Evidence map›Paper›PMID 34233651›Full record

ArticleBMC psychiatry2021

Duration of basic and attenuated-psychotic symptoms in individuals at clinical high risk for psychosis: pattern of symptom onset and effects of duration on functioning and cognition.

Lorna Staines, Ruchika Gajwani, Joachim Gross, Andrew I Gumley, Stephen M Lawrie, Matthias Schwannauer, Frauke Schultze-Lutter, Peter J Uhlhaas

Open access · goldAbstract read
In one paragraph

Article in BMC 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
0.6field-weighted citation impact, top 34% 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, 7 citations in OpenAlex.

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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 at 4 institutions in 5 countries.

Lorna StainesInstitute for Neuroscience and Psychology, University of Glasgow, Glasgow, UK.
Ruchika GajwaniInstitute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Joachim GrossInstitute for Neuroscience and Psychology, University of Glasgow, Glasgow, UK.
Andrew I GumleyInstitute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Stephen M LawrieDepartment of Psychiatry, University of Edinburgh, Edinburgh, UK.
Matthias SchwannauerDepartment of Clinical Psychology, University of Edinburgh, Edinburgh, UK.
Frauke Schultze-LutterDepartment of Psychiatry and Psychotherapy, Medical Faculty, Heinrich Heine University, Düsseldorf, Germany.
Peter J UhlhaasInstitute for Neuroscience and Psychology, University of Glasgow, Glasgow, UK. peter.uhlhaas@charit.de.
University of Glasgow · GBUniversity of Edinburgh · GBAirlangga University · IDCharité - Universitätsmedizin Berlin · DE

Funding

Medical Research Council MR/L011689/1Medical Research Council MR/N003403/1
6 · The paper itself

Abstract

introductionDuration of risk symptoms (DUR) in people at clinical high risk for psychosis (CHR-P) has been related to poorer clinical outcomes, such as reduced functioning, but it is currently unclear how different symptoms emerge as well as their link with cognitive deficits. To address these questions, we examined the duration of basic symptoms (BS) and attenuated psychotic symptoms (APS) in a sample of CHR-P participants to test the hypothesis that BS precede the manifestation of APS. As a secondary objective, we investigated the relationship between DUR, functioning and neuropsychological deficits.

methodsData from 134 CHR-P participants were assessed with the Comprehensive Assessment of At-Risk Mental State and the Schizophrenia Proneness Interview, Adult Version. Global, role and social functioning and neurocognition were assessed and compared to a sample of healthy controls (n = 57).

resultsIn CHR-P participants who reported both APS and BS, onset of BS and APS was not significantly related. When divided into short and long BS duration (</> 8 years), CHR-P participants with a longer duration of BS showed evidence for an onset of BS preceding APS (n = 8, p = 0.003). However, in the short BS duration group, APS showed evidence of preceding BS (n = 56, p = 0.020). Finally, there were no significant effects of DUR on cognition or functioning measures.

conclusionThe present findings do not support the view that APS constitute a secondary phenomenon to BS. Moreover, our data could also not confirm that DUR has a significant effect on functioning and cognitive deficits. These findings are discussed in the context of current theories regarding emerging psychosis and the importance of DUR.

Indexed as

Cognition DisordersCognitive DysfunctionPsychotic DisordersSchizophreniaAdultCognitionHumansProdromal SymptomsAttenuated psychotic symptomsBasic symptomsClinical high risk for psychosisCognitionDurationPsychosis

Identifiers

PMID34233651
PMCPMC8265048
OpenAlexW3181759222

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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.