Evidence map›Paper›PMID 24464473›Full record

ArticleHuman brain mapping2014

Cerebellar networks in individuals at ultra high-risk of psychosis: impact on postural sway and symptom severity.

Jessica A Bernard, Derek J Dean, Jerillyn S Kent, Joseph M Orr, Andrea Pelletier-Baldelli, Jessica R Lunsford-Avery, Tina Gupta, Vijay A Mittal

Abstract read
In one paragraph

Article in Human brain mapping, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 4 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.

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

72 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Review
  7. Article
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  11. Connectome-based predictive modeling of early and chronic psychosis symptoms.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
    Article
  12. Article
  13. Article
  14. Review
  15. Motor precision deficits in clinical high risk for psychosis.European archives of psychiatry and clinical neuroscience · 2024
    Article
  16. Article
  17. Article
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12 more citing papers are in PubMed but not listed here.

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.

Jessica A BernardDepartment of Psychology and Neuroscience, University of Colorado Boulder, Boulder, Colorado.
Derek J Dean
Jerillyn S Kent
Joseph M Orr
Andrea Pelletier-Baldelli
Jessica R Lunsford-Avery
Tina Gupta
Vijay A Mittal

Funding

Frontal-Subcortical Development, Movement Abnormalities, and Risk for PsychosisR01MH094650 · NIMH · UNIVERSITY OF COLORADO · PI MITTAL, VIJAY A · 2011 to 2015
$2.3M
Organization and timecourse of the neural mechanisms for cognitive flexibilityF32DA034412 · NIDA · UNIVERSITY OF COLORADO · PI ORR, JOSEPH M. · 2013 to 2015
$122k
Cerebellar Contributions to Disease Course in Youth At High-Risk of PsychosisF32MH102898 · NIMH · UNIVERSITY OF COLORADO · PI BERNARD, JESSICA ANN · 2013 to 2014
$95k
NIDA NIH HHS F32 DA034412NIDA NIH HHS F32DA034412-01A1NIMH NIH HHS F32 MH102898NIMH NIH HHS F32MH102989-01NIMH NIH HHS R01 MH094650NIMH NIH HHS R01MH094650
6 · The paper itself

Abstract

Despite known deficits in postural control in patients with schizophrenia, this domain has not been investigated in youth at ultra high-risk (UHR) for psychosis. This is particularly relevant as postural control implicates dysfunction in the cerebellum-a region implicated in cognitive dysmetria conceptions of schizophrenia but poorly understood in the prodrome. Here, we extended our understanding of movement abnormalities in UHR individuals to include postural control, and have linked these deficits to both symptom severity and cerebello-cortical network connectivity. UHR and healthy control participants completed an instrumentally based balance task to quantify postural control along with a resting state brain imaging scan to investigate cerebellar networks. We also quantified positive and negative symptom severity with structured clinical interviews. The UHR group showed overall increased postural sway and decreased cerebello-cortical resting state connectivity, relative to controls. The decreased cerebello-cortical connectivity was seen across multiple networks. Postural sway was also correlated with cerebellar connectivity in this population and uniquely positively correlated with the severity of negative symptoms. Finally, symptom severity was also associated with cerebellar connectivity. Together, our results point to a potential deficit in sensory integration as an underlying contributor to the increased postural sway, and provide evidence of cerebellar abnormalities in UHR individuals. These results extend our understanding of the motor abnormalities of UHR individuals beyond striatum-based dyskinesias to include postural control and sensory integration deficits, and implicate the cerebellum as a distinct neural substrate preceding the onset of psychosis. Taken together, our results extend the cognitive dysmetria framework to UHR populations.

Indexed as

AdolescentAlcohol DrinkingBrain MappingCerebellumCerebral CortexFemaleHumansInterview, PsychologicalMagnetic Resonance ImagingMaleNeural PathwaysPostural BalancePsychiatric Status Rating ScalesPsychotic DisordersRestRiskcerebellumpostural controlpsychosisresting state connectivitysymptom severityultra high-risk

Identifiers

PMID24464473
PMCPMC4107098

What OpenQuestion holds

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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.