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Functional neuroimaging in psychiatry and the case for failing better

Nour, Matthew M; Liu, Yunzhe; Dolan, Raymond J; (2022) Functional neuroimaging in psychiatry and the case for failing better. Neuron , 110 (16) pp. 2524-2544. 10.1016/j.neuron.2022.07.005. Green open access

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Abstract

Psychiatric disorders encompass complex aberrations of cognition and affect and are among the most debilitating and poorly understood of any medical condition. Current treatments rely primarily on interventions that target brain function (drugs) or learning processes (psychotherapy). A mechanistic understanding of how these interventions mediate their therapeutic effects remains elusive. From the early 1990s, non-invasive functional neuroimaging, coupled with parallel developments in the cognitive neurosciences, seemed to signal a new era of neurobiologically grounded diagnosis and treatment in psychiatry. Yet, despite three decades of intense neuroimaging research, we still lack a neurobiological account for any psychiatric condition. Likewise, functional neuroimaging plays no role in clinical decision making. Here, we offer a critical commentary on this impasse and suggest how the field might fare better and deliver impactful neurobiological insights.

Type: Article
Title: Functional neuroimaging in psychiatry and the case for failing better
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.neuron.2022.07.005
Publisher version: https://doi.org/10.1016/j.neuron.2022.07.005
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher's terms and conditions.
Keywords: EEG, MEG, cognitive neuroscience, computational psychiatry, electroencephalography, fMRI, functional magnetic resonance imaging, magnetoencephalography, precision psychiatry
UCL classification: UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Imaging Neuroscience
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10154928
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