Evidence map›Paper›PMID 38520370›Full record

SynthesisHuman brain mapping2024

Brain-based sex differences in schizophrenia: A systematic review of fMRI studies.

Mohammad Amin Salehi, Rasa Zafari, Soheil Mohammadi, Mohammad Shahrabi Farahani, Mahsa Dolatshahi, Hamid Harandi, Amirhossein Poopak, Stephen R Dager

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Human brain mapping, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
7.2field-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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
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  10. Microglia as critical mediators linking perinatal immune stress to mental health trajectories.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
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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 4 institutions in 2 countries.

Mohammad Amin SalehiSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-5078-4224
Rasa ZafariSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Soheil MohammadiSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0003-0616-1780
Mohammad Shahrabi FarahaniMedical Students Research Committee, Shahed University, Tehran, Iran.
Mahsa DolatshahiMallinckrodt Institute of Radiology, Division of Neuroradiology, Washington University in St. Louis, St. Louis, Missouri, USA.
Hamid HarandiSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-2913-6054
Amirhossein PoopakSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Stephen R DagerDepartment of Radiology, University of Washington, Seattle, Washington, USA.
Tehran University of Medical Sciences · IRShahed University · IRUniversity of Washington · USWashington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Schizophrenia is a chronic psychiatric disorder with characteristic symptoms of delusions, hallucinations, lack of motivation, and paucity of thought. Recent evidence suggests that the symptoms of schizophrenia, negative symptoms in particular, vary widely between the sexes and that symptom onset is earlier in males. A better understanding of sex-based differences in functional magnetic resonance imaging (fMRI) studies of schizophrenia may provide a key to understanding sex-based symptom differences. This study aimed to summarize sex-based functional magnetic resonance imaging (fMRI) differences in brain activity of patients with schizophrenia. We searched PubMed and Scopus to find fMRI studies that assessed sex-based differences in the brain activity of patients with schizophrenia. We excluded studies that did not evaluate brain activity using fMRI, did not evaluate sex differences, and were nonhuman or in vitro studies. We found 12 studies that met the inclusion criteria for the current systematic review. Compared to females with schizophrenia, males with schizophrenia showed more blood oxygen level-dependent (BOLD) activation in the cerebellum, the temporal gyrus, and the right precuneus cortex. Male patients also had greater occurrence of low-frequency fluctuations in cerebral blood flow in frontal and parietal lobes and the insular cortex, while female patients had greater occurrence of low-frequency fluctuations in the hippocampus, parahippocampus, and lentiform nucleus. The current study summarizes fMRI studies that evaluated sex-based fMRI brain differences in schizophrenia that may help to shed light on the underlying pathophysiology and further understanding of sex-based differences in the clinical presentation and course of the disorder.

Indexed as

Magnetic Resonance ImagingSchizophreniaSex CharacteristicsBrainFemaleHumansMalefunctional MRIneuroimagingresting‐state fMRIschizophreniasex differencetask‐based fMRI

Identifiers

PMID38520370
PMCPMC10960555
OpenAlexW4393119567

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.