Evidence map›Paper›PMID 32402605›Full record

ArticleSchizophrenia research2021

Counterpoint. Early intervention for psychosis risk syndromes: Minimizing risk and maximizing benefit.

Scott W Woods, Carrie E Bearden, Fred W Sabb, William S Stone, John Torous, Barbara A Cornblatt, Diana O Perkins, Kristin S Cadenhead, Jean Addington, Albert R Powers and 26 more

Open access · greenAbstract read
In one paragraph

Article in Schizophrenia research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

18 citing papers in PubMed, 40 citations in OpenAlex.

  1. Trial
  2. Synergistic pathways to psychosis: understanding developmental risk and resilience factors.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Tracking the 3-year trajectory of referrals to an early psychosis intervention service.Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists · 2024
    Article
  7. Article
  8. Illness Phase as a Key Assessment and Intervention Window for Psychosis.Biological psychiatry global open science · 2023
    Review
  9. Article
  10. A redux of schizophrenia research in 2021.Schizophrenia research · 2022
    Article
  11. Article
  12. Article
  13. The neuroscience of early intervention: Moving beyond our appeals to fear.The Australian and New Zealand journal of psychiatry · 2021
    Article
  14. Full speed ahead on indicated prevention of psychosis.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2021
    Article
  15. Article
  16. Article
  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

36 authors at 20 institutions in 8 countries.

Scott W WoodsDepartment of Psychiatry, Yale University, New Haven, CT, USA. Electronic address: scott.woods@yale.edu.
Carrie E BeardenDepartment of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, USA; Department Psychology, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, USA.
Fred W SabbLewis Center for Neuroimaging, University of Oregon, Eugene, USA.
William S StoneDepartment of Psychiatry, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA, USA; Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, China.
John TorousDepartment of Psychiatry, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Barbara A CornblattZucker Hillside Hospital, Northwell Health, Glen Oaks, NY, USA.
Diana O PerkinsDepartment of Psychiatry, University of North Carolina, Chapel Hill, USA.
Kristin S CadenheadDepartment of Psychiatry, University of California, San Diego, USA.
Jean AddingtonDepartment of Psychiatry, University of Calgary, Alberta, Canada.
Albert R PowersDepartment of Psychiatry, Yale University, New Haven, CT, USA; Department of Psychology, Yale University, New Haven, CT, USA.
Daniel H MathalonDepartment of Psychiatry, University of California, San Francisco, USA.
Monica E CalkinsDepartment of Psychiatry, University of Pennsylvania, Philadelphia, USA.
Daniel H WolfDepartment of Psychiatry, University of Pennsylvania, Philadelphia, USA.
Cheryl M CorcoranDepartment of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Leslie E HortonDepartment of Psychiatry, University of Pittsburgh, PA, USA.
Vijay A MittalDepartment of Psychology, Northwestern University, Evanston, IL, USA; Department of Psychology, Northwestern University, Chicago, IL, USA.
Jason SchiffmanDepartment of Psychology, University of Maryland, Baltimore County, USA.
Lauren M EllmanDepartment of Psychology, Temple University, Philadelphia, PA, USA.
Gregory P StraussDepartment of Psychology, University of Georgia, Athens, GA, USA.
Daniel MamahDepartment of Psychiatry, Washington University in Saint Louis, MO, USA.
Jimmy ChoiOlin Neuropsychiatry Research Center, Institute of Living, Hartford Hospital, CT, USA.
Godfrey D PearlsonDepartment of Psychiatry, Yale University, New Haven, CT, USA; Olin Neuropsychiatry Research Center, Institute of Living, Hartford Hospital, CT, USA.
Jai L ShahDepartment of Psychiatry, McGill University, Montreal, Canada.
Paolo Fusar-PoliDepartment of Psychosis Studies, King's College London, UK; Department of Behavioral Sciences, University of Pavia, Pavia, Italy.
Celso ArangoDept. of Child and Adolescent Psychiatry, Universidad Complutense de Madrid, Spain.
Jesus PerezDepartment of Psychiatry, University of Cambridge, UK.
Nikolaos KoutsoulerisDepartment of Psychiatry, Ludwig Maximilian University of Munich, Germany.
Jijun WangShanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, China.
Jun Soo KwonDepartment of Psychiatry, Seoul National University College of Medicine, South Korea.
Barbara C WalshDepartment of Psychiatry, Yale University, New Haven, CT, USA.
Thomas H McGlashanDepartment of Psychiatry, Yale University, New Haven, CT, USA.
Steven E HymanBroad Institute of MIT and Harvard, Cambridge, MA, USA.
Raquel E GurDepartment of Psychiatry, University of Pennsylvania, Philadelphia, USA.
Tyrone D CannonDepartment of Psychiatry, Yale University, New Haven, CT, USA; Department of Psychology, Yale University, New Haven, CT, USA.
John M KaneZucker Hillside Hospital, Northwell Health, Glen Oaks, NY, USA.
Alan AnticevicDepartment of Psychiatry, Yale University, New Haven, CT, USA; Department of Psychology, Yale University, New Haven, CT, USA.
Yale University · USNorthwell Health · USUniversity of Pennsylvania · USBeth Israel Deaconess Medical Center · USHartford Hospital · USBroad Institute · USIcahn School of Medicine at Mount Sinai · USLudwig-Maximilians-Universität München · DEMcGill University · CANorthwestern University · USSeoul National University · KRShanghai Mental Health Center · CNTemple University · USUniversidad Complutense de Madrid · ESUniversity of Calgary · CAUniversity of California, Los Angeles · USUniversity of California San Diego · USUniversity of California, San Francisco · USUniversity of Cambridge · GBUniversity of Georgia · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
1/9 Predictors and Mechanisms of Conversion to PsychosisU01MH081902 · NIMH · YALE UNIVERSITY · PI CANNON, TYRONE D · 2008 to 2018
$12.4M
5/9 Predictors and Mechanisms of Conversion to PsychosisU01MH082004 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI PERKINS, DIANA O. · 2008 to 2018
$7.5M
Administrative Supplement Harmonization of At Risk Multisite Observational Networks for Youth(HARMONY)U01MH081928 · NIMH · BETH ISRAEL DEACONESS MEDICAL CENTER · PI STONE, WILLIAM SETH · 2008 to 2018
$7.1M
4/9-Predictors and Mechanisms of Conversion to PsychosisU01MH081857 · NIMH · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI CORNBLATT, BARBARA A. · 2008 to 2018
$6.2M
8/9 Predictors and Mechanisms of Conversion to PsychosisU01MH082022 · NIMH · YALE UNIVERSITY · PI WOODS, SCOTT W · 2008 to 2018
$6.0M
6/9-Predictors and Mechanisms of Conversion to PsychosisU01MH081944 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI CADENHEAD, KRISTIN S. · 2008 to 2018
$4.9M
Identifying mechanisms of response to therapeutic intervention in clinical high risk (CHR) for psychosis: a bridge to treatmentR01MH111448 · NIMH · BETH ISRAEL DEACONESS MEDICAL CENTER · PI LI, HUIJUN, NIZNIKIEWICZ, MARGARET A · 2016 to 2023
$4.4M
"7/9" Predictors and Mechanisms of Conversion to PsychosisU01MH081984 · NIMH · UNIVERSITY OF CALGARY · PI ADDINGTON, JEAN M · 2008 to 2018
$4.2M
An Individualized, Multidimensional Dimensional Approach to PsychopathologyR01MH121095 · NIMH · YALE UNIVERSITY · PI CONSTABLE, R TODD, SCHEINOST, DUSTIN · 2019 to 2023
$4.2M
9/9-Predictors and Mechanisms of Conversion to PsychosisU01MH076989 · NIMH · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI MATHALON, DANIEL H · 2014 to 2018
$3.9M
Evolution of Psychosis in Youth: Multimodal Risk and Resilience MarkersR01MH119219 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI GUR, RAQUEL E, GUR, RUBEN C. · 2019 to 2023
$3.8M
NCATS NIH HHS UL1 TR001863NIMH NIH HHS K23 MH115252NIMH NIH HHS K23 MH116130NIMH NIH HHS R01 MH105084NIMH NIH HHS R01 MH105178NIMH NIH HHS R01 MH105243NIMH NIH HHS R01 MH107250NIMH NIH HHS R01 MH107558NIMH NIH HHS R01 MH111448NIMH NIH HHS R01 MH112189NIMH NIH HHS R01 MH112545NIMH NIH HHS R01 MH112612NIMH NIH HHS R01 MH112613NIMH NIH HHS R01 MH113533NIMH NIH HHS R01 MH113565NIMH NIH HHS R01 MH115000NIMH NIH HHS R01 MH115332NIMH NIH HHS R01 MH116039NIMH NIH HHS R01 MH119219NIMH NIH HHS R01 MH120088NIMH NIH HHS R01 MH121095NIMH NIH HHS R21 MH119438NIMH NIH HHS R33 MH111850NIMH NIH HHS R34 MH110506NIMH NIH HHS U01 MH076989NIMH NIH HHS U01 MH081857NIMH NIH HHS U01 MH081902NIMH NIH HHS U01 MH081928NIMH NIH HHS U01 MH081944NIMH NIH HHS U01 MH081984NIMH NIH HHS U01 MH082004NIMH NIH HHS U01 MH082022Wellcome Trust
6 · The paper itself

Abstract

backgroundMalhi et al. in this issue critique the clinical high risk (CHR) syndrome for psychosis.

methodResponse to points of critique.

resultsWe agree that inconsistency in CHR nomenclature should be minimized. We respectfully disagree on other points. In our view: a) individuals with CHR and their families need help, using existing interventions, even though we do not yet fully understand disease mechanisms; b) substantial progress has been made in identification of biomarkers; c) symptoms used to identify CHR are specific to psychotic illnesses; d) CHR diagnosis is not "extremely difficult"; e) the pattern of progression, although heterogenous, is discernible; f) "psychosis-like symptoms" are common but are not used to identify CHR; and g) on the point described as 'the real risk,' CHR diagnosis does not frequently cause harmful stigma. DISCUSSION: Malhi et al.'s arguments do not fairly characterize progress in the CHR field nor efforts to minimize stigma. That said, much work remains in areas of consistent nomenclature, mechanisms of disease, dissecting heterogeneity, and biomarkers. With regard to what the authors term the "real risk" of stigma associated with a CHR "label," however, our view is that avoiding words like "risk" and "psychosis" reinforces the stigma that both they and we mean to oppose. Moreover, patients and their families benefit from being given a term that describes what is happening to them.

Indexed as

Psychotic DisordersHumansSocial StigmaSyndromeAutonomyBeneficenceBiomarkersClinical high risk (CHR)PsychosisStigma

Identifiers

PMID32402605
PMCPMC8218020
OpenAlexW3023277950

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.