Evidence map›Paper›PMID 21860040›Full record

Trial reportSchizophrenia bulletin2011

Rationale and baseline characteristics of PREVENT: a second-generation intervention trial in subjects at-risk (prodromal) of developing first-episode psychosis evaluating cognitive behavior therapy, aripiprazole, and placebo for the prevention of psychosis.

Andreas Bechdolf, Hendrik Müller, Hartmut Stützer, Michael Wagner, Wolfgang Maier, Marion Lautenschlager, Andreas Heinz, Walter de Millas, Birgit Janssen, Wolfgang Gaebel and 10 more

Open access · bronzeAbstract readClinical Trial, Phase IIComparative StudyMulticenter Study
In one paragraph

Trial report in Schizophrenia bulletin, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 7 pooled it
5.3field-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

28 citing papers in PubMed, 7 syntheses or guidelines pooled it, 64 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Interventions for prodromal stage of psychosis.The Cochrane database of systematic reviews · 2019
    Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Article
  17. Evidence-based psychotherapy for the prevention and treatment of first-episode psychosis.European archives of psychiatry and clinical neuroscience · 2014
    Review
  18. Prediction and prevention of psychosis: current progress and future tasks.European archives of psychiatry and clinical neuroscience · 2014
    Article
  19. [Prediction of psychoses].Der Nervenarzt · 2014
    Review
  20. The usefulness for indicated prevention of severe mental disorders should play a central part in the further development of CBT.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2014
    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

20 authors at 9 institutions in 1 country.

Andreas BechdolfDepartment of Psychiatry and Psychotherapy, University of Cologne, Kerpener Str. 62, 50924 Cologne, Germany. andreas.bechdolf@uk-koeln.de
Hendrik Müller
Hartmut Stützer
Michael Wagner
Wolfgang Maier
Marion Lautenschlager
Andreas Heinz
Walter de Millas
Birgit Janssen
Wolfgang Gaebel
Tanja Maria Michel
Frank Schneider
Martin Lambert
Dieter Naber
Martin Brüne
Seza Krüger-Özgürdal
Thomas Wobrock
Michael Riedel
Joachim Klosterkötter
PREVENT study group
University of Cologne · DECharité - Universitätsmedizin Berlin · DEHeinrich Heine University Düsseldorf · DERuhr University Bochum · DEUniversity of Bonn · DELudwig-Maximilians-Universität München · DEUniversität Hamburg · DEUniversity Medical Center Hamburg-Eppendorf · DEUniversity of Göttingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antipsychotics, cognitive behavioral therapy (CBT), and omega-3-fatty acids have been found superior to control conditions as regards prevention of psychosis in people at-risk of first-episode psychosis. However, no large-scale trial evaluating the differential efficacy of CBT and antipsychotics has been performed yet. In PREVENT, we evaluate CBT, aripiprazole, and clinical management (CM) as well as placebo and CM for the prevention of psychosis in a randomized, double-blind, placebo-controlled trial with regard to the antipsychotic intervention and a randomized controlled trial with regard to the CBT intervention with blinded ratings. The hypotheses are first that CBT and aripiprazole and CM are superior to placebo and CM and second that CBT is not inferior to aripiprazole and CM combined. The primary outcome is transition to psychosis. By November 2010, 156 patients were recruited into the trial. The subjects were substantially functionally compromised (Social and Occupational Functioning Assessment Scale mean score 52.5) and 78.3% presented with a Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition axis I comorbid diagnosis. Prior to randomization, 51.5% of the participants preferred to be randomized into the CBT arm, whereas only 12.9% preferred pharmacological treatment. First, assessments of audiotaped treatment sessions confirmed the application of CBT-specific skills in the CBT condition and the absence of those in CM. The overall quality rating of the CBT techniques applied in the CBT condition was good. When the final results of the trial are available, PREVENT will substantially expand the current limited evidence base for best clinical practice in people at-risk (prodromal) of first-episode psychosis.

Indexed as

AdolescentAdultAntipsychotic AgentsAripiprazoleCognitive Behavioral TherapyCombined Modality TherapyDouble-Blind MethodEarly Medical InterventionFemaleHumansMalePiperazinesPlacebosPsychotic DisordersQuinolonesTreatment OutcomeAntipsychotic AgentsAripiprazolePiperazinesPlacebosQuinolones

Identifiers

PMID21860040
PMCPMC3160113
OpenAlexW2137969272

What OpenQuestion holds

Textmetadata
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.