Evidence map›Paper›PMID 20471224›Full record

Trial reportSchizophrenia research2010

Are cannabis use disorders associated with an earlier age at onset of psychosis? A study in first episode schizophrenia.

Serge Sevy, Delbert G Robinson, Barbara Napolitano, Raman C Patel, Handan Gunduz-Bruce, Rachel Miller, Joanne McCormack, Beth S Lorell, John Kane

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Schizophrenia research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 90 citations in OpenAlex.

  1. Pooled it
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  7. Review
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  12. Cannabis and development of dual diagnoses: A literature review.The American journal of drug and alcohol abuse · 2017
    Review
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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

9 authors at 7 institutions in 1 country.

Serge SevyThe Zucker Hillside Hospital of the North Shore Long Island Jewish Health System, Psychiatry Research, Glen Oaks, NY 11004, USA. Sevy@lij.edu
Delbert G Robinson
Barbara Napolitano
Raman C Patel
Handan Gunduz-Bruce
Rachel Miller
Joanne McCormack
Beth S Lorell
John Kane
Bronx-Lebanon Hospital Center · USFeinstein Institute for Medical Research · USAlbert Einstein College of Medicine · USNational Institute of Mental Health · USNorthwell Health · USYale University · USZucker Hillside Hospital · US

Funding

WHITE MATTER STRUCTURAL DEFICITS IN HIGH FUNCTIONING CHILDREN WITH AUTISM SPEM01RR018535 · NCRR · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI SCHWARTZ, GUY · 2003 to 2010
$19.5M
Trials Operation Unit (OPERATIONS CORE)P30MH090590 · NIMH · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI SEVY, SERGE · 2010 to 2014
$7.9M
PREVENTING MORBIDITY IN FIRST EPISODE SCHIZOPHRENIAR01MH060004 · NIMH · LONG ISLAND JEWISH MEDICAL CENTER · PI ROBINSON, DELBERT G · 1998 to 2008
$5.2M
Addiction and Subsequent Schizophrenia: A Link?K23DA015541 · NIDA · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI SEVY, SERGE · 2004 to 2008
$885k
STUDY OF SCHIZOPHRENIAP30MH041960 · NIMH · LONG ISLAND JEWISH MEDICAL CENTER · PI BORENSTEIN, MICHAEL T. · 1997 to 1999
–
PRECLINICAL NEUROBIOLOGY UNITP50MH041960 · NIMH · LONG ISLAND JEWISH MEDICAL CENTER · PI BORENSTEIN, MICHAEL · 1986 to 1996
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NCRR NIH HHS M01 RR018535NCRR NIH HHS RR018535NIDA NIH HHS K23 DA015541NIMH NIH HHS MH41960NIMH NIH HHS MH60004NIMH NIH HHS P30 MH041960NIMH NIH HHS P30 MH090590NIMH NIH HHS R01 MH060004
6 · The paper itself

Abstract

introductionThe purpose of this study is to determine if an earlier age at onset of positive symptoms in schizophrenia is associated with cannabis use disorders (CUD).

methods49 first-episode schizophrenia subjects with CUD were compared to 51 first-episode schizophrenia subjects with no substance use disorders for demographic and clinical variables. A multivariate logistic regression was performed to determine the joint relationship between variables significantly associated with CUD on univariate testing and ascertain if these variables independently predict CUD. Significance level was set at p<0.05.

results74% of CUD subjects had the onset of CUD before the onset of positive symptoms. Compared to non-substance abusing subjects, CUD subjects were predominantly male, younger at study entry, had an earlier age at onset of positive symptoms, less educational attainment, a lower self-socioeconomic status, better premorbid childhood social adjustment, a trend for poorer premorbid childhood academic adjustment, less motor abnormalities but more severe hallucinations and delusions. In the multivariate analysis, only male gender, worse socio-economic status, better premorbid childhood social adjustment, and more severe positive symptoms at study entry were associated with a lifetime history of CUD. DISCUSSION: Although cannabis use precedes the onset of illness in most patients, there was no significant association between onset of illness and CUD that was not accounted for by demographic and clinical variables. Previous studies implicating CUD in the onset of schizophrenia may need to more comprehensively assess the relationship between CUD and schizophrenia, and take into account additional variables that we found associated with CUD.

Indexed as

Schizophrenic PsychologyAdolescentAdultAge of OnsetAntipsychotic AgentsBenzodiazepinesDiagnostic and Statistical Manual of Mental DisordersExecutive FunctionFemaleHumansMaleMarijuana AbuseMemory, Short-TermNeuropsychological TestsOlanzapineOutcome Assessment, Health CareAntipsychotic AgentsBenzodiazepinesOlanzapineRisperidone

Identifiers

PMID20471224
PMCPMC2900481
OpenAlexW2113426703

What OpenQuestion holds

Textmetadata
LicenceTDM
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.