Evidence map›Paper›PMID 36309537›Full record

ArticleSchizophrenia (Heidelberg, Germany)2022

Impaired dynamic functional brain properties and their relationship to symptoms in never treated first-episode patients with schizophrenia.

Wanfang You, Lekai Luo, Li Yao, Youjin Zhao, Qian Li, Yuxia Wang, Yaxuan Wang, Qian Zhang, Fenghua Long, John A Sweeney and 2 more

Open access · diamondAbstract read
In one paragraph

Article in Schizophrenia (Heidelberg, Germany), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
6.8field-weighted citation impact, top 2% 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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 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

12 authors at 3 institutions in 2 countries.

Wanfang You *Huaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital of Sichuan University, 610041, Chengdu, Sichuan, P. R. China.
Lekai Luo *Huaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital of Sichuan University, 610041, Chengdu, Sichuan, P. R. China.
Li YaoHuaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital of Sichuan University, 610041, Chengdu, Sichuan, P. R. China.
Youjin ZhaoHuaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital of Sichuan University, 610041, Chengdu, Sichuan, P. R. China.
Qian LiHuaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital of Sichuan University, 610041, Chengdu, Sichuan, P. R. China.
Yuxia WangHuaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital of Sichuan University, 610041, Chengdu, Sichuan, P. R. China.
Yaxuan WangHuaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital of Sichuan University, 610041, Chengdu, Sichuan, P. R. China.
Qian ZhangHuaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital of Sichuan University, 610041, Chengdu, Sichuan, P. R. China.
Fenghua LongHuaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital of Sichuan University, 610041, Chengdu, Sichuan, P. R. China.ORCID http://orcid.org/0000-0002-8287-9009
John A SweeneyHuaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital of Sichuan University, 610041, Chengdu, Sichuan, P. R. China.
Qiyong GongHuaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital of Sichuan University, 610041, Chengdu, Sichuan, P. R. China.
Fei LiHuaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital of Sichuan University, 610041, Chengdu, Sichuan, P. R. China. charlie_lee@qq.com.ORCID http://orcid.org/0000-0002-4737-5710
Chinese Academy of Medical Sciences & Peking Union Medical College · CNSichuan University · CNXiamen University · CN

Funding

China Postdoctoral Science Foundation 2020M673245Department of Science and Technology of Sichuan Province (Sichuan Provincial Department of Science and Technology) 2021YFS0077Department of Science and Technology of Sichuan Province (Sichuan Provincial Department of Science and Technology) 2022YFS0069National Natural Science Foundation of China (National Science Foundation of China) 61876032National Natural Science Foundation of China (National Science Foundation of China) 81621003National Natural Science Foundation of China (National Science Foundation of China) 81761128023National Natural Science Foundation of China (National Science Foundation of China) 81820108018National Natural Science Foundation of China (National Science Foundation of China) 82001795National Natural Science Foundation of China (National Science Foundation of China) 82027808National Natural Science Foundation of China (National Science Foundation of China) 82102007
6 · The paper itself

Abstract

Studies of dynamic functional connectivity (dFC) and topology can provide novel insights into the neurophysiology of brain dysfunction in schizophrenia and its relation to core symptoms of psychosis. Limited investigations of these disturbances have been conducted with never-treated first-episode patients to avoid the confounds of treatment or chronic illness. Therefore, we recruited 95 acutely ill, first-episode, never-treated patients with schizophrenia and examined brain dFC patterns relative to healthy controls using resting-state functional magnetic resonance imaging and a sliding-window approach. We compared the dynamic attributes at the group level and found patients spent more time in a hypoconnected state and correspondingly less time in a hyperconnected state. Patients demonstrated decreased dynamics of nodal efficiency and eigenvector centrality (EC) in the right medial prefrontal cortex, which was associated with psychosis severity reflected in Positive and Negative Syndrome Scale ratings. We also observed increased dynamics of EC in temporal and sensorimotor regions. These findings were supported by validation analysis. To supplement the group comparison analyses, a support vector classifier was used to identify the dynamic attributes that best distinguished patients from controls at the individual level. Selected features for case-control classification were highly coincident with the properties having significant between-group differences. Our findings provide novel neuroimaging evidence about dynamic characteristics of brain physiology in acute schizophrenia. The clinically relevant atypical pattern of dynamic shifting between brain states in schizophrenia may represent a critical aspect of illness pathophysiology underpinning its defining cognitive, behavioral, and affective features.

Identifiers

PMID36309537
PMCPMC9617869
OpenAlexW4307676548

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.