Evidence map›Paper›PMID 27138794›Full record

Trial reportTranslational psychiatry2016

Adjunctive selective estrogen receptor modulator increases neural activity in the hippocampus and inferior frontal gyrus during emotional face recognition in schizophrenia.

E Ji, C S Weickert, R Lenroot, J Kindler, A J Skilleter, A Vercammen, C White, R E Gur, T W Weickert

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Translational psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
6.4field-weighted citation impact, top 3% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. The influence of sex on cognition in psychosis.Schizophrenia research. Cognition · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Science advances · 2022
    Article
  13. Article
  14. Pharmacological Treatment for Social Cognition: Current Evidence.International journal of molecular sciences · 2021
    Review
  15. Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. Review
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

9 authors at 5 institutions in 3 countries.

E JiSchool of Psychiatry, University of New South Wales, Randwick, NSW, Australia.
C S WeickertSchool of Psychiatry, University of New South Wales, Randwick, NSW, Australia.
R LenrootSchool of Psychiatry, University of New South Wales, Randwick, NSW, Australia.
J KindlerSchool of Psychiatry, University of New South Wales, Randwick, NSW, Australia.
A J SkilleterSchool of Psychiatry, University of New South Wales, Randwick, NSW, Australia.
A VercammenSchool of Psychiatry, University of New South Wales, Randwick, NSW, Australia.
C WhiteDepartment of Endocrinology, Prince of Wales Hospital, Randwick, NSW, Australia.
R E GurDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
T W WeickertSchool of Psychiatry, University of New South Wales, Randwick, NSW, Australia.
UNSW Sydney · AUNeuroscience Research Australia · AUSchizophrenia Research Institute · AUPrince of Wales Hospital · AUUniversity of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Estrogen has been implicated in the development and course of schizophrenia with most evidence suggesting a neuroprotective effect. Treatment with raloxifene, a selective estrogen receptor modulator, can reduce symptom severity, improve cognition and normalize brain activity during learning in schizophrenia. People with schizophrenia are especially impaired in the identification of negative facial emotions. The present study was designed to determine the extent to which adjunctive raloxifene treatment would alter abnormal neural activity during angry facial emotion recognition in schizophrenia. Twenty people with schizophrenia (12 men, 8 women) participated in a 13-week, randomized, double-blind, placebo-controlled, crossover trial of adjunctive raloxifene treatment (120 mg per day orally) and performed a facial emotion recognition task during functional magnetic resonance imaging after each treatment phase. Two-sample t-tests in regions of interest selected a priori were performed to assess activation differences between raloxifene and placebo conditions during the recognition of angry faces. Adjunctive raloxifene significantly increased activation in the right hippocampus and left inferior frontal gyrus compared with the placebo condition (family-wise error, P<0.05). There was no significant difference in performance accuracy or reaction time between active and placebo conditions. To the best of our knowledge, this study provides the first evidence suggesting that adjunctive raloxifene treatment changes neural activity in brain regions associated with facial emotion recognition in schizophrenia. These findings support the hypothesis that estrogen plays a modifying role in schizophrenia and shows that adjunctive raloxifene treatment may reverse abnormal neural activity during facial emotion recognition, which is relevant to impaired social functioning in men and women with schizophrenia.

Indexed as

AdultBrain MappingCross-Over StudiesDouble-Blind MethodEmotionsFaceFemaleFrontal LobeHippocampusHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleNerve NetRaloxifene HydrochlorideRecognition, PsychologyRaloxifene HydrochlorideSelective Estrogen Receptor Modulators

Identifiers

PMID27138794
PMCPMC5070055
OpenAlexW2345579183

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.