“…Thus, this study would further quantify the EC of mOFC and lOFC among the three groups by using spectral dynamic causal modeling (spDCM), a reliable approach widely applied in psychopathology, which could identify the direction of connections and the valence of connections (excitatory versus inhibitory) between key brain regions ( Fonzo et al., 2021 ; Friston et al., 2014 ; Li et al., 2020 ; Razi et al., 2015 ). To date, spDCM has been used to reveal the direction of connectivity that contribute to emotional intelligence ( Bajaj & Killgore, 2021 ), binge eating ( Chen et al., 2023 ), obesity ( Voigt et al., 2021 ), and clinical outcomes (e.g., focal dystonia and major depressive disorder) ( Battistella & Simonyan, 2019 ; Li et al., 2020 ). Given the functional heterogeneity of mOFC and lOFC (as mentioned above), and given the strong relationship of dysfunctional eating (e.g., binge eating and overeating) with potential interaction between brain's reward and cognitive control systems (e.g., Chen et al., 2021 ; Oliva et al., 2020 ; Shapiro et al., 2019 ), we further assumed that (iii) bulimic individuals might exhibit altered connectivity between these two OFC subregions (e.g., an inhibitory effect from the mOFC to lOFC).…”