Evidence map›Paper›PMID 29036668›Full record

ArticleSchizophrenia bulletin2018

Neurobiological Commonalities and Distinctions Among Three Major Psychiatric Diagnostic Categories: A Structural MRI Study.

Miao Chang, Fay Y Womer, E Kale Edmiston, Chuan Bai, Qian Zhou, Xiaowei Jiang, Shengnan Wei, Yange Wei, Yuting Ye, Haiyan Huang and 4 more

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Schizophrenia bulletin, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 7 pooled it
6.2field-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

52 citing papers in PubMed, 7 syntheses or guidelines pooled it, 97 citations in OpenAlex.

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  11. Regional brain aging patterns reveal disease-specific pathways of neurodegeneration.medRxiv : the preprint server for health sciences · 2025
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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

14 authors at 5 institutions in 2 countries.

Miao ChangDepartment of Radiology, The First Affiliated Hospital of China Medical University, Shenyang, PR China.
Fay Y WomerDepartment of Psychiatry, Washington University School of Medicine, St Louis, MO.
E Kale EdmistonBrain Function Research Section, The First Affiliated Hospital of China Medical University, Shenyang, PR China.
Chuan BaiDepartment of Radiology, The First Affiliated Hospital of China Medical University, Shenyang, PR China.
Qian ZhouDepartment of Psychiatry, The First Affiliated Hospital of China Medical University, Shenyang, PR China.
Xiaowei JiangDepartment of Radiology, The First Affiliated Hospital of China Medical University, Shenyang, PR China.
Shengnan WeiDepartment of Radiology, The First Affiliated Hospital of China Medical University, Shenyang, PR China.
Yange WeiDepartment of Psychiatry, The First Affiliated Hospital of China Medical University, Shenyang, PR China.
Yuting YeDivision of Biostatistics, University of California, Berkeley, Berkeley, CA.
Haiyan HuangDivision of Biostatistics, University of California, Berkeley, Berkeley, CA.
Yong HeState Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, PR China.
Ke XuDepartment of Radiology, The First Affiliated Hospital of China Medical University, Shenyang, PR China.
Yanqing TangDepartment of Psychiatry, The First Affiliated Hospital of China Medical University, Shenyang, PR China.
Fei WangDepartment of Radiology, The First Affiliated Hospital of China Medical University, Shenyang, PR China.
First Hospital of China Medical University · CNChina Medical University · CNUniversity of California, Berkeley · USBeijing Normal University · CNWashington University in St. Louis · US

Funding

Training for Transformative Discovery in PsychiatryT32MH016804 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SWEET, ROBERT A · 1985 to 2025
$6.2M
NIMH NIH HHS T32 MH016804
6 · The paper itself

Abstract

backgroundSchizophrenia (SZ), bipolar disorder (BD), and major depressive disorder (MDD) are distinct diagnostic categories in current psychiatric nosology, yet there is increasing evidence for shared clinical and biological features in these disorders. No previous studies have examined brain structural features concurrently in these 3 disorders. The aim of this study was to identify the extent of shared and distinct brain alterations in SZ, BD, and MDD. We examined gray matter (GM) volume and white matter (WM) integrity in a total of 485 individuals (135 with SZ, 86 with BD, 108 with MDD, and 156 healthy controls [HC]) who underwent high-resolution structural magnetic resonance imaging (MRI) and diffusion tensor imaging (DTI) at a single site.

resultsSignificant 4-group (SZ, BD, MDD, and HC groups) differences (P < .05, corrected) in GM volumes were found primarily in the paralimbic and heteromodal corticies. Post hoc analyses showed that the SZ, BD, and MDD groups shared GM volume decreases in 87.9% of the total regional volume with significant 4-group differences. Significant 4-group differences in WM integrity (P < .05 corrected) were found in callosal, limbic-paralimbic-hetermodal, cortico-cortical, thalamocortical and cerebellar WM. Post hoc analyses revealed that the SZ and BD groups shared WM alterations in all regions, while WM alterations were not observed with MDD.

conclusionsOur findings of common alterations in SZ, BD, and MDD support the presence of core neurobiological disruptions in these disorders and suggest that neural structural distinctions between these disorders may be less prominent than initially postulated, particularly between SZ and BD.

Indexed as

AdolescentAdultBipolar DisorderDiffusion Tensor ImagingFemaleGray MatterHumansMagnetic Resonance ImagingMajor Depressive DisorderMaleSchizophreniaWhite MatterYoung Adultbipolar disordergray matter volumemajor depressive disorderschizophreniawhite matter integrity

Identifiers

PMID29036668
PMCPMC5768040
OpenAlexW2626806673

What OpenQuestion holds

Textmetadata
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.