Evidence map›Paper›PMID 22525956›Full record

Trial reportJournal of the American Academy of Child and Adolescent Psychiatry2012

Neurocognitive outcomes in the Treatment of Early-Onset Schizophrenia Spectrum Disorders study.

Jean A Frazier, Anthony J Giuliano, Jacqueline L Johnson, Lauren Yakutis, Eric A Youngstrom, David Breiger, Linmarie Sikich, Robert L Findling, Jon McClellan, Robert M Hamer and 3 more

Registry-linked trialAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Academy of Child and Adolescent Psychiatry, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00053703 (Treatment of Schizophrenia and Related Disorders in Children and Adolescents), which is not on this map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 15% 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.

NCT00053703 phase4completednot on this map

Treatment of Schizophrenia and Related Disorders in Children and Adolescents

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2002 to 2007Enrolled116ConditionsSchizophreniaArmsRisperidone, Olanzapine (enrollment closed in this treatment), Molindone
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Psychological interventions for psychosis in adolescents.The Cochrane database of systematic reviews · 2020
    Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Cross-Disorder Cognitive Impairments in Youth Referred for Neuropsychiatric Evaluation.Journal of the International Neuropsychological Society : JINS · 2018
    Article
  17. Article
  18. The voices go, but the song remains the same: how can we rescue cognition in early-onset schizophrenia?Journal of the American Academy of Child and Adolescent Psychiatry · 2012
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 7 institutions in 3 countries.

Jean A FrazierUniversity of Massachusetts Medical School, Worcester, MA 01605, USA. Jean.Frazier@umassmed.edu
Anthony J Giuliano
Jacqueline L Johnson
Lauren Yakutis
Eric A Youngstrom
David Breiger
Linmarie Sikich
Robert L Findling
Jon McClellan
Robert M Hamer
Benedetto Vitiello
Jeffrey A Lieberman
Stephen R Hooper
University of North Carolina at Chapel Hill · USUniversity of Massachusetts Chan Medical School · USUniversity of Washington · USCase Western Reserve University · USColumbia College · CAMassachusetts Mental Health Center · USNational Institutes of Health · US

Funding

Zonisamide in Patients with Neuropathic Pain Associated with Diabetic NeuropathyM01RR000046 · NCRR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI JOY, MELANIE S · 1985 to 2008
$38.5M
ZIPRASIDONE IN NORMAL HEPATIC FUNCTION SUBJECTS &IN HEPATIC DYSFUCTIN SUBJECTSM01RR000037 · NCRR · UNIVERSITY OF WASHINGTON · PI MCDONALD, RUTH C · 1985 to 2007
$33.8M
A Genomic Approach to SchizophreniaR01MH083989 · NIMH · UNIVERSITY OF WASHINGTON · PI KING, MARY-CLAIRE, MCCLELLAN, JON M · 2009 to 2019
$9.5M
TISSUE CULTURE CORE FACILITYP30HD004147 · NICHD · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI MCILVANE, WILLIAM J · 1985 to 2014
$9.1M
Longitudinal Assessment of Manic Symptoms (LAMS) StudyR01MH073801 · NIMH · OHIO STATE UNIVERSITY · PI FRISTAD, MARY A · 2005 to 2016
$5.9M
TREATMENT OF EARLY ONSET SCHIZOPHRENIA SPECTRUM (TEOSS)U01MH061528 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SIKICH, LINMARIE · 2001 to 2006
$3.3M
TREATMENT OF EARLY ONSET SCHIZOPRENIA SPECTRUM (TEOSS)U01MH062726 · NIMH · MC LEAN HOSPITAL (BELMONT, MA) · PI FRAZIER, JEAN A · 2001 to 2005
$1.7M
TREATMENT OF EARLY ONSET SCHIZOPHRENIA SPECTRUM (TEOSS)U01MH061355 · NIMH · CASE WESTERN RESERVE UNIVERSITY · PI FINDLING, ROBERT L · 2001 to 2005
$1.3M
TREATMENT OF EARLY ONSET SCHIZOPHRENIA SPECTRUM (TEOSS)U01MH061464 · NIMH · SEATTLE CHILDREN'S HOSPITAL · PI MCCLELLAN, JON M · 2001 to 2005
$1.3M
Treatment of Psychotic Disorders in YouthK23MH001802 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SIKICH, LINMARIE · 2002 to 2006
$861k
NCBDD CDC HHS 90DD043003NCRR NIH HHS M01 RR000037NCRR NIH HHS M01 RR000046NCRR NIH HHS M01-RR00037NICHD NIH HHS P30 HD004147NIMH NIH HHS K23 MH001802NIMH NIH HHS MH01-RR00046NIMH NIH HHS R01 MH073801NIMH NIH HHS R01 MH083989NIMH NIH HHS U01 MH061355NIMH NIH HHS U01 MH061464NIMH NIH HHS U01 MH061528NIMH NIH HHS U01 MH062726NIMH NIH HHS U01MH61355NIMH NIH HHS U01MH61464NIMH NIH HHS U01MH61528NIMH NIH HHS U01MH62726PHS HHS MCJ379154A
6 · The paper itself

Abstract

objectiveTo assess neurocognitive outcomes following antipsychotic intervention in youth enrolled in the National Institute of Mental Health (NIMH)-funded Treatment of Early-Onset Schizophrenia Spectrum Disorders (TEOSS).

methodNeurocognitive functioning of youth (ages 8 to 19 years) with schizophrenia or schizoaffective disorder was evaluated in a four-site, randomized, double-blind clinical trial comparing molindone, olanzapine, and risperidone. The primary outcomes were overall group change from baseline in neurocognitive composite and six domain scores after 8 weeks and continued treatment up to 52 weeks. Age and sex were included as covariates in all analyses.

resultsOf 116 TEOSS participants, 77 (66%) had post-baseline neurocognitive data. No significant differences emerged in the neurocognitive outcomes of the three medication groups. Therefore, the three treatment groups were combined into one group to assess overall neurocognitive outcomes. Significant modest improvements were observed in the composite score and in three of six domain scores in the acute phase, and in four of six domain scores in the combined acute and maintenance phases. Partial correlation analyses revealed very few relationships among Positive and Negative Syndrome Scale (PANSS) baseline or change scores and neurocognition change scores.

conclusionsAntipsychotic intervention in youth with early-onset schizophrenia spectrum disorders (EOSS) led to modest improvement in measures of neurocognitive function. The changes in cognition were largely unrelated to baseline symptoms or symptom change. Small treatment effect sizes, easily accounted for by practice effects, highlight the critical need for the development of more efficacious interventions for the enduring neurocognitive deficits seen in EOSS. Clinical trial registry information-Treatment of Early-Onset Schizophrenia Spectrum Disorders (TEOSS); http://www.clinicaltrials.gov; NCT00053703.

Indexed as

Neuropsychological TestsSchizophrenic PsychologyAdolescentAntipsychotic AgentsBenzodiazepinesChildCognition DisordersDouble-Blind MethodFemaleFollow-Up StudiesHumansMaleMolindoneOlanzapinePsychotic DisordersRisperidoneAntipsychotic AgentsBenzodiazepinesMolindoneOlanzapineRisperidone

Identifiers

PMID22525956
PMCPMC3337647
OpenAlexW2144030645

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.