Evidence map›Paper›PMID 39301700›Full record

ArticleHuman brain mapping2024

Changes in the structure of spontaneous speech predict the disruption of hierarchical brain organization in first-episode psychosis.

Rui He, Maria Francisca Alonso-Sánchez, Jorge Sepulcre, Lena Palaniyappan, Wolfram Hinzen

Abstract read
In one paragraph

Article 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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Structural neuroimaging correlates of semantic incoherence in schizophrenia.European archives of psychiatry and clinical neuroscience · 2026
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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

5 authors.

Rui HeDepartment of Translation and Language Sciences, Universitat Pompeu Fabra, Barcelona, Spain.ORCID 0000-0001-6999-1920
Maria Francisca Alonso-SánchezCIDCL, Escuela de Fonoaudiología, Universidad de Valparaíso, Valparaíso, Chile.
Jorge SepulcreDepartment of Radiology and Biomedical Imaging, Yale PET Center, Yale School of Medicine, Yale University, New Haven, Connecticut, USA.
Lena PalaniyappanDouglas Mental Health University Institute, Department of Psychiatry, McGill University, Montreal, Quebec, Canada.
Wolfram HinzenDepartment of Translation and Language Sciences, Universitat Pompeu Fabra, Barcelona, Spain.

Funding

Agencia Nacional de Investigación y Desarrollo 74200048Bucke Family FundCanada First Excellence Research FundCanadian Institutes of Health Research Foundation Grant FDN 154296China Scholarship Council 202108390062European Research CouncilEuropean Research Council 101118756European Research Council ERC-2023-SyGGuangdong Provincial Department of Science and Technology 112175605105Innovation fund for Academic Medical Organization of Southwest OntarioThe Arcangelo Rea Family FoundationThe Children Hospital FoundationThe Chrysalis Foundation
6 · The paper itself

Abstract

Psychosis implicates changes across a broad range of cognitive functions. These functions are cortically organized in the form of a hierarchy ranging from primary sensorimotor (unimodal) to higher-order association cortices, which involve functions such as language (transmodal). Language has long been documented as undergoing structural changes in psychosis. We hypothesized that these changes as revealed in spontaneous speech patterns may act as readouts of alterations in the configuration of this unimodal-to-transmodal axis of cortical organization in psychosis. Results from 29 patients with first-episodic psychosis (FEP) and 29 controls scanned with 7 T resting-state fMRI confirmed a compression of the cortical hierarchy in FEP, which affected metrics of the hierarchical distance between the sensorimotor and default mode networks, and of the hierarchical organization within the semantic network. These organizational changes were predicted by graphs representing semantic and syntactic associations between meaningful units in speech produced during picture descriptions. These findings unite psychosis, language, and the cortical hierarchy in a single conceptual scheme, which helps to situate language within the neurocognition of psychosis and opens the clinical prospect for mental dysfunction to become computationally measurable in spontaneous speech.

Indexed as

Magnetic Resonance ImagingPsychotic DisordersSpeechAdultCerebral CortexDefault Mode NetworkFemaleHumansMaleNerve NetYoung Adultfunctional gradientnatural language processingpsychosissemantic networkspontaneous speech

Identifiers

PMID39301700
PMCPMC11413563

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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.