Evidence map›Paper›PMID 32799938›Full record

ArticlePsychological medicine2022

Both unmedicated and medicated individuals with schizophrenia show impairments across a wide array of cognitive and reinforcement learning tasks.

Erin K Moran, James M Gold, Cameron S Carter, Angus W MacDonald, J Daniel Ragland, Steven M Silverstein, Steven J Luck, Deanna M Barch

Registry-linked trialAbstract read
In one paragraph

Article in Psychological medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07196423 (Glutamate Changes as a New Neurocognitive Marker in Psychosis), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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.

NCT07196423 narecruitingnot on this mapstarted 2026, after this paper: background citation

Glutamate Changes as a New Neurocognitive Marker in Psychosis

TypeinterventionalSponsorUniversity of NottinghamRan2026 to 2027Enrolled106ConditionsFirst Episode Psychosis (FEP), PsychosisArmsTranscranial direct current stimulation (tDCS), Magnetic Resonance Imaging
3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Impaired Contour Object Perception in Psychosis.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2026
    Article
  4. Article
  5. Article
  6. Motivation and Pleasure Deficits Undermine the Benefits of Social Affiliation in Psychosis.Clinical psychological science : a journal of the Association for Psychological Science · 2024
    Article
  7. Article
  8. Impaired contour object perception in psychosis.medRxiv : the preprint server for health sciences · 2024
    Article
  9. Article
  10. Article
  11. 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

8 authors.

Erin K MoranDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA.
James M GoldDepartment of Psychiatry, Maryland Psychiatric Research Center, University of Maryland School of Medicine, Baltimore, MD, USA.
Cameron S CarterDepartment of Psychiatry, University of California, Davis, CA, USA.
Angus W MacDonaldDepartment of Psychology, University of Minnesota, Minneapolis, MN, USA.
J Daniel RaglandDepartment of Psychiatry, University of California, Davis, CA, USA.
Steven M SilversteinDepartment of Psychiatry, Rutgers Robert Wood Johnson Medical School Hospital, Piscataway, NJ, USA.
Steven J LuckDepartment of Psychology, University of California, Davis, CA, USA.
Deanna M BarchDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA.

Funding

Cognitive Neurocomputational Task Reliability and Clinical Applications ConsortiumR01MH084840 · NIMH · WASHINGTON UNIVERSITY · PI Deanna Barch, Cameron S. Carter · 2008 to 2026
$8.5M
4/5-Cognitive Neuroscience Task Reliability & Clinical Applications ConsortiumR01MH084821 · NIMH · UNIVERSITY OF MARYLAND BALTIMORE · PI GOLD, JAMES M. · 2008 to 2023
$4.2M
2/5-Cognitive Neuroscience Task Reliability & Clinical Applications ConsortiumR01MH084826 · NIMH · UNIVERSITY OF CALIFORNIA-IRVINE · PI CARTER, CAMERON S. · 2008 to 2023
$4.0M
5/5-Cognitive Neuroscience Task Reliability & Clinical Applications ConsortiumR01MH084861 · NIMH · UNIVERSITY OF MINNESOTA · PI MACDONALD, ANGUS W · 2008 to 2024
$3.8M
Cognitive Neurocomputational Task Reliability & Clinical Applications ConsortiumR01MH084828 · NIMH · UNIV OF MED/DENT NJ-R W JOHNSON MED SCH · PI SILVERSTEIN, STEVEN M · 2008 to 2024
$3.3M
NIMH NIH HHS R01 MH084821NIMH NIH HHS R01 MH084826NIMH NIH HHS R01 MH084828NIMH NIH HHS R01 MH084840NIMH NIH HHS R01 MH084861
6 · The paper itself

Abstract

backgroundSchizophrenia is a disorder characterized by pervasive deficits in cognitive functioning. However, few well-powered studies have examined the degree to which cognitive performance is impaired even among individuals with schizophrenia not currently on antipsychotic medications using a wide range of cognitive and reinforcement learning measures derived from cognitive neuroscience. Such research is particularly needed in the domain of reinforcement learning, given the central role of dopamine in reinforcement learning, and the potential impact of antipsychotic medications on dopamine function.

methodsThe present study sought to fill this gap by examining healthy controls (

resultsIndividuals with schizophrenia who were not taking antipsychotic medications, as well as those taking antipsychotic medications, showed pervasive deficits across cognitive domains including reinforcement learning, processing speed, cognitive control, working memory, verbal learning and relational encoding and retrieval. Further, we found that chlorpromazine equivalency rates were significantly related to processing speed and working memory, while there were no significant relationships between anticholinergic load and performance on other tasks.

conclusionsThese findings add to a body of literature suggesting that cognitive deficits are an enduring aspect of schizophrenia, present in those off antipsychotic medications as well as those taking antipsychotic medications.

Indexed as

Antipsychotic AgentsSchizophreniaCognitionDopamineHumansMemory, Short-TermNeuropsychological TestsAntipsychotic AgentsDopamineAntipsychotic medicationscognitionreinforcement learningschizophrenia

Identifiers

PMID32799938
PMCPMC8095353

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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.