Evidence map›Paper›PMID 38599765›Full record

ArticleEuropean psychiatry : the journal of the Association of European Psychiatrists2024

PsiOvi Staging Model for Schizophrenia (PsiOvi SMS): A New Internet Tool for Staging Patients with Schizophrenia.

Clara Martínez-Cao, Fernando Sánchez-Lasheras, Ainoa García-Fernández, Leticia González-Blanco, Paula Zurrón-Madera, Pilar A Sáiz, Julio Bobes, María Paz García-Portilla

Abstract read
In one paragraph

Article in European psychiatry : the journal of the Association of European Psychiatrists, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

8 authors.

Clara Martínez-CaoDepartment of Psychiatry, University of Oviedo, Oviedo, Spain.ORCID 0000-0002-3803-9301
Fernando Sánchez-LasherasDepartment of Mathematics, University of Oviedo, Oviedo, Spain.ORCID 0000-0002-7052-2811
Ainoa García-FernándezDepartment of Psychiatry, University of Oviedo, Oviedo, Spain.
Leticia González-BlancoDepartment of Psychiatry, University of Oviedo, Oviedo, Spain.ORCID 0000-0001-6238-4773
Paula Zurrón-MaderaDepartment of Psychiatry, University of Oviedo, Oviedo, Spain.ORCID 0000-0002-5469-9262
Pilar A SáizDepartment of Psychiatry, University of Oviedo, Oviedo, Spain.ORCID 0000-0002-5705-4523
Julio BobesDepartment of Psychiatry, University of Oviedo, Oviedo, Spain.ORCID 0000-0003-2187-4033
María Paz García-PortillaDepartment of Psychiatry, University of Oviedo, Oviedo, Spain.ORCID 0000-0003-3643-1622

Funding

Ministerio de Ciencia, Innovación y Universidades FPU19/01231
6 · The paper itself

Abstract

backgroundOne of the challenges of psychiatry is the staging of patients, especially those with severe mental disorders. Therefore, we aim to develop an empirical staging model for schizophrenia.

methodsData were obtained from 212 stable outpatients with schizophrenia: demographic, clinical, psychometric (PANSS, CAINS, CDSS, OSQ, CGI-S, PSP, MATRICS), inflammatory peripheral blood markers (C-reactive protein, interleukins-1RA and 6, and platelet/lymphocyte [PLR], neutrophil/lymphocyte [NLR], and monocyte/lymphocyte [MLR] ratios). We used machine learning techniques to develop the model (genetic algorithms, support vector machines) and applied a fitness function to measure the model's accuracy (% agreement between patient classification of our model and the CGI-S).

resultsOur model includes 12 variables from 5 dimensions: 1) psychopathology: positive, negative, depressive, general psychopathology symptoms; 2) clinical features: number of hospitalizations; 3) cognition: processing speed, visual learning, social cognition; 4) biomarkers: PLR, NLR, MLR; and 5) functioning: PSP total score. Accuracy was 62% (SD = 5.3), and sensitivity values were appropriate for mild, moderate, and marked severity (from 0.62106 to 0.6728). DISCUSSION: We present a multidimensional, accessible, and easy-to-apply model that goes beyond simply categorizing patients according to CGI-S score. It provides clinicians with a multifaceted patient profile that facilitates the design of personalized intervention plans.

Indexed as

SchizophreniaAdultBiomarkersFemaleHumansInternetMachine LearningMaleMiddle AgedPsychiatric Status Rating ScalesPsychometricsSeverity of Illness IndexBiomarkersclinical toolempirical staging modelmultidimensional modelpersonalized interventionschizophrenia

Identifiers

PMID38599765
PMCPMC11059252

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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.