PMID- 34847405 OWN - NLM STAT- MEDLINE DCOM- 20220328 LR - 20230102 IS - 1872-7506 (Electronic) IS - 0925-4927 (Print) IS - 0925-4927 (Linking) VI - 319 DP - 2022 Jan TI - Restoration of default mode network and task positive network anti-correlation associated with mindfulness-based cognitive therapy for bipolar disorder. PG - 111419 LID - S0925-4927(21)00171-2 [pii] LID - 10.1016/j.pscychresns.2021.111419 [doi] AB - Individuals with bipolar disorder (BP) show abnormalities in the default mode network (DMN), a brain network active at rest and during self-referential cognition. In healthy individuals, the DMN is anti-correlated (strongly negatively correlated) with the task positive network (TPN), a brain network that is active during attention demanding tasks. Mindfulness has been linked to changes in DMN connectivity. We investigated the effects of mindfulness-based cognitive therapy (MBCT) versus supportive psychotherapy (SP) on the relationship between these two networks in individuals with BP. We identified differences in BOLD resting state DMN-TPN connectivity between healthy controls (HC; n = 22) and individuals with DSM-IV BP before treatment (n = 22) using a seed region in the dorsolateral prefrontal cortex (DLPFC), a key TPN node. We then explored changes in DMN-TPN connectivity after 12 weeks of MBCT or SP. Before treatment, BP individuals showed positively correlated activity and the HC group showed negatively correlated activity between the DLPFC and the posterior cingulate cortex (PCC). After treatment, BP individuals who received MBCT showed negatively correlated DLPFC-PCC activity. BP individuals who received SP did not show a significant change. Mindfulness-based cognitive therapy can restore the anti-correlation between the DMN and TPN in individuals with BP. CI - Copyright (c) 2021 Elsevier B.V. All rights reserved. FAU - Chou, Tina AU - Chou T AD - Department of Psychiatry, Massachusetts General Hospital/Harvard Medical School, Charlestown, MA, United States. Electronic address: tchou@mgh.harvard.edu. FAU - Dougherty, Darin D AU - Dougherty DD AD - Department of Psychiatry, Massachusetts General Hospital/Harvard Medical School, Charlestown, MA, United States. FAU - Nierenberg, Andrew A AU - Nierenberg AA AD - Department of Psychiatry, Massachusetts General Hospital/Harvard Medical School, Charlestown, MA, United States. FAU - Deckersbach, Thilo AU - Deckersbach T AD - Department of Psychiatry, Massachusetts General Hospital/Harvard Medical School, Charlestown, MA, United States; University of Applied Sciences, Diploma Hochschule, Germany. LA - eng GR - K23 MH074895/MH/NIMH NIH HHS/United States GR - T32 NS100663/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20211125 PL - Netherlands TA - Psychiatry Res Neuroimaging JT - Psychiatry research. Neuroimaging JID - 101723001 SB - IM MH - *Bipolar Disorder/diagnostic imaging/therapy MH - *Cognitive Behavioral Therapy MH - Default Mode Network MH - Humans MH - Magnetic Resonance Imaging MH - *Mindfulness PMC - PMC8724460 MID - NIHMS1759979 OTO - NOTNLM OT - Attention OT - Dorsolateral prefrontal cortex OT - Mindfulness OT - Posterior cingulate cortex EDAT- 2021/12/01 06:00 MHDA- 2022/03/29 06:00 PMCR- 2023/01/01 CRDT- 2021/11/30 20:10 PHST- 2021/07/27 00:00 [received] PHST- 2021/11/18 00:00 [revised] PHST- 2021/11/23 00:00 [accepted] PHST- 2021/12/01 06:00 [pubmed] PHST- 2022/03/29 06:00 [medline] PHST- 2021/11/30 20:10 [entrez] PHST- 2023/01/01 00:00 [pmc-release] AID - S0925-4927(21)00171-2 [pii] AID - 10.1016/j.pscychresns.2021.111419 [doi] PST - ppublish SO - Psychiatry Res Neuroimaging. 2022 Jan;319:111419. doi: 10.1016/j.pscychresns.2021.111419. Epub 2021 Nov 25.