Comprehensive elucidation of resting-state functional connectivity in anorexia nervosa by a multicenter cross-sectional study

Yusuke Sudo, Junko Ota, Tsunehiko Takamura, Rio Kamashita, Sayo Hamatani, Noriko Numata, Ritu Bhusal Chhatkuli, Tokiko Yoshida, Jumpei Takahashi, Hitomi Kitagawa, Koji Matsumoto, Yoshitada Masuda, Michiko Nakazato, Yasuhiro Sato, Yumi Hamamoto, Tomotaka Shoji, Tomohiko Muratsubaki, Motoaki Sugiura, Shin Fukudo, Michiko KawabataMomo Sunada, Tomomi Noda, Keima Tose, Masanori Isobe, Naoki Kodama, Shingo Kakeda, Masatoshi Takahashi, Shu Takakura, Motoharu Gondo, Kazufumi Yoshihara, Yoshiya Moriguchi, Eiji Shimizu, Atsushi Sekiguchi, Yoshiyuki Hirano*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Previous research on the changes in resting-state functional connectivity (rsFC) in anorexia nervosa (AN) has been limited by an insufficient sample size, which reduced the reliability of the results and made it difficult to set the whole brain as regions of interest (ROIs). We analyzed functional magnetic resonance imaging data from 114 female AN patients and 135 healthy controls (HC) and obtained self-reported psychological scales, including eating disorder examination questionnaire 6.0. One hundred sixty-four cortical, subcortical, cerebellar, and network parcellation regions were considered as ROIs. We calculated the ROI-to-ROI rsFCs and performed group comparisons. Compared to HC, AN patients showed 12 stronger rsFCs mainly in regions containing dorsolateral prefrontal cortex (DLPFC), and 33 weaker rsFCs primarily in regions containing cerebellum, within temporal lobe, between posterior fusiform cortex and lateral part of visual network, and between anterior cingulate cortex (ACC) and thalamus ( < 0.01, false discovery rate [FDR] correction). Comparisons between AN subtypes showed that there were stronger rsFCs between right lingual gyrus and right supracalcarine cortex and between left temporal occipital fusiform cortex and medial part of visual network in the restricting type compared to the binge/purging type ( < 0.01, FDR correction). Stronger rsFCs in regions containing mainly DLPFC, and weaker rsFCs in regions containing primarily cerebellum, within temporal lobe, between posterior fusiform cortex and lateral part of visual network, and between ACC and thalamus, may represent categorical diagnostic markers discriminating AN patients from HC.
Original languageEnglish
Pages (from-to)1-14
Number of pages14
JournalPsychological Medicine
Early online date19 Mar 2024
Publication statusE-pub ahead of print - 19 Mar 2024
Externally publishedYes

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