Evidence map›Paper›PMID 26189075›Full record

ArticleSchizophrenia research2015

Longitudinal regional brain volume loss in schizophrenia: Relationship to antipsychotic medication and change in social function.

Joyce Y Guo, Sanna Huhtaniska, Jouko Miettunen, Erika Jääskeläinen, Vesa Kiviniemi, Juha Nikkinen, Jani Moilanen, Marianne Haapea, Pirjo Mäki, Peter B Jones and 3 more

Abstract read
In one paragraph

Article in Schizophrenia research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Associations Between Klotho Levels,Schizophrenia bulletin open · 2025
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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

13 authors.

Joyce Y GuoDepartment of Psychiatry, Cambridge Biomedical Campus, University of Cambridge, Box 189 CB2 0QQ, United Kingdom; Behavioural and Clinical Neuroscience Institute, University of Cambridge, Cambridge CB2 0SZ, United Kingdom.
Sanna HuhtaniskaDepartment of Psychiatry, Research Group for Clinical Neuroscience, University of Oulu, Oulu, Finland; Medical Research Center Oulu, University of Oulu and Oulu University Hospital, Oulu, Finland.
Jouko MiettunenDepartment of Psychiatry, Research Group for Clinical Neuroscience, University of Oulu, Oulu, Finland; Institute of Health Sciences, University of Oulu, Oulu, Finland; Medical Research Center Oulu, University of Oulu and Oulu University Hospital, Oulu, Finland.
Erika JääskeläinenInstitute of Health Sciences, University of Oulu, Oulu, Finland; Medical Research Center Oulu, University of Oulu and Oulu University Hospital, Oulu, Finland.
Vesa KiviniemiDepartment of Diagnostic Radiology, Oulu University Hospital, Oulu, Finland.
Juha NikkinenDepartment of Diagnostic Radiology, Oulu University Hospital, Oulu, Finland.
Jani MoilanenDepartment of Psychiatry, Research Group for Clinical Neuroscience, University of Oulu, Oulu, Finland.
Marianne HaapeaDepartment of Diagnostic Radiology, Oulu University Hospital, Oulu, Finland.
Pirjo MäkiDepartment of Psychiatry, Research Group for Clinical Neuroscience, University of Oulu, Oulu, Finland; Department of Psychiatry, Oulu University Hospital, Oulu, Finland; Department of Psychiatry, Länsi-Pohja Healthcare District, Finland; Department of Psychiatry, the Middle Ostrobothnia Central Hospital, Kiuru, Finland; Mental Health Services, Joint Municipal Authority of Wellbeing in Raahe District, Finland; Mental Health Services, Basic Health Care District of Kallio, Finland; Visala Hospital, the Northern Ostrobothnia Hospital District, Finland.
Peter B JonesDepartment of Psychiatry, Cambridge Biomedical Campus, University of Cambridge, Box 189 CB2 0QQ, United Kingdom.
Juha VeijolaDepartment of Psychiatry, Research Group for Clinical Neuroscience, University of Oulu, Oulu, Finland; Department of Psychiatry, Oulu University Hospital, Oulu, Finland.
Matti IsohanniDepartment of Psychiatry, Research Group for Clinical Neuroscience, University of Oulu, Oulu, Finland; Department of Psychiatry, Oulu University Hospital, Oulu, Finland.
Graham K MurrayDepartment of Psychiatry, Cambridge Biomedical Campus, University of Cambridge, Box 189 CB2 0QQ, United Kingdom; Behavioural and Clinical Neuroscience Institute, University of Cambridge, Cambridge CB2 0SZ, United Kingdom. Electronic address: gm285@cam.ac.uk.

Funding

Medical Research Council G0001354Medical Research Council G0701911Medical Research Council G1000183Wellcome Trust 093875Wellcome Trust 093875/Z/10Z
6 · The paper itself

Abstract

backgroundProgressive brain volume loss in schizophrenia has been reported in previous studies but its cause and regional distribution remains unclear. We investigated progressive regional brain reductions in schizophrenia and correlations with potential mediators.

methodParticipants were drawn from the Northern Finland Birth Cohort 1966. A total of 33 schizophrenia individuals and 71 controls were MRI scanned at baseline (mean age=34.7, SD=0.77) and at follow-up (mean age=43.4, SD=0.44). Regional brain change differences and associations with clinical mediators were examined using FSL voxelwise SIENA.

resultsSchizophrenia cases exhibited greater progressive brain reductions than controls, mainly in the frontal and temporal lobes. The degree of periventricular brain volume reductions were predicted by antipsychotic medication exposure at the fourth ventricular edge and by the number of days in hospital between the scans (a proxy measure of relapse duration) at the thalamic ventricular border. Decline in social and occupational functioning was associated with right supramarginal gyrus reduction.

conclusionOur findings are consistent with the possibility that antipsychotic medication exposure and time spent in relapse partially explain progressive brain reductions in schizophrenia. However, residual confounding could also account for the findings and caution must be applied before drawing causal inferences from associations demonstrated in observational studies of modest size. Less progressive brain volume loss in schizophrenia may indicate better preserved social and occupational functions.

Indexed as

Schizophrenic PsychologyAdultAntipsychotic AgentsBrainCohort StudiesFemaleHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleMiddle AgedPsychiatric Status Rating ScalesSchizophreniaStatistics, NonparametricAntipsychotic AgentsAntipsychotic medicationLongitudinal MRISchizophrenia

Identifiers

PMID26189075
PMCPMC4604250

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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.