Evidence map›Paper›PMID 31612424›Full record

ReviewClinical drug investigation2020

Targeting Hormones for Improving Cognition in Major Mood Disorders and Schizophrenia: Thyroid Hormones and Prolactin.

Meritxell Tost, José Antonio Monreal, Antonio Armario, Juan David Barbero, Jesús Cobo, Clemente García-Rizo, Miquel Bioque, Judith Usall, Elena Huerta-Ramos, Virginia Soria and 2 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Clinical drug investigation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Mix effect of prolactin on cognitive performance in patients with schizophrenia.Journal of neural transmission (Vienna, Austria : 1996) · 2025
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Thyroid functions in patients with hypochondriasis.Northern clinics of Istanbul · 2022
    Article
  15. Review
  16. Absence of Longer Reorientation Times in Patients Undergoing Electroconvulsive Therapy and Concomitant Treatment with Lithium.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2021
    Article
  17. Article
  18. Article
  19. 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

12 authors at 3 institutions in 1 country.

Meritxell TostDepartment of Mental Health, Parc Taulí Hospital Universitari, Universitat Autònoma de Barcelona, I3PT, C/Parc Taulí, 1, 08208, Sabadell, Barcelona, Spain.
José Antonio MonrealDepartment of Mental Health, Parc Taulí Hospital Universitari, Universitat Autònoma de Barcelona, I3PT, C/Parc Taulí, 1, 08208, Sabadell, Barcelona, Spain.
Antonio ArmarioCentro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Carlos III Health Institute, Barcelona, Spain.
Juan David BarberoDepartment of Mental Health, Parc Taulí Hospital Universitari, Universitat Autònoma de Barcelona, I3PT, C/Parc Taulí, 1, 08208, Sabadell, Barcelona, Spain.
Jesús CoboDepartment of Mental Health, Parc Taulí Hospital Universitari, Universitat Autònoma de Barcelona, I3PT, C/Parc Taulí, 1, 08208, Sabadell, Barcelona, Spain.
Clemente García-RizoCentro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Carlos III Health Institute, Barcelona, Spain.
Miquel BioqueCentro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Carlos III Health Institute, Barcelona, Spain.
Judith UsallCentro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Carlos III Health Institute, Barcelona, Spain.
Elena Huerta-RamosCentro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Carlos III Health Institute, Barcelona, Spain.
Virginia SoriaCentro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Carlos III Health Institute, Barcelona, Spain.
PNECAT Group
Javier LabadDepartment of Mental Health, Parc Taulí Hospital Universitari, Universitat Autònoma de Barcelona, I3PT, C/Parc Taulí, 1, 08208, Sabadell, Barcelona, Spain. jlabad@tauli.cat.ORCID http://orcid.org/0000-0003-2214-1886
Universitat Autònoma de Barcelona · ESInstituto de Salud Carlos III · ESCentro de Investigación Biomédica en Red de Salud Mental · ES

Funding

Departament de Salut, Generalitat de Catalunya SLT006/17/00012Instituto de Salud Carlos III PI15/01386
6 · The paper itself

Abstract

Cognitive deficits are a core feature of serious mental illnesses such as major depression, bipolar disorder and schizophrenia and are a common cause of functional disability. However, the efficacy of pharmacological interventions for improving the cognitive deficits in these disorders is limited. As pro-cognitive pharmacological treatments are lacking, we aimed to review whether thyroid hormones or drugs that target prolactin may become potential candidates for 'repurposing' trials aiming to improve cognition. We conducted a narrative review focused on thyroid hormones and prolactin as potential targets for improving cognition in major mood disorders or schizophrenia. The role of thyroid hormones and prolactin on cognitive processes in non-psychiatric populations was also reviewed. Although clinical trials regarding these hormones are lacking, particularly in patients with schizophrenia, bipolar disorder or major depression, there is evidence from observational studies for the contribution of these hormones to cognitive processes. Patients with bipolar disorder and subclinical hypothyroidism show poorer cognitive function than euthyroid patients. In patients with early psychosis, lower free thyroxine concentrations have been associated with poorer attention whereas increased prolactin levels have been associated with poorer speed of processing. Only two small clinical trials tested the potential pro-cognitive effects of thyroid hormones, with positive findings for triiodothyronine (T3) treatment in patients receiving lithium or electroconvulsive therapy. In sum, thyroid hormones and prolactin might contribute to the cognitive performance of patients with major mood disorders and psychotic disorders. Thyroid hormones and prolactin-lowering drugs (e.g. cabergoline, aripiprazole) are candidate drugs to be tested in repurposing clinical trials aiming to improve the cognitive abilities of patients with major mood disorder and schizophrenia.

Indexed as

Bipolar DisorderCognition DisordersHumansHypothyroidismMajor Depressive DisorderMood DisordersProlactinPsychotic DisordersSchizophreniaThyroid HormonesTriiodothyronineProlactinThyroid HormonesTriiodothyronine

Identifiers

PMID31612424
OpenAlexW2980776506

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.