Evidence map›Paper›PMID 30126818›Full record

ArticleSchizophrenia research2019

Functional connectivity in distinct cognitive subtypes in psychosis.

Kathryn E Lewandowski, Julie M McCarthy, Dost Öngür, Lesley A Norris, Geoffrey Z Liu, Richard J Juelich, Justin T Baker

Abstract read
In one paragraph

Article in Schizophrenia research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

  1. Article
  2. Article
  3. Altered Brain-Behavior Association During Resting State is a Potential Psychosis Risk Marker.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Article
  4. Article
  5. Article
  6. Connectome-based fingerprinting: reproducibility, precision, and behavioral prediction.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Review
  7. Article
  8. Review
  9. To lump or to split: cognitive impairment across mood and psychotic disorders.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Article
  10. Transdiagnostic subgroups of cognitive impairment in early affective and psychotic illness.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Functional connectomics of affective and psychotic pathology.Proceedings of the National Academy of Sciences of the United States of America · 2019
    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

7 authors.

Kathryn E LewandowskiMcLean Hospital, Schizophrenia and Bipolar Disorder Program, United States of America; Harvard Medical School, Department of Psychiatry, United States of America. Electronic address: klewandowski@mclean.harvard.edu.
Julie M McCarthyMcLean Hospital, Schizophrenia and Bipolar Disorder Program, United States of America; Harvard Medical School, Department of Psychiatry, United States of America.
Dost ÖngürMcLean Hospital, Schizophrenia and Bipolar Disorder Program, United States of America; Harvard Medical School, Department of Psychiatry, United States of America.
Lesley A NorrisMcLean Hospital, Schizophrenia and Bipolar Disorder Program, United States of America.
Geoffrey Z LiuMcLean Hospital, Schizophrenia and Bipolar Disorder Program, United States of America; Massachusetts General Hospital, Department of Psychiatry, United States of America.
Richard J JuelichMcLean Hospital, Schizophrenia and Bipolar Disorder Program, United States of America.
Justin T BakerMcLean Hospital, Schizophrenia and Bipolar Disorder Program, United States of America; Harvard Medical School, Department of Psychiatry, United States of America.

Funding

Training In Drug Abuse and Brain ImagingT32DA015036 · NIDA · MC LEAN HOSPITAL (BELMONT, MA) · PI SCOTT E LUKAS · 2002 to 2026
$5.3M
Frontoparietal Network Integrity and Risk for PsychosisK23MH104515 · NIMH · MCLEAN HOSPITAL · PI BAKER, JUSTIN T · 2014 to 2018
$907k
Research and Mentoring on Brain and Peripheral Bioenergetics in SchizophreniaK24MH104449 · NIMH · MCLEAN HOSPITAL · PI ONGUR, DOST · 2015 to 2019
$749k
Characterization of Variability in Motivation and Reward in PsychosisR21MH110699 · NIMH · MCLEAN HOSPITAL · PI LEWANDOWSKI, KATHRYN EVE · 2017 to 2018
$446k
NIDA NIH HHS T32 DA015036NIMH NIH HHS K23 MH104515NIMH NIH HHS K24 MH104449NIMH NIH HHS R21 MH110699
6 · The paper itself

Abstract

backgroundCognitive dysfunction is common in psychotic disorders, and may reflect underlying pathophysiology. However, substantial cognitive heterogeneity exists both within and between diagnostic categories, creating challenges for studying the neurobiology of cognitive dysfunction in patients. The aim of this study was to identify patients with psychosis with intact versus impaired cognitive profiles, and to examine resting state functional connectivity between patient groups and compared to healthy controls to determine the extent to which patterns of connectivity are overlapping or distinct.

methodsParticipants with affective or non-affective psychosis (n=120) and healthy controls (n=31) were administered the MATRICS Consensus Cognitive Battery, clinical and community functioning assessments, and an fMRI scan to measure resting state functional connectivity (RSFC). Cognitive composite scores were used to identify groups of patients with and without cognitive dysfunction. RSFC was compared between groups of patients and healthy controls, controlling for demographic and clinical variables.

resultsBoth cognitively intact and cognitively impaired patients showed decreased intrinsic connectivity compared to controls in frontoparietal control (FPN) and motor networks. Patients with cognitive impairment showed additional reductions in FPN connectivity compared to patients with intact cognition, particularly in subnetwork A.

conclusionsWe leveraged the heterogeneity in cognitive ability among patients with psychosis to disentangle the relative contributions of cognitive dysfunction and presence of an underlying psychotic illness using resting state functional connectivity. These findings suggest at least partially separable effects of presence of a psychotic disorder and neurocognitive impairment contributing to network dysconnectivity in psychosis.

Indexed as

ConnectomeAdultBipolar DisorderCerebral CortexCognitive DysfunctionFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedNerve NetPsychotic DisordersSchizophreniaYoung AdultBipolar disorderCognitionFunctional connectivityNetworkPsychosisSchizophrenia

Identifiers

PMID30126818
PMCPMC6378132

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.