Evidence map›Paper›PMID 27745755›Full record

ArticleSchizophrenia research2017

Schizophrenia is associated with a pattern of spatial working memory deficits consistent with cortical disinhibition.

Martina Starc, John D Murray, Nicole Santamauro, Aleksandar Savic, Caroline Diehl, Youngsun T Cho, Vinod Srihari, Peter T Morgan, John H Krystal, Xiao-Jing Wang and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Schizophrenia research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02069925 (STEP-ED), which is not on this map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
–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.

NCT02069925 nacompletednot on this map

STEP-ED: Reducing Duration of Untreated Psychosis and Its Impact in the U.S.

TypeinterventionalSponsorYale UniversityRan2014 to 2020Enrolled285ConditionsPsychosis, SchizophreniaArmsEarly Detection (ED), Usual Detection
3 · Its place in the literature

Who cites it

42 citing papers in PubMed.

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  12. Dysfunctional Alpha Modulation as a Mechanism of Working Memory Impairment in Serious Mental Illness.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2024
    Article
  13. Article
  14. Review
  15. Article
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  18. Review
  19. Article
  20. Working Memory in People with Schizophrenia.Current topics in behavioral neurosciences · 2023
    Article
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

12 authors.

Martina StarcDepartment of Psychiatry, Yale University School of Medicine, 300 George Street, New Haven, CT 06511, USA; Department of Psychology, University of Ljubljana, Ljubljana, Slovenia.
John D MurrayDepartment of Psychiatry, Yale University School of Medicine, 300 George Street, New Haven, CT 06511, USA; Center for Neural Science, New York University, New York, NY 06510, USA.
Nicole SantamauroDepartment of Psychiatry, Yale University School of Medicine, 300 George Street, New Haven, CT 06511, USA.
Aleksandar SavicDepartment of Psychiatry, Yale University School of Medicine, 300 George Street, New Haven, CT 06511, USA; University Psychiatric Hospital Vrapce, University of Zagreb, Zagreb 10000, Croatia.
Caroline DiehlDepartment of Psychiatry, Yale University School of Medicine, 300 George Street, New Haven, CT 06511, USA; Department of Psychology, University of Ljubljana, Ljubljana, Slovenia.
Youngsun T ChoDepartment of Psychiatry, Yale University School of Medicine, 300 George Street, New Haven, CT 06511, USA.
Vinod SrihariDepartment of Psychiatry, Yale University School of Medicine, 300 George Street, New Haven, CT 06511, USA.
Peter T MorganDepartment of Psychiatry, Yale University School of Medicine, 300 George Street, New Haven, CT 06511, USA.
John H KrystalDepartment of Psychiatry, Yale University School of Medicine, 300 George Street, New Haven, CT 06511, USA; Department of Neurobiology, Yale University, New Haven, CT, USA.
Xiao-Jing WangCenter for Neural Science, New York University, New York, NY 06510, USA.
Grega RepovsDepartment of Psychology, University of Ljubljana, Ljubljana, Slovenia.
Alan AnticevicDepartment of Psychiatry, Yale University School of Medicine, 300 George Street, New Haven, CT 06511, USA; Abraham Ribicoff Research Facilities, Connecticut Mental Health Center, New Haven, CT 06519, USA; Interdepartmental Neuroscience Program, Yale University, New Haven, CT 06520, USA; NIAAA Center for the Translational Neuroscience of Alcoholism, New Haven, CT 06519, USA; Department of Psychology, Yale University, 2 Hillhouse Avenue, CT 06520, USA. Electronic address: alan.anticevic@yale.edu.

Funding

TRAINING PROGRAM IN CHILDHOOD NEUROPSYCHIATRIC DISORDERST32MH018268 · NIMH · YALE UNIVERSITY · PI Michael H Bloch, MICHAEL J CROWLEY · 1985 to 2026
$11.0M
Recurrent Neual Circuit Basis of Time Integration and Decision MakingR01MH062349 · NIMH · YALE UNIVERSITY · PI WANG, XIAO-JING · 2001 to 2022
$7.2M
STEP-ED:Reducing Duration of Untreated Psychosis and its Impact in the U.S.R01MH103831 · NIMH · YALE UNIVERSITY · PI SRIHARI, VINOD H. · 2013 to 2017
$3.9M
Characterizing Cognitive Impairment in Schizophrenia via Computational Modeling aDP5OD012109 · OD · YALE UNIVERSITY · PI ANTICEVIC, ALAN · 2012 to 2016
$1.8M
NIH HHS DP5 OD012109NIMH NIH HHS R01 MH062349NIMH NIH HHS R01 MH103831NIMH NIH HHS T32 MH018268
6 · The paper itself

Abstract

Schizophrenia is associated with severe cognitive deficits, including impaired working memory (WM). A neural mechanism that may contribute to WM impairment is the disruption in excitation-inhibition (E/I) balance in cortical microcircuits. It remains unknown, however, how these alterations map onto quantifiable behavioral deficits in patients. Based on predictions from a validated microcircuit model of spatial WM, we hypothesized two key behavioral consequences: i) increased variability of WM traces over time, reducing performance precision; and ii) decreased ability to filter out distractors that overlap with WM representations. To test model predictions, we studied N=27 schizophrenia patients and N=28 matched healthy comparison subjects (HCS) who performed a spatial WM task designed to test the computational model. Specifically, we manipulated delay duration and distractor distance presented during the delay. Subjects used a high-sensitivity joystick to indicate the remembered location, yielding a continuous response measure. Results largely followed model predictions, whereby patients exhibited increased variance and less WM precision as the delay period increased relative to HCS. Schizophrenia patients also exhibited increased WM distractibility, with reports biased toward distractors at specific spatial locations, as predicted by the model. Finally, the magnitude of the WM drift and distractibility were significantly correlated, indicating a possibly shared underlying mechanism. Effects are consistent with elevated E/I ratio in schizophrenia, establishing a framework for translating neural circuit computational model of cognition to human experiments, explicitly testing mechanistic behavioral hypotheses of cellular-level neural deficits in patients.

Indexed as

Models, NeurologicalSchizophrenic PsychologyAdultCerebral CortexComputer SimulationFemaleHumansMaleMemory, Short-TermNeuropsychological TestsPsychotic DisordersSchizophreniaCognitive deficitsComputational modelingDisinhibitionExcitation/inhibition balanceSchizophreniaWorking memory

Identifiers

PMID27745755
PMCPMC5901719

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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.