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FMD patients reported significantly higher depressive symptoms on the GDS (U = 226.00, p = .015) and showed better cognitive performance on the MMSE (U = 225.00, p = .014) and TMT-B (U = 227.50, p = .028) compared to HC. Intra-network analyses revealed reduced FC between a cluster of the right anterior prefrontal cortex (aPFC) and the executive right network in FMD, with no significant correlation between this FC strength and depression, cognition or age. There were no significant group differences in inter-network FC. Given the aPFC’s role in metacognitive control, attention shifting, and emotion regulation, this right-lateralized reduced coupling with the executive network may reflect inefficient integration of executive and emotion control mechanisms, potentially contributing to impaired motor inhibition. 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