Evidence map›Paper›PMID 26973142›Full record

ArticleBMC psychiatry2016

The serum level of C-reactive protein (CRP) is associated with cognitive performance in acute phase psychosis.

Erik Johnsen, Farivar Fathian, Rune A Kroken, Vidar M Steen, Hugo A Jørgensen, Rolf Gjestad, Else-Marie Løberg

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00932529 (Use, Effects and Side-effects of Second-generation Antipsychotics in a Naturalistic Setting.), which is not on this map. Cited by 36 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 3 pooled it
3.1field-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.

NCT00932529 phase4completednot on this map

Use, Effects and Side-effects of Second-generation Antipsychotics in a Naturalistic Setting.

TypeinterventionalSponsorUniversity of BergenRan2003 to 2010Enrolled226ConditionsPsychotic DisordersArmsOlanzapine, Quetiapine, Risperidone, Ziprasidone
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 3 syntheses or guidelines pooled it, 72 citations in OpenAlex.

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  15. Redox and Immune Signaling in Schizophrenia: New Therapeutic Potential.The international journal of neuropsychopharmacology · 2023
    Review
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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

7 authors at 2 institutions in 1 country.

Erik JohnsenDivision of Psychiatry, Haukeland University Hospital, Bergen, Norway. erij@ihelse.net.
Farivar FathianNKS Olaviken Gerontopsychiatric Hospital, Bergen, Norway.
Rune A KrokenDivision of Psychiatry, Haukeland University Hospital, Bergen, Norway.
Vidar M SteenNORMENT and KG Jebsen Centre for Psychosis Research, Department of Clinical Science, University of Bergen, Bergen, Norway.
Hugo A JørgensenDepartment of Clinical Medicine, Section Psychiatry, University of Bergen, Bergen, Norway.
Rolf GjestadDivision of Psychiatry, Haukeland University Hospital, Bergen, Norway.
Else-Marie LøbergDepartment of Clinical Psychology, University of Bergen, Bergen, Norway.
Haukeland University Hospital · NOUniversity of Bergen · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInflammatory processes have been implicated in the etiology of schizophrenia and related psychoses, in which cognitive deficits represent core symptoms. The aim of the present study was to investigate possible associations between the level of the inflammation marker C-reactive protein (CRP) and cognitive performance in patients through the acute phase of psychosis.

methodsA total of 124 patients were assessed at admittance to hospital and 62 patients were retested at discharge or after 6 weeks at the latest, with measurements of the CRP levels and alternative forms of the Repeatable Battery for the Assessment of Neuropsychological Status.

resultsThere was an inverse relationship between overall cognitive performance and CRP level at admittance. The association increased in sub-analyses including only patients with schizophrenia. In cognitive subdomain analyses statistically significant inverse associations were found between the CRP level and Delayed memory and Attention, respectively. No associations were found between CRP level and other measures of psychopathology including psychosis symptoms, depression, or functioning. At follow-up the association between CRP level and cognition was no longer present. There was a significant increase in cognitive performance between baseline and follow-up. There was a stronger increase in overall cognition scores in patients with higher baseline CRP levels.

conclusionsThe findings indicate that signs of inflammation may serve as a state-dependent marker of cognitive dysfunctions in acute psychosis.

trial registrationClinicalTrials.gov ID; NCT00932529 , registration date: 02.07.2009.

Indexed as

AdolescentAdultAgedBiomarkersCognition DisordersC-Reactive ProteinFemaleHumansMaleMiddle AgedNeuropsychological TestsPsychotic DisordersSchizophreniaYoung AdultBiomarkersC-Reactive ProteinCognitionCRPInflammationSchizophrenia

Identifiers

PMID26973142
PMCPMC4790054
OpenAlexW2293276271

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Registered trials

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.