Evidence map›Paper›PMID 31889415›Full record

Trial reportEarly intervention in psychiatry2021

Uncontrolled trial of specialized, multi-component care for individuals with first-episode psychosis: Effects on motivation orientations.

Nicholas J K Breitborde, Jacob G Pine, Aubrey M Moe

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in Early intervention in psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 26% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Trial
  3. 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

3 authors at 1 institution in 2 countries.

Nicholas J K BreitbordeDepartment of Psychiatry & Behavioral Health, Early Psychosis Intervention Center (EPICENTER), Columbus, Ohio.ORCID 0000-0002-9877-3719
Jacob G PineDepartment of Psychiatry & Behavioral Health, Early Psychosis Intervention Center (EPICENTER), Columbus, Ohio.ORCID 0000-0002-1814-5887
Aubrey M MoeDepartment of Psychiatry & Behavioral Health, Early Psychosis Intervention Center (EPICENTER), Columbus, Ohio.
Early Intervention Foundation · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimDeficits in motivation are present early in the course of psychotic disorders. However, growing data have highlighted important heterogeneity in motivation among individuals with psychosis, suggesting that this variable may not be a unitary concept. Outside of the psychosis literature, research on self-determination theory has identified three motivational orientations that guide the initiation and regulation of behaviour: autonomous, controlled and impersonal. Thus, our study goal is to investigate the longitudinal course of motivational orientations among individuals participating in a specialized clinical service for individuals with first-episode psychosis (ie, coordinated specialty care: CSC).

methodsForty-one individuals with first-episode psychosis participating in CSC completed assessments of motivation orientations at enrolment and after 6 months of care.

resultsWhereas there were no changes in controlled or impersonal orientations over the first 6-months of care, individuals with first-episode psychosis reported an increase in autonomous orientations. Moreover, while individuals with first-episode psychosis reported lower autonomous orientations at enrolment as compared to individuals without psychosis, after 6 months of care, ratings of autonomous orientations among individuals with first-episode psychosis were equivalent to those of individuals without psychosis.

conclusionsAlthough the results should be interpreted cautiously given the uncontrolled study design, the results suggest that the benefits of participation in early intervention services for psychosis may extend to improvements in motivation.

Indexed as

MotivationPsychotic DisordersCognitionHumansPersonal Autonomycoordinated specialty carefirst-episode psychosismotivationself-determination theory

Identifiers

PMID31889415
PMCPMC9292764
OpenAlexW2997334538

What OpenQuestion holds

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LicenceCC BY
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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.