Evidence map›Paper›PMID 26208746›Full record

ArticlePsychiatry research2015

Altered threat and safety neural processing linked to persecutory delusions in schizophrenia: a two-task fMRI study.

David L Perez, Hong Pan, Daniel S Weisholtz, James C Root, Oliver Tuescher, David B Fischer, Tracy Butler, David R Vago, Nancy Isenberg, Jane Epstein and 5 more

Open access · greenAbstract read
In one paragraph

Article in Psychiatry research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 24% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

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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

15 authors at 9 institutions in 2 countries.

David L PerezFunctional Neuroimaging Laboratory, Brigham and Women's Hospital, Harvard Medical School, Department of Psychiatry, 824 Boylston Street, Chestnut Hill, MA 02467, USA.
Hong PanFunctional Neuroimaging Laboratory, Brigham and Women's Hospital, Harvard Medical School, Department of Psychiatry, 824 Boylston Street, Chestnut Hill, MA 02467, USA; Brigham and Women's Hospital, Department of Radiology, Harvard Medical School, Boston, MA, USA.
Daniel S WeisholtzFunctional Neuroimaging Laboratory, Brigham and Women's Hospital, Harvard Medical School, Department of Psychiatry, 824 Boylston Street, Chestnut Hill, MA 02467, USA; Brigham and Women's Hospital, Department of Neurology, Boston, MA, USA.
James C RootMemorial Sloan Kettering Cancer Center, Department of Psychiatry and Behavioral Sciences, New York, NY, USA.
Oliver TuescherUniversity Medical Center Freiburg, Department of Neurology, Freiburg im Breisgau, Germany; University Medical Centre Mainz, Department of Psychiatry and Psychotherapy, Mainz, Germany.
David B FischerFunctional Neuroimaging Laboratory, Brigham and Women's Hospital, Harvard Medical School, Department of Psychiatry, 824 Boylston Street, Chestnut Hill, MA 02467, USA.
Tracy ButlerLangone Medical Center, New York University School of Medicine, New York, NY, USA.
David R VagoFunctional Neuroimaging Laboratory, Brigham and Women's Hospital, Harvard Medical School, Department of Psychiatry, 824 Boylston Street, Chestnut Hill, MA 02467, USA.
Nancy IsenbergNeuroscience Institute, Virginia Mason Medical Center, Seattle, WA, USA.
Jane EpsteinFunctional Neuroimaging Laboratory, Brigham and Women's Hospital, Harvard Medical School, Department of Psychiatry, 824 Boylston Street, Chestnut Hill, MA 02467, USA.
Yulia LandaWeill Cornell Medical Center, Department of Psychiatry, New York, NY, USA.
Thomas E SmithNew York State Psychiatric Institute, Columbia University, New York, NY, USA.
Adam J SavitzWeill Cornell Medical Center, Department of Psychiatry, New York, NY, USA.
David A SilbersweigFunctional Neuroimaging Laboratory, Brigham and Women's Hospital, Harvard Medical School, Department of Psychiatry, 824 Boylston Street, Chestnut Hill, MA 02467, USA; Brigham and Women's Hospital, Department of Neurology, Boston, MA, USA.
Emily SternFunctional Neuroimaging Laboratory, Brigham and Women's Hospital, Harvard Medical School, Department of Psychiatry, 824 Boylston Street, Chestnut Hill, MA 02467, USA; Brigham and Women's Hospital, Department of Radiology, Harvard Medical School, Boston, MA, USA. Electronic address: estern3@partners.org.
Brigham and Women's Hospital · USHarvard University · USCornell University · USChestnut Hill College · USColumbia University · USMemorial Sloan Kettering Cancer Center · USNYU Langone Health · USUniversity Medical Center Freiburg · DEVirginia Mason Medical Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Neuroscience Resident Research ProgramR25NS065743 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI CASH, SYDNEY S, WILLIAMS, ZIV · 2009 to 2023
$11.8M
fMRI of Premenstrual Dysphoric DisorderR01MH074808 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI STERN, EMILY · 2007 to 2010
$1.5M
fMRI Localization of Psychotic Symptoms in SchizophreniaR01MH061825 · NIMH · WEILL MEDICAL COLLEGE OF CORNELL UNIV · PI SILBERSWEIG, DAVID A · 2002 to 2005
$1.2M
NCI NIH HHS P30 CA008748NIMH NIH HHS R01 MH061825NIMH NIH HHS R01 MH074808NIMH NIH HHS R01MH074808NINDS NIH HHS R25 NS065743NINDS NIH HHS R25NS065743-05S1
6 · The paper itself

Abstract

Persecutory delusions are a clinically important symptom in schizophrenia associated with social avoidance and increased violence. Few studies have investigated the neurobiology of persecutory delusions, which is a prerequisite for developing novel treatments. The aim of this two-paradigm functional magnetic resonance imaging (fMRI) study is to characterize social "real world" and linguistic threat brain activations linked to persecutory delusions in schizophrenia (n=26) using instructed-fear/safety and emotional word paradigms. Instructed-fear/safety activations correlated to persecutory delusion severity demonstrated significant increased lateral orbitofrontal cortex and visual association cortex activations for the instructed-fear vs. safety and instructed-fear vs. baseline contrasts; decreased lateral orbitofrontal cortex and ventral occipital-temporal cortex activations were observed for the instructed-safety stimuli vs. baseline contrast. The salience network also showed divergent fear and safety cued activations correlated to persecutory delusions. Emotional word paradigm analyses showed positive correlations between persecutory delusion severity and left-lateralized linguistic and hippocampal-parahippocampal activations for the threat vs. neutral word contrast. Visual word form area activations correlated positively with persecutory delusions for both threat and neutral word vs. baseline contrasts. This study links persecutory delusions to enhanced neural processing of threatening stimuli and decreased processing of safety cues, and helps elucidate systems-level activations associated with persecutory delusions in schizophrenia.

Indexed as

AdultCohort StudiesDelusionsEmotionsFearFemaleHumansMagnetic Resonance ImagingMaleNerve NetPhotic StimulationPsychomotor PerformanceSchizophreniaSchizophrenic PsychologyYoung AdultDelusionFearfMRIParanoidPsychosisSafety

Identifiers

PMID26208746
PMCPMC5003172
OpenAlexW1953912074

What OpenQuestion holds

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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.