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Figure 1.

CONSORT Diagram.

Flow diagram graphically describes the design of the study: enrollment, intervention, follow-up and data analysis.

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Table 1.

Between-group comparison for right posterior insula for the contrast T1>T0.

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Figure 2.

Insula functional connectivity patterns before drug/placebo treatment.

Image depicts functional connectivity patterns of the four subregions of bilateral insulae as assessed with rs-fMRI. Maps are overimposed on a Talairach atlas and in radiological convention with a statistical significance set at p<0.05 Bonferroni corrected. AIlh = anterior insula left hemisphere; AIrh = anterior insula right hemphere; Pilh = posterior insula left hemisphere; PIrh = posterior insula right hemisphere.

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Figure 3.

Between-group comparison of the right posterior insula pattern before and after drug/placebo treatment.

Image depicts the map obtained after contrast T1 (drug>placebo) >T0 (drug>placebo) for the right posterior insula (PIrh). The map is overimposed on a Talairach atlas and in radiological convention (p<0.02 FDR corrected). Differences are assessed by means of a mixed model voxel wise ANOVA with a between-group factor (Drug vs Placebo) and a repeated measure factor (T0 vs. T1).

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Figure 4.

Between-group comparison of the four insula subregions before drug/placebo treatment.

Image depicts maps obtained after contrast T0 (Drug>Placebo) for the four subregions of bilateral insulae as assessed with rs-fMRI. Maps are overimposed on a Talairach atlas and in radiological convention (p<0.02 FDR corrected). Differences are assessed by means of a mixed model voxel wise ANOVA with a between-group factor (Drug vs Placebo) and a repeated measure factor (T0 vs. T1) and specific contrast T0 (Drug>Placebo). AIlh = anterior insula left hemisphere; AIrh = anterior insula right hemphere; Pilh = posterior insula left hemisphere; PIrh = posterior insula right hemisphere.

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Figure 4 Expand

Table 2.

Insula subregional seed-based correlation.

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Table 2 Expand

Figure 5.

Insula functional connectivity patterns after drug/placebo treatment.

Image depicts functional connectivity patterns of the four subregions of bilateral insulae as assessed with rs-fMRI. Maps are overimposed on a Talairach atlas and in radiological convention with a statistical significance of p<0.05 Bonferroni corrected. AIlh = anterior insula left hemisphere; AIrh = anterior insula right hemphere; Pilh = posterior insula left hemisphere; PIrh = posterior insula right hemisphere.

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Figure 5 Expand