Evidence map›Paper›PMID 36401598›Full record

ArticleAnnals of clinical and translational neurology2023

Cerebellar impulsivity-compulsivity assessment scale.

Chi-Ying R Lin, Nadia Amokrane, Serena Chen, Tiffany X Chen, Ruo-Yah Lai, Paula Trinh, Michael J Minyetty, Haidyn Emmerich, Ming-Kai Pan, Daniel O Claassen and 1 more

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 39% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Suicidal Ideation in Spinocerebellar Ataxia.The Journal of neuropsychiatry and clinical neurosciences · 2026
    Article
  4. Brain-Behavior Relationships: Neural Mechanisms of Impulsivity and Compulsivity in Neuropsychiatric Disorders.Cognitive and behavioral neurology : official journal of the Society for Behavioral and Cognitive Neurology · 2025
    Review
  5. Article
  6. Consensus Paper: Cerebellum and Reward.Cerebellum (London, England) · 2024
    Review
  7. Review
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

11 authors at 5 institutions in 2 countries.

Chi-Ying R LinParkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, Houston, Texas, USA.ORCID 0000-0002-9607-974X
Nadia AmokraneDepartment of Neurology, Columbia University Medical Center, New York, New York, USA.ORCID 0000-0002-5460-0234
Serena ChenDepartment of Neurology, Columbia University Medical Center, New York, New York, USA.
Tiffany X ChenDepartment of Neurology, Columbia University Medical Center, New York, New York, USA.ORCID 0000-0001-5443-0610
Ruo-Yah LaiDepartment of Neurology, Columbia University Medical Center, New York, New York, USA.
Paula TrinhDepartment of Neurology, Columbia University Medical Center, New York, New York, USA.
Michael J MinyettyDepartment of Neurology, Columbia University Medical Center, New York, New York, USA.
Haidyn EmmerichDepartment of Neurology, Columbia University Medical Center, New York, New York, USA.
Ming-Kai PanDepartment of Medical Research, National Taiwan University Hospital, Taipei, Taiwan.
Daniel O ClaassenDepartment of Neurology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID 0000-0002-9853-4902
Sheng-Han KuoDepartment of Neurology, Columbia University Medical Center, New York, New York, USA.ORCID 0000-0002-9412-931X
Columbia University Irving Medical Center · USBaylor College of Medicine · USJohns Hopkins University · USNational Taiwan University Hospital · TWVanderbilt University Medical Center · US

Funding

Overall: Eunice Kennedy Shriver Intellectual and Developmental Disabilities Research Center at VanderbiltP50HD103537 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Jeffrey L Neul · 2020 to 2026
$10.3M
Targeting Cerebellar Endoplasmic Reticulum Calcium Handling in Essential TremorR01NS124854 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI PHYLLIS L FAUST, Sheng-Han Kuo · 2022 to 2026
$2.9M
Targeting Cerebellar Excitatory Synapses for Tremor ProgressionR01NS118179 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI KUO, SHENG-HAN · 2020 to 2024
$2.2M
Cerebellar Circuitry in the Pathophysiology of TremorR01NS104423 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI KUO, SHENG-HAN · 2018 to 2022
$2.0M
NICHD NIH HHS P50 HD103537NINDS NIH HHS R01 NS104423NINDS NIH HHS R01 NS118179NINDS NIH HHS R01 NS124854
6 · The paper itself

Abstract

objectiveThe cerebellum has been identified as the key brain region that modulates reward processing in animal models. Consistently, we recently found that people with cerebellar ataxia have impulsive and compulsive behaviors (ICBs), the main symptoms related to abnormal reward processing. Due to the lack of a validated scale to quantitatively measure ICBs in cerebellar disorders, we aim to develop and validate a new scale, Cerebellar Impulsivity-Compulsivity Assessment (CIA).

methodsWe recruited 62 cerebellar ataxia cases, categorized into those with ICBs and those without. We developed a preliminary version of CIA, containing 17 questions. We studied the internal consistency, test-retest reliability, and inter-rater reliability to formulate the final version of CIA, which constitutes only 10 questions. The receiver operating characteristic curve (ROC) was generated to assess the sensitivity and specificity of CIA.

resultsCerebellar ataxia cases with ICBs have threefold higher total preliminary CIA scores than those without ICBs (12.06 ± 5.96 vs. 4.68 ± 3.50, p = 0.038). Cronbach's alpha revealed good internal consistency across all items (α > 0.70). By performing the test-retest reliability and inter-rater reliability on the preliminary version of CIA, we excluded seven questions (r < 0.70) and generated the final version of CIA. Based on the ROC, a score of 8.0 in CIA was chosen as the cut-off for ICBs in individuals with cerebellar ataxia with 81% sensitivity and 81% specificity.

interpretationCIA is a novel tool to assess ICBs in cerebellar ataxia and broaden our understanding of the cerebellum-related cognitive and behavioral symptoms.

Indexed as

Cerebellar AtaxiaCerebellar DiseasesCerebellumHumansImpulsive BehaviorReproducibility of Results

Identifiers

PMID36401598
PMCPMC9852385
OpenAlexW4309393116

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.