Evidence map›Paper›PMID 21123033›Full record

ArticleSchizophrenia research2011

Early and broadly defined psychosis risk mental states.

Matcheri S Keshavan, Lynn E DeLisi, Larry J Seidman

Registry-linked trialAbstract read
In one paragraph

Article in Schizophrenia research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02459210 (CLUES), which is not on this map. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT02459210 nacompletednot on this mapstarted 2015, after this paper: background citation

CLUES (Cognition for Learning and for Understanding Everyday Social Situations): An Adaptation of Cognitive Enhancement Therapy for Persons at Clinical High Risk for Psychosis

TypeinterventionalSponsorBeth Israel Deaconess Medical CenterRan2015 to 2019Enrolled58ConditionsPsychosisArmsCLUES, therapy and computer games
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  5. GABAMolecular psychiatry · 2026
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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

3 authors.

Matcheri S KeshavanDepartment of Psychiatry, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA. mkeshava@bidmc.harvard.edu
Lynn E DeLisi
Larry J Seidman

Funding

Vulnerability to Progression SchizophreniaP50MH080272 · NIMH · BETH ISRAEL DEACONESS MEDICAL CENTER · PI WOO, TSUNGUNG · 2007 to 2011
$9.9M
Administrative Supplement Harmonization of At Risk Multisite Observational Networks for Youth(HARMONY)U01MH081928 · NIMH · BETH ISRAEL DEACONESS MEDICAL CENTER · PI STONE, WILLIAM SETH · 2008 to 2018
$7.1M
Brain Maturation and Vulnerability to SchizophreniaR01MH064023 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KESHAVAN, MATCHERI S. · 2003 to 2008
$3.0M
CORTICAL PRUNING AND SCHIZOPHRENIAK02MH001180 · NIMH · WAYNE STATE UNIVERSITY · PI KESHAVAN, MATCHERI S. · 1995 to 2005
$648k
Language and Risk for SchizophreniaR21MH083205 · NIMH · HARVARD MEDICAL SCHOOL · PI DELISI, LYNN ELEANOR · 2009 to 2010
$419k
NIMH NIH HHS K02 MH001180NIMH NIH HHS MH 64023NIMH NIH HHS P50 MH080272NIMH NIH HHS R01 MH064023NIMH NIH HHS R21 MH083205NIMH NIH HHS R21MH083205NIMH NIH HHS U01 MH081928
6 · The paper itself

Abstract

Current definitions of the prodromal (or at-risk mental state) phase of schizophrenia include attenuated and/or transient psychotic symptoms as well as a combination of different risk indicators and a recent significant deterioration in global functioning. Data accumulated to date suggest rates of conversion to frank psychosis within two years in 25 to 40% of cases supporting the validity of these criteria. However, at this late phase of illness, functional deterioration is often already pronounced, highlighting the need for earlier identification. Moreover, negative symptoms and social impairments, cognitive deficits, other non-psychotic psychopathology and/or functional decline and non-specific biological indicators, often can be detected well before the at-risk mental state as currently defined; indicating that a broad characterization of an earlier stage may be possible. Identifying specific criteria to define this group of individuals, starting from the framework of familial high-risk, can help define a broader group of people, including earlier at-risk mental states, for future research. The hope is that this research will help facilitate intervention at earlier stages that may in turn minimize functional deterioration, and delay, attenuate or even prevent transition to psychosis. The disadvantages as well as the potential benefits of this approach are discussed.

Indexed as

Schizophrenic PsychologyBehavioral SymptomsCognition DisordersDisease ProgressionEarly DiagnosisHumansPsychotic DisordersRisk FactorsSchizophrenia

Identifiers

PMID21123033
PMCPMC3388534

What OpenQuestion holds

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Registered trials

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.