Evidence map›Paper›PMID 29137828›Full record

ArticleSchizophrenia research2018

Differentiating between clinical and behavioral phenotypes in first-episode psychosis during maintenance of visuospatial working memory.

Maria Jalbrzikowski, Vishnu P Murty, Patricia L Stan, Jusmita Saifullan, Daniel Simmonds, William Foran, Beatriz Luna

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 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

7 authors.

Maria JalbrzikowskiUniversity of Pittsburgh, Department of Psychiatry, Pittsburgh, PA, United States. Electronic address: jalbrzikowskime@upmc.edu.
Vishnu P MurtyUniversity of Pittsburgh, Department of Psychiatry, Pittsburgh, PA, United States.
Patricia L StanUniversity of Pittsburgh, Center for Neuroscience, Pittsburgh, PA, United States; Center for the Neural Basis of Cognition, Pittsburgh, PA, United States.
Jusmita SaifullanUniversity of Pittsburgh, Department of Neuroscience, Pittsburgh, PA, United States.
Daniel SimmondsChildren's Hospital of Pittsburgh of UPMC, Department of Radiology, Pittsburgh, PA, United States.
William ForanUniversity of Pittsburgh, Department of Psychiatry, Pittsburgh, PA, United States.
Beatriz LunaUniversity of Pittsburgh, Department of Psychiatry, Pittsburgh, PA, United States; University of Pittsburgh, Department of Psychology, Pittsburgh, PA, United States; University of Pittsburgh, Department of Pediatrics, Pittsburgh, PA, United States.

Funding

Project 5: In vivo measurement of GABA transmission in healthy controls & subjectP50MH084053 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SAMPSON, ALLAN R · 2008 to 2012
$11.5M
Statistics and Data Management CoreP50MH103204 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI OLSON, CARL ROGER · 2014 to 2018
$10.8M
Training Program in the Neurobiology of Substance Use and AbuseT32DA031111 · NIDA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI FORBES, ERIKA E, GRACE, ANTHONY A · 2011 to 2015
$1.8M
Neurodevelopment of Mesolimbic Afferents in Healthy Adolescents and First-Episode PsychosisK01MH111991 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MURTY, VISHNU PRADEEP · 2017 to 2021
$830k
NIDA NIH HHS T32 DA031111NIMH NIH HHS K01 MH111991NIMH NIH HHS P50 MH084053NIMH NIH HHS P50 MH103204
6 · The paper itself

Abstract

introductionWe probed the neural basis of working memory in individuals with first episode of psychosis (FEP) and assessed how these neural abnormalities are associated with behavioral performance and/or core to psychosis pathophysiology.

methodsFEP (N=35) and matched controls (N=25) performed a visuospatial working memory task during fMRI acquisition. We isolated neural activity during the maintenance period and examined neural activity within regions typically engaged during a working memory task. Functional connectivity estimates were derived using psychophysiological interaction analysis. We examined correlations between brain function and behavioral performance and clinical symptomatology.

resultsFEP had reduced accuracy and slower reaction times compared to controls (p<0.05, q<0.05). During the maintenance period, FEP exhibited reduced right dorsolateral prefrontal cortex (DLPFC) activation compared to controls (p=0.007, q=0.01), even when behavioral performance was matched between groups (p=0.01, q=0.03). Unlike controls, FEP failed to show increased dorsal anterior cingulate (dACC) activity with increased load level (p=0.02, q=0.06). Compared to controls, FEP showed increased negative DLPFC-dACC coupling during the maintenance period (p=0.05). Increased DLPFC activation was significantly associated with greater negative symptoms (p<0.005, q=0.02), while greater dACC activation was significantly associated with better performance in FEP (p<0.05, q<0.17).

conclusionWM impairment in psychosis may be specific to abnormalities in the ability of frontal systems processing executive commands (DLPFC) and monitoring performance (dACC) during the maintenance of information. Our results add to accumulating evidence indicating that DLPFC abnormalities may be core to psychosis psychopathology. We also provide new insights regarding how DLPFC abnormalities may undermine dACC processing during the maintenance of information.

Indexed as

AdolescentAdultCognitive DysfunctionExecutive FunctionFemaleGyrus CinguliHumansMagnetic Resonance ImagingMaleMemory, Short-TermPrefrontal CortexPsychotic DisordersYoung AdultDorsal anterior cingulateDorsolateral prefrontal cortexFunctional magnetic resonance imagingNegative symptomsPsychophysiological interactionSchizophrenia

Identifiers

PMID29137828
PMCPMC5948111

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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.