Evidence map›Paper›PMID 28844436›Full record

ArticleSchizophrenia research2018

Psychosis subgroups differ in intrinsic neural activity but not task-specific processing.

Matthew E Hudgens-Haney, Lauren E Ethridge, Jennifer E McDowell, Sarah K Keedy, Godfrey D Pearlson, Carol A Tamminga, Matcheri S Keshavan, John A Sweeney, Brett A Clementz

Abstract read
In one paragraph

Article in Schizophrenia research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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.

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

11 citing papers in PubMed.

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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

9 authors.

Matthew E Hudgens-HaneyDepartments of Psychology and Neuroscience, Bio-Imaging Research Center, University of Georgia, Athens, GA, United States; Department of Psychiatry, UT-Southwestern Medical Center, Dallas, TX, United States.
Lauren E EthridgeDepartment of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United States; Department of Psychology, University of Oklahoma, Norman, OK, United States.
Jennifer E McDowellDepartments of Psychology and Neuroscience, Bio-Imaging Research Center, University of Georgia, Athens, GA, United States.
Sarah K KeedyDepartment of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, IL, United States.
Godfrey D PearlsonDepartments of Psychiatry and Neurobiology, Yale University School of Medicine, New Haven, CT, United States; Institute of Living, Hartford Hospital, Hartford, CT, United States.
Carol A TammingaDepartment of Psychiatry, UT-Southwestern Medical Center, Dallas, TX, United States.
Matcheri S KeshavanDepartment of Psychiatry, Harvard Medical School, Boston, MA, United States.
John A SweeneyDepartment of Psychiatry, UT-Southwestern Medical Center, Dallas, TX, United States; Department of Psychiatry and Behavioral Neuroscience, University of Cincinnati, OH, United States.
Brett A ClementzDepartments of Psychology and Neuroscience, Bio-Imaging Research Center, University of Georgia, Athens, GA, United States. Electronic address: clementz@uga.edu.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Bipolar & Schizophrenia Consortium for Parsing Intermediate PhenotypesR01MH077851 · NIMH · UT SOUTHWESTERN MEDICAL CENTER · PI TAMMINGA, CAROL A · 2007 to 2019
$7.8M
Stability of Biotypes: a Longitudinal Evaluation (STABLE)R01MH103368 · NIMH · UNIVERSITY OF CHICAGO · PI GERSHON, ELLIOT S, KEEDY, SARAH K · 2015 to 2019
$4.5M
5/5 BIPOLAR-SCHIZOPHRENIA NETWORK FOR INTERMEDIATE PHENOTYPES (B-SNIP) - Resubmission - 1R01MH103366 · NIMH · UNIVERSITY OF GEORGIA · PI CLEMENTZ, BRETT A, GIBBONS, ROBERT D · 2015 to 2019
$3.8M
Bipolar & Schizophrenia Consortium for Parsing Intermediate PhenotypesR01MH077862 · NIMH · UT SOUTHWESTERN MEDICAL CENTER · PI SWEENEY, JOHN A · 2007 to 2010
$3.1M
Neural Noise and Cognitive Control in SchizophreniaR01MH094172 · NIMH · UNIVERSITY OF GEORGIA · PI CLEMENTZ, BRETT A · 2011 to 2015
$1.8M
Neural mechanisms for antisaccade errors among schizophrenia familiesR01MH085485 · NIMH · UNIVERSITY OF GEORGIA · PI CLEMENTZ, BRETT A · 2009 to 2013
$1.4M
Psychosis and Affective Research Domains and Intermediate Phenotypes (PARDIP)R01MH096913 · NIMH · UT SOUTHWESTERN MEDICAL CENTER · PI TAMMINGA, CAROL A · 2013 to 2015
$950k
NCATS NIH HHS UL1 TR001863NIMH NIH HHS R01 MH077851NIMH NIH HHS R01 MH077862NIMH NIH HHS R01 MH085485NIMH NIH HHS R01 MH094172NIMH NIH HHS R01 MH096913NIMH NIH HHS R01 MH103366NIMH NIH HHS R01 MH103368
6 · The paper itself

Abstract

Individuals with psychosis often show high levels of intrinsic, or nonspecific, neural activity, but attenuated stimulus-specific activity. Clementz et al. (2016) proposed that one subgroup of psychosis cases has accentuated intrinsic activity (Biotype-2's) and a different subgroup (Biotype-1's) has diminished intrinsic activity, with both groups exhibiting varying degrees of cognitive deficits. This model was studied by assessing neural activity in psychosis probands (N=105) during baseline and a 5second period in preparation for a pro-/anti-saccade task. Steady-state stimuli allowed real-time assessment of modulation of visuocortical investment to different target locations. Psychosis probands as a whole showed poor antisaccade performance. As expected, Biotype-1 showed diminished intrinsic neural activity and the worst behavior, and Biotype-2 showed accentuated intrinsic activity and less deviant behavior. Both of these groups also exhibited less dynamic oscillatory phase synchrony. Biotype-3 showed no neurophysiological differences from healthy individuals, despite a history of psychosis. Interestingly, all psychosis subgroups showed normal (i.e., not different from healthy) preparatory modulation of visuocortical investment as a function of cognitive demands, despite varying levels of task performance. Similar analyses conducted subgrouping cases by psychotic symptomatology revealed fewer and less consistent differences, including no intrinsic activity differences between any clinical subgroup and healthy individuals. This study illustrates that (i) differences in intrinsic neural activity may be a fundamental characteristic of psychosis and need to be evaluated separately from stimulus-specific responses, and (ii) grouping patients based on multidimensional classification using neurobiological data may have advantages for resolving heterogeneity and clarifying illness mechanisms relative to traditional psychiatric diagnoses.

Indexed as

Brain MappingAdultElectroencephalographyEvoked PotentialsFemaleHumansMaleMiddle AgedNeuropsychological TestsPhotic StimulationPsychiatric Status Rating ScalesPsychotic DisordersSaccadesSchizophreniaSpectrum AnalysisYoung AdultBiomarkersBipolar disorderEEGPsychosisSchizophreniaSteady-state

Identifiers

PMID28844436
PMCPMC5826774

What OpenQuestion holds

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Registered trials

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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.