Trial reportSchizophrenia bulletin2018
Prospective Relationships Between Motivation and Functioning in Recovery After a First Episode of Schizophrenia.
Trial report in Schizophrenia bulletin, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 40 citations in OpenAlex.
- Collaborative care approaches for people with severe mental illness.The Cochrane database of systematic reviews · 2024Pooled it
- Measures of Social and Occupational Function in Early Psychosis: A Systematic Review and Meta-analysis.Schizophrenia bulletin · 2024Pooled it
- Maintenance treatment with antipsychotic drugs for schizophrenia.The Cochrane database of systematic reviews · 2020Pooled it
- Enhancing Assertive Community Treatment With Cognitive Behavioral Social Skills Training for Schizophrenia: II. Ecological Momentary Assessment Outcomes in a Pragmatic Randomized-Controlled Trial.Schizophrenia bulletin · 2026Trial
- Uncontrolled trial of specialized, multi-component care for individuals with first-episode psychosis: Effects on motivation orientations.Early intervention in psychiatry · 2021Trial
- Inhibitory control deficits and ventral attention network alterations linked to apathy in schizophrenia.Translational psychiatry · 2026Article
- Prescription Digital Therapeutics: An Emerging Treatment Option for Negative Symptoms in Schizophrenia.Biological psychiatry · 2024Review
- Diminished social motivation in early psychosis is associated with polygenic liability for low vitamin D.Translational psychiatry · 2024Article
- Coordinated specialty care for first-episode psychosis: Effects on social motivation and social pleasure.Schizophrenia research · 2023Article
- Turning the Spotlight on Apathy: Identification and Treatment in Schizophrenia Spectrum Disorders.Schizophrenia bulletin · 2023Article
- Causal pathways to social and occupational functioning in the first episode of schizophrenia: uncovering unmet treatment needs.Psychological medicine · 2023Article
- The centrality of motivation in psychosocial functioning: Network and bifactor analysis of the Quality of Life Scale in first-episode psychosis.Psychological assessment · 2022Article
- Negative symptom dimensions and social functioning in Chinese patients with schizophrenia.Frontiers in psychiatry · 2022Article
- Social motivation and behavior in first-episode psychosis: Unique contributions to social quality of life and social functioning.Journal of psychiatric research · 2021Article
- Smartphone sensing of social interactions in people with and without schizophrenia.Journal of psychiatric research · 2021Article
- Smoking Is Related to Reduced Motivation, But Not Global Cognition, in the First Two Years of Treatment for First Episode Psychosis.Journal of clinical medicine · 2021Article
- The Impact of Negative Symptoms and Neurocognition on Functioning in MDD and Schizophrenia.Frontiers in psychiatry · 2021Article
- Focusing on recovery goals improves motivation in first-episode psychosis.Social psychiatry and psychiatric epidemiology · 2020Article
- Client predictors of the therapeutic alliance in individual resiliency training for first episode psychosis.Schizophrenia research · 2019Article
- Exploring the relationship between the anticipation and experience of pleasure in people with schizophrenia: An experience sampling study.Schizophrenia research · 2018Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Diminished motivation is associated with robust impairment in psychosocial functioning in schizophrenia (SZ). Little is known about the reciprocal relationships between motivation and functioning, particularly following a first episode of psychosis. We tested bidirectional associations between motivation and social and occupational functioning in the year following a first episode of SZ spectrum disorder among patients in the Recovery After an Initial Schizophrenia Episode-Early Treatment Program (RAISE-ETP) study. Four hundred four individuals (aged 15-40) who presented with a first episode of SZ spectrum disorder (eg, SZ, schizoaffective or schizophreniform disorder, psychotic disorder not otherwise specified) completed assessments of work and school functioning, social functioning, and motivation at 6- and 12-month follow-up, controlling for assessments at study entry. Controlling for cognition, and psychotic and depressive symptoms measured at each time point, motivation at 6 months was associated with work and school participation at 12 months, but work and school participation at 6 months was not associated with motivation at 12 months. Conversely, social functioning at 6 months was associated with motivation at 12 months, but motivation at 6 months was not associated with social functioning at 12 months. Findings suggest that motivation is associated with later occupational, but not social, functioning in the first year following an initial episode of psychosis. Social functioning, on the other hand, is associated with later motivation. Future intervention trials focused on improving occupational functioning in this population may benefit from targeting patient motivation directly (eg, through motivational interviewing), or indirectly by improving relationships and support networks.
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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.