Evidence map›Paper›PMID 25385789›Full record

SynthesisSchizophrenia bulletin2015

Meta-Analysis of Anti-Toxoplasma gondii IgM Antibodies in Acute Psychosis.

Joel M Monroe, Peter F Buckley, Brian J Miller

Open access · bronzeAbstract readMeta-Analysis
In one paragraph

Synthesis in Schizophrenia bulletin, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 7% 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, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
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  7. Therapeutic Implications of the Microbial Hypothesis of Mental Illness.Current topics in behavioral neurosciences · 2023
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  8. Article
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  10. Epigenetic Manipulation of Psychiatric Behavioral Disorders Induced byFrontiers in cellular and infection microbiology · 2022
    Review
  11. Article
  12. Psychosis as an adverse effect of antibiotics.Brain, behavior, & immunity - health · 2020
    Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Review
  18. Article
  19. Article
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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

3 authors at 2 institutions in 1 country.

Joel M MonroeDepartment of Psychiatry and Health Behavior, Georgia Regents University, Augusta, GA;
Peter F BuckleyMedical College of Georgia, Georgia Regents University, Augusta, GA.
Brian J MillerDepartment of Psychiatry and Health Behavior, Georgia Regents University, Augusta, GA; brmiller@gru.edu.
Georgia Regents Medical Center · USAugusta University · US

Funding

A Potential State and Relapse Predictive Marker in SchizophreniaK23MH098014 · NIMH · AUGUSTA UNIVERSITY · PI MILLER, BRIAN JAMES · 2012 to 2016
$921k
NIMH NIH HHS K23 MH098014
6 · The paper itself

Abstract

introductionA number of different infections are associated with acute psychosis. However, relationships between infections and acute psychosis in patients with schizophrenia have not been extensively explored. Exposure to Toxoplasma gondii is a replicated risk factor for schizophrenia. Previous studies have focused on T. gondii IgG antibodies, which are a marker of lifetime exposure, whereas IgM antibodies are a marker of acute/recent exposure, persistent infection, or reinfection. We performed a meta-analysis of T. gondii IgM antibodies and acute psychosis, to further investigate whether infections may be associated with relapse in schizophrenia.

methodsWe identified articles by systematic searches of PubMed, PsycINFO, and ISI databases. We included studies, in English, of serum T. gondii IgM antibodies in patients with acute psychosis and controls.

resultsSixteen independent samples (2353 patients and 1707 controls) met inclusion criteria. Data were pooled using a random effects model. There was a significant increase in risk of positive T. gondii IgM antibodies in acute psychosis compared with controls (7.6% vs 5.7%, OR = 1.68, 95% CI = 1.23-2.27, P = .001). The association was stronger for patients with chronic schizophrenia (8.7% vs 4.6%, OR = 2.54, 95% CI = 1.63-3.96, P < .001) than first-episode psychosis. In meta-regression analyses, age, sex, and publication year were unrelated to the association; however, there was a significant association with geographic region. DISCUSSION: An increased seroprevalence of T. gondii IgM in patients with acute psychosis complements and extends previous findings, suggesting that infections may be relevant to the etiopathophysiology of relapse in some patients with schizophrenia.

Indexed as

Antibodies, ProtozoanHumansImmunoglobulin MPsychotic DisordersSchizophreniaToxoplasmaToxoplasmosisAntibodies, ProtozoanImmunoglobulin Minfectionmeta-analysispsychosisrelapsetoxoplasmosis

Identifiers

PMID25385789
PMCPMC4466176
OpenAlexW2171509115

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.