study, 12 individuals received 5 cTBS sessions with pre-/post-neuroimaging and craving assessment.

resultsIn B-SNIP2 (n = 596), current smokers had lower DMN connectivity than former (p = .017) and never smokers (p = .021). These differences were also observed in the psychosis group (current vs. former p = .044; current vs. never p = .011). In the Single Session DMN-targeted TMS study (n = 10), there was a treatment∗time interaction (p = .020) where iTBS increased craving (p

conclusionsWe identified a potential mechanism of nicotine use in psychosis and demonstrated that engaging this target reduces craving, suggesting a novel target for nicotine interventions in psychosis.

Indexed as

BrainCravingDefault Mode NetworkNerve NetPsychotic DisordersTobacco Use DisorderTranscranial Magnetic StimulationAdultFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedNicotineYoung AdultNicotineDefault mode networkNicotine dependencePsychosisResting-state functional connectivitySchizophreniaTheta-burst stimulationTranscranial magnetic stimulation

Identifiers

PMID41759716
PMCPMC13237728

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.