Evidence map›Paper›PMID 34296524›Full record

ArticleEarly intervention in psychiatry2022

Time-course of clinical symptoms in young people at ultra-high risk for transition to psychosis.

Anna Meneghelli, Angelo Cocchi, Maria Meliante, Simona Barbera, Lara Malvini, Emiliano Monzani, Antonio Preti, Mauro Percudani

Open access · hybridAbstract read
In one paragraph

Article in Early intervention in psychiatry, 2022. 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 30% 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, 8 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 1 institution in 1 country.

Anna MeneghelliProgramma2000 - Center for Early Detection and Intervention in Psychosis, Department of Mental Health and Addiction Services, Niguarda Hospital, Milan, Italy.
Angelo CocchiProgramma2000 - Center for Early Detection and Intervention in Psychosis, Department of Mental Health and Addiction Services, Niguarda Hospital, Milan, Italy.
Maria MelianteProgramma2000 - Center for Early Detection and Intervention in Psychosis, Department of Mental Health and Addiction Services, Niguarda Hospital, Milan, Italy.
Simona BarberaProgramma2000 - Center for Early Detection and Intervention in Psychosis, Department of Mental Health and Addiction Services, Niguarda Hospital, Milan, Italy.
Lara MalviniProgramma2000 - Center for Early Detection and Intervention in Psychosis, Department of Mental Health and Addiction Services, Niguarda Hospital, Milan, Italy.
Emiliano MonzaniDepartment of Mental Health & Drug Abuse, ASST Bergamo Ovest - Treviglio, Niguarda Hospital, BG, Italy.
Antonio PretiProgramma2000 - Center for Early Detection and Intervention in Psychosis, Department of Mental Health and Addiction Services, Niguarda Hospital, Milan, Italy.ORCID 0000-0001-9003-9838
Mauro PercudaniProgramma2000 - Center for Early Detection and Intervention in Psychosis, Department of Mental Health and Addiction Services, Niguarda Hospital, Milan, Italy.
Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUltra-high risk (UHR) people are a heterogeneous group with variable outcomes. This study aimed at (a) estimating trajectories of response to treatment to identify homogeneous subgroups; (b) establishing the impact on these trajectories of known predictors of outcome in UHR subjects.

methodsMixed models of growth curves and latent class growth analysis (LCGA) were applied to the 24-item brief psychiatric rating scale (BPRS) to measure the response to treatment over 2 years in 125 UHR participants. Group differences were tested on sociodemographic variables and clinical indicators that are known to affect the outcome in UHR people.

resultsBPRS scores decreased across all tested models, with a greater decrease for affective and positive symptoms than for all other dimensions of BPRS. Past admissions to the hospital for psychiatric reasons other than psychosis and the presence of a decline in premorbid functioning before the episode were associated with a slower decrease of BPRS score. LCGA identified three classes, one (82% of participants) with a progressive decrease in the BPRS scores, a second class with a moderate improvement (10%), and a third with no improvement (8%). Those in the 'no improvement' class had a higher chance of receiving a diagnosis of psychosis within the spectrum of schizophrenia.

conclusionMost UHR individuals that are treated within a specialized service undergo substantial improvement in their psychopathology, but some seem resistant to the protocol of treatment and need close reevaluation within the first 12 months of treatment.

Indexed as

Psychotic DisordersSchizophreniaAdolescentBrief Psychiatric Rating ScaleHumansPsychiatric Status Rating ScalesPsychopathologyearly interventiongrowth mixed modelheterogeneitypsychosisultra-high risk

Identifiers

PMID34296524
PMCPMC9543341
OpenAlexW3187021895

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.