Evidence map›Paper›PMID 26982085›Full record

ArticleJAMA psychiatry2016

Structural Brain Abnormalities in Youth With Psychosis Spectrum Symptoms.

Theodore D Satterthwaite, Daniel H Wolf, Monica E Calkins, Simon N Vandekar, Guray Erus, Kosha Ruparel, David R Roalf, Kristin A Linn, Mark A Elliott, Tyler M Moore and 5 more

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in JAMA psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 87 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed, 3 pooled it
10.8field-weighted citation impact, top 1% 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

87 citing papers in PubMed, 3 syntheses or guidelines pooled it, 136 citations in OpenAlex.

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  17. Immediate and sustained effects of acupuncture on the default mode network.Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999) · 2025
    Article
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27 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 2 institutions in 1 country.

Theodore D SatterthwaiteDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia.
Daniel H WolfDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia.
Monica E CalkinsDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia.
Simon N VandekarDepartment of Biostatistics and Clinical Epidemiology, University of Pennsylvania, Philadelphia.
Guray ErusDepartment of Radiology, University of Pennsylvania, Philadelphia.
Kosha RuparelDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia.
David R RoalfDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia.
Kristin A LinnDepartment of Biostatistics and Clinical Epidemiology, University of Pennsylvania, Philadelphia.
Mark A ElliottDepartment of Radiology, University of Pennsylvania, Philadelphia.
Tyler M MooreDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia.
Hakon HakonarsonCenter for Applied Genomics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Russell T ShinoharaDepartment of Biostatistics and Clinical Epidemiology, University of Pennsylvania, Philadelphia.
Christos DavatzikosDepartment of Radiology, University of Pennsylvania, Philadelphia.
Ruben C GurDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia3Department of Radiology, University of Pennsylvania, Philadelphia.
Raquel E GurDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia3Department of Radiology, University of Pennsylvania, Philadelphia.
University of Pennsylvania · USChildren's Hospital of Philadelphia · US

Funding

Theta and Gamma Oscillations in Cortical MicrocircuitsP50MH064045 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI GUR, RAQUEL E · 2001 to 2010
$21.6M
Neurodevelopmental Genomics: Trajectories of Complex PhenotypesRC2MH089983 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI GUR, RAQUEL E · 2009 to 2011
$14.3M
2/2 Neurodevelopmental Genomics: Trajectories of Complex PhenotypesRC2MH089924 · NIMH · CHILDREN'S HOSP OF PHILADELPHIA · PI HAKONARSON, HAKON · 2009 to 2011
$10.7M
NMDA Receptor Hypofunction in the Amygdala of Schizophrenia PatientsP50MH096891 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI BILKER, WARREN B. · 2012 to 2016
$10.6M
The Intellectual and Developmental Disabilities Research Center at CHOP/PennU54HD086984 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI ROBINSON, MICHAEL BYRNE, SCHULTZ, ROBERT THOMAS · 2016 to 2020
$6.3M
The Future of Genomics Medicine in Patient Care: Contributions from CHOPU01HG008684 · NHGRI · CHILDREN'S HOSP OF PHILADELPHIA · PI HAKONARSON, HAKON · 2015 to 2019
$5.0M
Longitudinal multi-modal neuroimaging of irritability in youthR01MH107703 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI SATTERTHWAITE, THEODORE · 2015 to 2018
$2.6M
Statistical methods for large and complex databases of ultra-high-dimensionalR01NS085211 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI SHINOHARA, RUSSELL TAKESHI · 2013 to 2017
$1.8M
Quantitative Behavioral and Imaging Phenotypes of Amotivation in SchizophreniaR01MH101111 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI WOLF, DANIEL H · 2013 to 2016
$1.6M
Multimodal brain maturation indices modulating psychopathology and neurocognitionR01MH107235 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI GUR, RUBEN C. · 2015 to 2017
$1.5M
Mental Health Biostatistics Training ProgramT32MH065218 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI BILKER, WARREN B. · 2003 to 2018
$1.3M
A Prospective Study of Endophenotypes in At-Risk Youths and Their SiblingsK08MH079364 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI CALKINS, MONICA E · 2007 to 2011
$750k
NHGRI NIH HHS U01 HG008684NICHD NIH HHS U54 HD086984NIMH NIH HHS K01 MH102609NIMH NIH HHS K08 MH079364NIMH NIH HHS K23 MH098130NIMH NIH HHS P50 MH064045NIMH NIH HHS P50 MH096891NIMH NIH HHS R01 MH101111NIMH NIH HHS R01 MH107235NIMH NIH HHS R01 MH107703NIMH NIH HHS RC2 MH089924NIMH NIH HHS RC2 MH089983NIMH NIH HHS T32 MH065218NINDS NIH HHS R01 NS085211
6 · The paper itself

Abstract

importanceStructural brain abnormalities are prominent in psychotic disorders, including schizophrenia. However, it is unclear when aberrations emerge in the disease process and if such deficits are present in association with less severe psychosis spectrum (PS) symptoms in youth.

objectiveTo investigate the presence of structural brain abnormalities in youth with PS symptoms. DESIGN, SETTING, AND

participantsThe Philadelphia Neurodevelopmental Cohort is a prospectively accrued, community-based sample of 9498 youth who received a structured psychiatric evaluation. A subsample of 1601 individuals underwent neuroimaging, including structural magnetic resonance imaging, at an academic and children's hospital health care network between November 1, 2009, and November 30, 2011. MAIN OUTCOMES AND MEASURES: Measures of brain volume derived from T1-weighted structural neuroimaging at 3 T. Analyses were conducted at global, regional, and voxelwise levels. Regional volumes were estimated with an advanced multiatlas regional segmentation procedure, and voxelwise volumetric analyses were conducted as well. Nonlinear developmental patterns were examined using penalized splines within a general additive model. Psychosis spectrum (PS) symptom severity was summarized using factor analysis and evaluated dimensionally.

resultsFollowing exclusions due to comorbidity and image quality assurance, the final sample included 791 participants aged youth 8 to 22 years. Fifty percent (n = 393) were female. After structured interviews, 391 participants were identified as having PS features (PS group) and 400 participants were identified as typically developing comparison individuals without significant psychopathology (TD group). Compared with the TD group, the PS group had diminished whole-brain gray matter volume (P = 1.8 × 10-10) and expanded white matter volume (P = 2.8 × 10-11). Voxelwise analyses revealed significantly lower gray matter volume in the medial temporal lobe (maximum z score = 5.2 and cluster size of 1225 for the right and maximum z score = 4.5 and cluster size of 310 for the left) as well as in frontal, temporal, and parietal cortex. Volumetric reduction in the medial temporal lobe was correlated with PS symptom severity. CONCLUSIONS AND RELEVANCE: Structural brain abnormalities that have been commonly reported in adults with psychosis are present early in life in youth with PS symptoms and are not due to medication effects. Future longitudinal studies could use the presence of such abnormalities in conjunction with clinical presentation, cognitive profile, and genomics to predict risk and aid in stratification to guide early interventions.

Indexed as

Magnetic Resonance ImagingAdolescentBrainChildCohort StudiesFemaleHumansMaleProspective StudiesPsychotic DisordersReference ValuesYoung Adult

Identifiers

PMID26982085
PMCPMC5048443
OpenAlexW2301077564

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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.