Evidence map›Paper›PMID 36472382›Full record

ArticleSchizophrenia bulletin2023

Dysconnectivity in Schizophrenia Revisited: Abnormal Temporal Organization of Dynamic Functional Connectivity in Patients With a First Episode of Psychosis.

Juan P Ramirez-Mahaluf, Ángeles Tepper, Luz Maria Alliende, Carlos Mena, Carmen Paz Castañeda, Barbara Iruretagoyena, Ruben Nachar, Francisco Reyes-Madrigal, Pablo León-Ortiz, Ricardo Mora-Durán and 5 more

Open access · greenAbstract read
In one paragraph

Article in Schizophrenia bulletin, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

16 citing papers in PubMed, 20 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

15 authors at 5 institutions in 3 countries.

Juan P Ramirez-MahalufDepartment of Psychiatry, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Ángeles TepperDepartment of Psychiatry, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.ORCID 0000-0001-9506-1305
Luz Maria AlliendeDepartment of Psychiatry, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Carlos MenaDepartment of Psychiatry, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Carmen Paz CastañedaEarly Intervention Program, Instituto Psiquiátrico Dr. J Horwitz Barak, Santiago, Chile.
Barbara IruretagoyenaEarly Intervention Program, Instituto Psiquiátrico Dr. J Horwitz Barak, Santiago, Chile.
Ruben NacharEarly Intervention Program, Instituto Psiquiátrico Dr. J Horwitz Barak, Santiago, Chile.
Francisco Reyes-MadrigalLaboratory of Experimental Psychiatry, Instituto Nacional de Neurología y Neurocirugía, Mexico City, Mexico.ORCID 0000-0003-0772-4119
Pablo León-OrtizLaboratory of Experimental Psychiatry, Instituto Nacional de Neurología y Neurocirugía, Mexico City, Mexico.
Ricardo Mora-DuránEmergency Department, Hospital Fray Bernardino Álvarez, Mexico City, Mexico.
Tomas OssandonDepartment of Psychiatry, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.
Alfonso Gonzalez-ValderramaEarly Intervention Program, Instituto Psiquiátrico Dr. J Horwitz Barak, Santiago, Chile.
Juan UndurragaEarly Intervention Program, Instituto Psiquiátrico Dr. J Horwitz Barak, Santiago, Chile.ORCID 0000-0001-6958-2369
Camilo de la Fuente-SandovalLaboratory of Experimental Psychiatry, Instituto Nacional de Neurología y Neurocirugía, Mexico City, Mexico.ORCID 0000-0003-0773-1642
Nicolas A CrossleyDepartment of Psychiatry, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.ORCID 0000-0002-3060-656X
Pontificia Universidad Católica de Chile · CLInstituto Nacional de Neurología y Neurocirugía · MXFinis Terrae University · CLUniversidad del Desarrollo · CLUniversidad Fray Luca Paccioli · MX

Funding

Biomarkers of Conversion Risk and Treatment Response in Early-Stage SchizophreniaR01MH110270 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI GIRGIS, RAGY RAMSIS, KEGELES, LAWRENCE S · 2017 to 2021
$3.7M
NIMH NIH HHS R01 MH110270
6 · The paper itself

Abstract

background and hypothesisAbnormal functional connectivity between brain regions is a consistent finding in schizophrenia, including functional magnetic resonance imaging (fMRI) studies. Recent studies have highlighted that connectivity changes in time in healthy subjects. We here examined the temporal changes in functional connectivity in patients with a first episode of psychosis (FEP). Specifically, we analyzed the temporal order in which whole-brain organization states were visited. STUDY

designTwo case-control studies, including in each sample a subgroup scanned a second time after treatment. Chilean sample included 79 patients with a FEP and 83 healthy controls. Mexican sample included 21 antipsychotic-naïve FEP patients and 15 healthy controls. Characteristics of the temporal trajectories between whole-brain functional connectivity meta-states were examined via resting-state functional MRI using elements of network science. We compared the cohorts of cases and controls and explored their differences as well as potential associations with symptoms, cognition, and antipsychotic medication doses. STUDY

resultsWe found that the temporal sequence in which patients' brain dynamics visited the different states was more redundant and segregated. Patients were less flexible than controls in changing their network in time from different configurations, and explored the whole landscape of possible states in a less efficient way. These changes were related to the dose of antipsychotics the patients were receiving. We replicated the relationship with antipsychotic medication in the antipsychotic-naïve FEP sample scanned before and after treatment.

conclusionsWe conclude that psychosis is related to a temporal disorganization of the brain's dynamic functional connectivity, and this is associated with antipsychotic medication use.

Indexed as

Antipsychotic AgentsPsychotic DisordersSchizophreniaBrainBrain MappingHumansMagnetic Resonance ImagingAntipsychotic Agentsantipsychoticbrain networksdynamic connectivitygraph analysismeta-statesschizophrenia

Identifiers

PMID36472382
PMCPMC10154721
OpenAlexW4310783215

What OpenQuestion holds

Textmetadata
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.