Evidence map›Paper›PMID 22456094›Full record

Trial reportNeuropsychobiology2012

Does antidepressant treatment improve cognition in older people with schizophrenia or schizoaffective disorder and comorbid subsyndromal depression?

Sharron E Dawes, Barton W Palmer, Thomas Meeks, Shahrokh Golshan, John Kasckow, Somaia Mohamed, Sidney Zisook

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Neuropsychobiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 3 pooled it
0.6field-weighted citation impact, top 33% 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

5 citing papers in PubMed, 3 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Antidepressants for people with both schizophrenia and depression.The Cochrane database of systematic reviews · 2002
    Pooled it
  4. Review
  5. 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

7 authors at 6 institutions in 1 country.

Sharron E DawesDepartment of Psychiatry, UC San Diego, San Diego, CA, USA.
Barton W Palmer
Thomas Meeks
Shahrokh Golshan
John Kasckow
Somaia Mohamed
Sidney Zisook
VA San Diego Healthcare System · USUC San Diego Health System · USUniversity of California, San Diego · USVA Pittsburgh Healthcare System · USVeterans Medical Research Foundation of San Diego · USYale University · US

Funding

Research Methods CoreP30MH080002 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI JESTE, DILIP V. · 2007 to 2011
$9.6M
FELLOWSHIP IN GERIATRIC MENTAL HEALTHT32MH019934 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Elizabeth W Twamley · 1994 to 2026
$9.5M
CORE--RESEARCH NETWORK DEVELOPMENT COREP30MH066248 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI JESTE, DILIP V. · 2002 to 2006
$7.4M
Citalopram Augmentation in Older Schizophrenia PatientsR01MH063931 · NIMH · VETERANS MEDICAL RESEARCH FDN/SAN DIEGO · PI ZISOOK, SIDNEY · 2001 to 2005
$1.6M
NIMH NIH HHS MH19934NIMH NIH HHS MH66248NIMH NIH HHS P30 MH066248NIMH NIH HHS P30 MH080002NIMH NIH HHS R01 MH 063931NIMH NIH HHS R01 MH063931NIMH NIH HHS R01 MH6398NIMH NIH HHS T32 MH019934
6 · The paper itself

Abstract

backgroundSubsyndromal symptoms of depression (SSD) in patients with schizophrenia are common and clinically important. While treatment of depression in major depressive disorder may partially ameliorate cognitive deficits, the cognitive effects of antidepressant medications in patients with schizophrenia or schizoaffective disorder and SSD are unknown.

methodsThe goal of this study was to assess the impact of SSD and their treatment on cognition in participants with schizophrenia or schizoaffective disorder aged ≥40 years. Participants were randomly assigned to a flexible dose treatment with citalopram or placebo augmentation of their current medication for 12 weeks. An ANCOVA compared improvement in the cognitive composite scores, and a linear model determined the moderation of cognition on treatment effects based on the Hamilton Depression Rating Scale and the Calgary Depression Rating Scale scores between treatment groups.

resultsThere were no differences between the citalopram and placebo groups in changes in cognition. Baseline cognitive status did not moderate antidepressant treatment response.

conclusionsAlthough there are other cogent reasons why SSD in schizophrenia warrant direct intervention, treatment does not substantially affect the level of cognitive functioning. Given the effects of cognitive deficits associated with schizophrenia on functional disability, there remains an ongoing need to identify effective means of directly ameliorating them.

Indexed as

AdultAgingAntidepressive AgentsCitalopramCognition DisordersComorbidityDepressionDouble-Blind MethodFemaleHumansMaleMiddle AgedNeuropsychological TestsPsychiatric Status Rating ScalesPsychotic DisordersSchizophreniaAntidepressive AgentsCitalopram

Identifiers

PMID22456094
PMCPMC3701889
OpenAlexW2039405329

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.