Evidence map›Paper›PMID 25151422›Full record

ArticleJournal of the American Academy of Child and Adolescent Psychiatry2014

Subthreshold psychotic symptoms in 22q11.2 deletion syndrome.

Sunny X Tang, James J Yi, Tyler M Moore, Monica E Calkins, Christian G Kohler, Daneen A Whinna, Margaret C Souders, Elaine H Zackai, Donna M McDonald-McGinn, Beverly S Emanuel and 3 more

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Academy of Child and Adolescent Psychiatry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

  1. Pooled it
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  17. Early language measures associated with later psychosis features in 22q11.2 deletion syndrome.American journal of medical genetics. Part B, Neuropsychiatric genetics : the official publication of the International Society of Psychiatric Genetics · 2020
    Article
  18. Article
  19. Review
  20. Dissociable Disruptions in Thalamic and Hippocampal Resting-State Functional Connectivity in Youth with 22q11.2 Deletions.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 1 country.

Sunny X TangPerelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
James J YiPerelman School of Medicine and the Children's Hospital of Philadelphia.
Tyler M MoorePerelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
Monica E CalkinsPerelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
Christian G KohlerPerelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
Daneen A WhinnaPerelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
Margaret C SoudersChildren's Hospital of Philadelphia, Division of Human Genetics.
Elaine H ZackaiPerelman School of Medicine and the Children's Hospital of Philadelphia.
Donna M McDonald-McGinnPerelman School of Medicine and the Children's Hospital of Philadelphia.
Beverly S EmanuelPerelman School of Medicine and the Children's Hospital of Philadelphia.
Warren B BilkerPerelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
Ruben C GurPerelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
Raquel E GurPerelman School of Medicine at the University of Pennsylvania, Philadelphia, PA. Electronic address: Raquel@upenn.edu.
University of Pennsylvania · USChildren's Hospital of Philadelphia · US

Funding

1/2-Brain-Behavior and Genetic Studies of the 22q11DSU01MH087626 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI GUR, RAQUEL E · 2010 to 2014
$6.5M
SCHIZOPHRENIA: A NEUROPSYCHIATRIC PERSPECTIVET32MH019112 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI GUR, RAQUEL E · 1990 to 2024
$6.2M
2/2 Brain, Behavior and Genetic Studies of the 22q11 Deletion StudiesU01MH087636 · NIMH · CHILDREN'S HOSP OF PHILADELPHIA · PI EMANUEL, BEVERLY S · 2010 to 2014
$4.6M
A Prospective Study of Endophenotypes in At-Risk Youths and Their SiblingsK08MH079364 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI CALKINS, MONICA E · 2007 to 2011
$750k
NIMH NIH HHS K08 MH079364NIMH NIH HHS MH087626NIMH NIH HHS MH087636NIMH NIH HHS T32 MH019112NIMH NIH HHS U01 MH087626NIMH NIH HHS U01 MH087636
6 · The paper itself

Abstract

objectiveChromosome 22q11.2 deletion syndrome (22q11DS) confers 25% risk for psychosis and is an invaluable window for understanding the neurobiological substrate of psychosis risk. The Structured Interview for Prodromal Syndromes (SIPS) is well validated in nondeleted populations for detecting clinical risk but has only recently been applied to 22q11DS. We assessed the largest 22q11DS cohort to date and report on SIPS implementation and symptoms elicited.

methodThe SIPS, including its 19 subscales, was administered to 157 individuals with 22q11DS aged 8 to 25 years. Youth and caregiver interviews were conducted and rated separately, then compared for agreement. Implementation of the SIPS in 22q11DS was challenging because of the prevalence of developmental delay and comorbid conditions. However, by explaining questions and eliciting examples, we were able to help youths and caregivers understand and respond appropriately. Consensus ratings were formulated and analyzed with itemwise and factor analysis.

resultsSubthreshold symptoms were common, with 85% of individuals endorsing 1 or more. The most commonly rated items were ideational richness (47%) and trouble with focus and attention (44%). Factor analysis revealed a 3-factor solution with positive, negative, and disorganized components. Youth-caregiver comparisons suggested that youths report greater symptoms of perceptual abnormalities, suspiciousness, trouble with emotional expression, and bizarre thinking. Caregivers reported more impaired tolerance to normal stress, poor hygiene, and inattention.

conclusionThe SIPS was adapted for 22q11DS through comprehensive and semi-structured administration methods, yielding a high prevalence of subthreshold psychotic symptoms. The significance and predictive validity of these symptoms require future longitudinal analysis.

Indexed as

Psychiatric Status Rating Scales22q11 Deletion SyndromeAdolescentAdultFemaleHumansMaleProdromal SymptomsPsychotic DisordersYoung Adult22q11.2 deletion syndromeprodromalpsychosisschizophreniaStructured Interview for Prodromal Syndromes

Identifiers

PMID25151422
PMCPMC4159384
OpenAlexW2028881331

What OpenQuestion holds

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Registered trials

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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.