Evidence map›Paper›PMID 39024959›Full record

ArticleSchizophrenia research2024

Altered brain and physiological stress responses in early psychosis.

Brandee Feola, Elizabeth A Flook, Dongju J Seo, Victoria Fox, Jesse Oler, Stephan Heckers, Neil D Woodward, Jennifer Urbano Blackford

Abstract read
In one paragraph

Article in Schizophrenia research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Brandee FeolaDepartment of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, United States of America. Electronic address: brandee.feola@vumc.org.
Elizabeth A FlookUniversity of Pennsylvania Medical School, United States of America.
Dongju J SeoYale School of Medicine, United States of America.
Victoria FoxDepartment of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, United States of America.
Jesse OlerUniversity of Miami School of Medicine, United States of America.
Stephan HeckersDepartment of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, United States of America.
Neil D WoodwardDepartment of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, United States of America.
Jennifer Urbano BlackfordMunroe-Meyer Institute, University of Nebraska Medical Center, United States of America.

Funding

Vanderbilt Institute for Clinical and Translational Research (VICTR) -Identifying correlates of functional immunity in SARS-CoV-2 convalescent plasmaUL1TR002243 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Paul A. Harris, Wesley H Self · 2017 to 2026
$130.7M
LIFE-SPAN DEVELOPMENT OF NORMAL AND ABNORMAL BEHAVIORT32MH018921 · NIMH · VANDERBILT UNIVERSITY · PI HUMPHREYS, KATHRYN LEIGH · 1989 to 2024
$6.7M
Negative Valence Systems in SchizophreniaR01MH127018 · NIMH · VANDERBILT UNIVERSITY MEDICAL CENTER · PI FEOLA, BRANDEE, WOODWARD, NEIL D. · 2021 to 2025
$3.3M
NCATS NIH HHS UL1 TR002243NIMH NIH HHS R01 MH127018NIMH NIH HHS T32 MH018921
6 · The paper itself

Abstract

Stress is proposed to be a crucial factor in the onset and presentation of psychosis. The early stage of psychosis provides a window into how stress interacts with the emergence of psychosis. Yet, how people with early psychosis respond to stress remains unclear. The current study examined how stress responses (brain, physiological, self-report) differ in early psychosis. Forty participants (20 early psychosis [EP], 20 healthy controls [HC]) completed a stress task in the scanner that involved viewing stressful and neutral-relaxing images. Physiological responses (cortisol, heart rate) and self-report of stress were also assessed. Region of Interest analyses were conducted with brain regions previously shown to be activated during the stress task (amygdala, hippocampus, striatum, hypothalamus, prefrontal cortex [dorsolateral, ventrolateral, medial orbital]). Linear mixed models were used to test for effects of group (EP, HC) and emotion (stress, neutral-relaxing). HC had higher hippocampus activation to stress versus neutral-relaxing conditions while EP did not show a difference (group x emotion interaction, p = 0.04). There were also significant main effects of group with EP having higher amygdala activation (p = 0.01), ventrolateral prefrontal cortex activation (vlPFC, p = 0.03), self-report of stress (p = 0.01), and heart rate (p < 0.001). Our study found preliminary evidence that people with early psychosis showed heightened response to stressful and non-threatening situations, across multiple levels of stress responses. Our findings suggest a novel perspective on stress alterations in early psychosis and highlight the importance of considering both stressful and non-stressful situations.

Indexed as

BrainHeart RateHydrocortisoneMagnetic Resonance ImagingPsychotic DisordersStress, PsychologicalAdolescentAdultFemaleHumansMaleSalivaSelf ReportStress, PhysiologicalYoung AdultHydrocortisoneAmygdalaBrain activationHippocampusPhysiological responsesPrefrontal cortexSchizophrenia

Identifiers

PMID39024959
PMCPMC12036634

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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.