Evidence map›Paper›PMID 19560121›Full record

Trial reportBiological psychiatry2009

Dorsolateral prefrontal cortex activity predicts responsiveness to cognitive-behavioral therapy in schizophrenia.

Veena Kumari, Emmanuelle R Peters, Dominic Fannon, Elena Antonova, Preethi Premkumar, Anantha P Anilkumar, Steven C R Williams, Elizabeth Kuipers

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in Biological psychiatry, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
4.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 119 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Observational
  18. Review
  19. Article
  20. Mindboggling morphometry of human brains.PLoS computational biology · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Veena KumariDepartment of Psychology, Institute of Psychiatry, King's College London, United Kingdom. v.kumari@iop.kcl.ac.uk
Emmanuelle R Peters
Dominic Fannon
Elena Antonova
Preethi Premkumar
Anantha P Anilkumar
Steven C R Williams
Elizabeth Kuipers
King's College London · GBCentre for Mental Health · GBNational Health Service · GBSouth London and Maudsley NHS Foundation Trust · GBWellcome Centre for Human Neuroimaging · GB

Funding

Wellcome TrustWellcome Trust 067427/z/02/z
6 · The paper itself

Abstract

backgroundGiven the variable response to cognitive-behavioral therapy (CBT) when added to antipsychotic medication in psychosis and the evidence for a role of pretherapy level of frontal lobe-based cognitive function in responsiveness to CBT in other disorders, this study examined whether pretherapy brain activity associated with working memory neural network predicts clinical responsiveness to CBT in schizophrenia.

methodsFifty-two outpatients stable on medication with at least one distressing symptom of schizophrenia and willing to receive CBT in addition to their usual treatment and 20 healthy participants underwent functional magnetic resonance imaging during a parametric n-back task. Subsequently, 26 patients received CBT for psychosis (CBT+treatment-as-usual [TAU], 19 completers) for 6-8 months, and 26 continued with TAU alone (17 completers). Symptoms in both patient groups were assessed (blindly) at entry and follow-up.

resultsThe CBT+TAU and TAU-alone groups did not differ clinically or in performance at baseline. The CBT+TAU group showed significant improvement in relation to the TAU-alone group, which showed no change, at follow-up. Stronger dorsolateral prefrontal cortex (DLPFC) activity (within the normal range) and DLPFC-cerebellum connectivity during the highest memory load condition (2-back > 0-back) were associated with post-CBT clinical improvement.

conclusionsDLPFC activity and its connectivity with the cerebellum predict responsiveness to CBT for psychosis in schizophrenia. These effects may be mediated by PFC-cerebellum contributions to executive processing.

Indexed as

Schizophrenic PsychologyAdultAntipsychotic AgentsBrain MappingCerebellumCognitive Behavioral TherapyFemaleHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleMiddle AgedModels, StatisticalNeuropsychological TestsOxygenPredictive Value of TestsAntipsychotic AgentsOxygen

Identifiers

PMID19560121
PMCPMC2734077
OpenAlexW1995202243

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.