Evidence map›Paper›PMID 23084540›Full record

ArticleSchizophrenia research2012

Dedifferentiation and substitute strategy: deconstructing the processing-speed impairment in schizophrenia.

Emma E M Knowles, Mark Weiser, Anthony S David, Dwight Dickinson, David Glahn, James Gold, Michael Davidson, Abraham Reichenberg

Open access · greenAbstract read
In one paragraph

Article in Schizophrenia research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 29% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
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  11. Diagnosis and neurocognitive profiles in first-episode non-affective psychosis patients.European archives of psychiatry and clinical neuroscience · 2016
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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

8 authors at 5 institutions in 3 countries.

Emma E M KnowlesDepartment of Psychosis Studies, Institute of Psychiatry, King's College London, United Kingdom. emma.knowles@yale.edu
Mark Weiser
Anthony S David
Dwight Dickinson
David Glahn
James Gold
Michael Davidson
Abraham Reichenberg
Institute for Community Living · USKing's College London · GBSheba Medical Center · ILNational Institute of Mental Health · USUniversity of Maryland, Baltimore · US

Funding

Characterization Of Neuropsychological Impairment In SchizophreniaZIAMH002712 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI BERMAN, KAREN FAITH · 2009 to 2014
$3.9M
Schizophrenia Premorbid EndophenotypeR01MH066105 · NIMH · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI DAVIDSON, MICHAEL · 2004 to 2008
$1.7M
Department of HealthIntramural NIH HHS Z99 MH999999Intramural NIH HHS ZIA MH002712NIMH NIH HHS MH066105NIMH NIH HHS R01 MH066105
6 · The paper itself

Abstract

backgroundRecent research has identified impairment in processing speed, measured by the digit-symbol substitution task, as central to the cognitive deficit in schizophrenia. However, the underlying cognitive correlates of this impairment remain unknown.

methodsA sample of cases (N=125) meeting DSM-IV criteria for schizophrenia and a sample of community controls (N=272) from the same geographical area completed a set of putative measures of processing-speed ability to which we implemented confirmatory factor and structural regression modelling in order to elucidate the latent structure of processing speed. Next, we tested the degree to which the structural and relational portions of the model were equal across groups.

resultsProcessing-speed ability was best defined, in both controls and cases (χ(2)=38.59(26), p=0.053), as a multidimensional cognitive ability consisting of three latent factors comprising: psychomotor speed, sequencing and shifting, and verbal fluency. However, cases exhibited dedifferentiation (i.e., markedly stronger inter-correlations between factors; χ(2)=59.94(29), p<.01) and a reliance on an alternative ensemble of cognitive operations to controls when completing the digit-symbol substitution task.

conclusionDedifferentiation of processing-speed ability in schizophrenia and subsequent overreliance on alternative (and possibly less than optimal) cognitive operations underlies the marked deficit observed on the digit-symbol substitution task.

Indexed as

MathematicsSchizophrenic PsychologyAdolescentAdultAgedCognition DisordersFactor Analysis, StatisticalFemaleHumansMaleMiddle AgedModels, StatisticalNeuropsychological TestsProblem SolvingResidence CharacteristicsRetrospective Studies

Identifiers

PMID23084540
PMCPMC4196269
OpenAlexW2015261239

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.