Evidence map›Paper›PMID 38314778›Full record

ArticlePsychological medicine2023

The relationship between sex and functional outcome in first-episode schizophrenia: the role of premorbid adjustment and insight.

Joseph Ventura, Kenneth L Subotnik, Sam Han, Gerhard S Hellemann, Michael F Green, Keith H Nuechterlein

Abstract read
In one paragraph

Article in Psychological medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Anosognosia in schizophrenia.CNS spectrums · 2024
    Review
  7. Article
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

6 authors.

Joseph VenturaUCLA Department of Psychiatry and Biobehavioral Sciences, Jane and Terry Semel Institute for Neuroscience and Human Behavior at UCLA, University of California, Los Angeles, California, USA.
Kenneth L SubotnikUCLA Department of Psychiatry and Biobehavioral Sciences, Jane and Terry Semel Institute for Neuroscience and Human Behavior at UCLA, University of California, Los Angeles, California, USA.ORCID 0000-0003-0587-7285
Sam HanGraduate School of Education and Psychology, Pepperdine University, Malibu, California, USA.ORCID 0000-0001-8459-2012
Gerhard S HellemannSchool of Public Health, Biostatistics Department, University of Alabama, Tuscaloosa, Alabama, USA.ORCID 0000-0003-2449-7704
Michael F GreenUCLA Department of Psychiatry and Biobehavioral Sciences, Jane and Terry Semel Institute for Neuroscience and Human Behavior at UCLA, University of California, Los Angeles, California, USA.
Keith H NuechterleinUCLA Department of Psychiatry and Biobehavioral Sciences, Jane and Terry Semel Institute for Neuroscience and Human Behavior at UCLA, University of California, Los Angeles, California, USA.

Funding

STRESS AND EMOTIONAL REACTIVITYP50MH066286 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI YEE-BRADBURY, CINDY M. · 2003 to 2014
$18.6M
DEVELOPMENTAL PROCESSES IN SCHIZOPHRENIC DISORDERSR01MH037705 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI NUECHTERLEIN, KEITH H · 1985 to 2010
$5.1M
Enhancing Cognitive Training through Exercise after a First Schizophrenia EpisodeR34MH102529 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI NUECHTERLEIN, KEITH H · 2014 to 2015
$781k
Janssen Research and DevelopmentNIMH NIH HHS P50 MH066286NIMH NIH HHS R01 MH037705NIMH NIH HHS R34 MH102529
6 · The paper itself

Abstract

backgroundStudies that examined sex differences in first-episode patients consistently show that males compared to females have poor premorbid adjustment, earlier age of onset, worse clinical characteristics, and poorer outcomes. However, little is known about potential mediators that could explain these sex differences.

methodsOur sample consisted of 137 individuals with first episode schizophrenia (males,

resultsMales as compared to females had poorer premorbid adjustment across several key developmental periods ( DISCUSSION: Males compared to females were at lower levels across several key premorbid and clinical domains which are strongly associated with functional outcome supporting the hypothesis that males might have a more disabling form of schizophrenia. The relationship between sex with role and social functioning was mediated through premorbid adjustment and insight suggesting pathways for understanding why females might have a less disabling form of schizophrenia.

Indexed as

Psychotic DisordersSchizophreniaAdultFemaleHumansMaleSchizophrenic PsychologySex CharacteristicsSocial AdjustmentYoung AdultAge of onsetfirst episode schizophreniafunctional outcomeinsightmediation analysisneurocognitionpremorbid adjustmentsex differences

Identifiers

PMID38314778
PMCPMC10600815

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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.