Evidence map›Paper›PMID 29178684›Full record

Trial reportThe Journal of clinical psychiatry

A Supervised Exercise Intervention for Youth at Risk for Psychosis: An Open-Label Pilot Study.

Derek J Dean, Angela D Bryan, Raeana Newberry, Tina Gupta, Emily Carol, Vijay A Mittal

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of clinical psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02155699 (Exercise and Markers of Medial Temporal Health in Youth at Ultra High-risk for Psychosis), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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.

NCT02155699 nacompletednot on this map

Exercise and Markers of Medial Temporal Health in Youth at Ultra High-risk for Psychosis

TypeinterventionalSponsorUniversity of Colorado, BoulderRan2014 to 2022Enrolled50ConditionsAttenuated Psychosis SyndromeArmsExercise 1, Exercise 2
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Article
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  10. Review
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  12. Observational
  13. Article
  14. The impact of inflammation on neurocognition and risk for psychosis: a critical review.European archives of psychiatry and clinical neuroscience · 2020
    Review
  15. Article
  16. Review
  17. Article
  18. 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

6 authors at 2 institutions in 1 country.

Derek J DeanUniversity of Colorado at Boulder, Department of Psychology and Neuroscience, Center for Neuroscience, 345 UCB, Boulder, CO 80309-0345. derek.dean@colorado.edu.
Angela D BryanDepartment of Psychology and Neuroscience, University of Colorado Boulder, Boulder, Colorado, USA.
Raeana NewberryDepartment of Psychology and Neuroscience, University of Colorado Boulder, Boulder, Colorado, USA.
Tina GuptaDepartment of Psychology, Northwestern University, Evanston, Illinois, USA.
Emily CarolDepartment of Psychology and Neuroscience, University of Colorado Boulder, Boulder, Colorado, USA.
Vijay A MittalDepartment of Psychology, Northwestern University, Evanston, Illinois, USA.
University of Colorado Boulder · USNorthwestern University · US

Funding

Frontal-Subcortical Development, Movement Abnormalities, and Risk for PsychosisR01MH094650 · NIMH · UNIVERSITY OF COLORADO · PI MITTAL, VIJAY A · 2011 to 2015
$2.3M
Exercise and markers of medial temporal health in youth at-risk for psychosisR33MH103231 · NIMH · NORTHWESTERN UNIVERSITY · PI BRYAN, ANGELA, MITTAL, VIJAY A · 2016 to 2018
$689k
Exercise and markers of medial temporal health in youth at-risk for psychosisR21MH103231 · NIMH · UNIVERSITY OF COLORADO · PI BRYAN, ANGELA, MITTAL, VIJAY A · 2014 to 2015
$489k
NIMH NIH HHS R01 MH094650NIMH NIH HHS R21 MH103231NIMH NIH HHS R33 MH103231
6 · The paper itself

Abstract

objectiveA rapidly accumulating body of research suggests that exercise can improve symptoms and well-being in patients suffering from psychosis. Exercise may also promote neurogenesis in the hippocampus, a structure that plays an important role in the pathophysiology of psychosis. To date, there has not been an intervention focused on exercise prior to the onset of psychosis, a critical time for prevention of more serious illness.

methodsIn this pilot study, 12 young adults at ultrahigh risk (UHR) for psychosis were enrolled in a 12-week open-label exercise intervention. Participants were randomly assigned to exercise 2 or 3 times each week and exercised between 65% and 85% of maximum oxygen capacity (Vo2max) for 30 minutes each session under the supervision of an exercise physiologist. Positive and negative symptoms, social and role functioning, performance on neurocognitive tests, cardiovascular fitness, and hippocampal structure and functional connectivity were evaluated before and after the trial.

resultsA total of 9 participants completed the exercise intervention. Participants showed improved positive and negative symptoms and social and role functioning; improvement in multiple areas of cognition; and increased functional connectivity between the left hippocampus and occipital cortex after 12 weeks of exercise.

conclusionsThe results of this study suggest that exercise interventions are feasible in a UHR sample and may promote improvement in clinical, social, and cognitive domains as well as changes to brain function in regions impacted by the development of psychosis. These findings set the stage for an ongoing phase 2 randomized controlled trial.

trial registrationClinicalTrials.gov identifier: NCT02155699.

Indexed as

Exercise TherapyAdolescentFemaleFunctional NeuroimagingHippocampusHumansMagnetic Resonance ImagingMaleNeuropsychological TestsPhysical FitnessPilot ProjectsPsychotic DisordersSocial AdjustmentYoung Adult

Identifiers

PMID29178684
PMCPMC5995728
OpenAlexW2769330735

What OpenQuestion holds

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Read underepoch 390

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.