Evidence map›Paper›PMID 40045056›Full record

ArticleEuropean archives of psychiatry and clinical neuroscience2025

What autism features in first episode psychosis? Results from a 2-year follow-up study.

Lorenzo Pelizza, Antonio Federico, Emanuela Leuci, Emanuela Quattrone, Derna Palmisano, Simona Pupo, Giuseppina Paulillo, Clara Pellegrini, Pietro Pellegrini, Marco Menchetti

Abstract read
In one paragraph

Article in European archives of psychiatry and clinical neuroscience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

10 authors.

Lorenzo PelizzaDepartment of Biomedical and Neuromotor Sciences, Alma Mater Studiorum-Università di Bologna, Istituto di Psichiatria "Paolo Ottonello", Via Pepoli, 5, 40126, Bologna, Italy. lorenzo.pelizza@unibo.it.ORCID http://orcid.org/0000-0003-4746-2061
Antonio FedericoDepartment of Biomedical and Neuromotor Sciences, Alma Mater Studiorum-Università di Bologna, Istituto di Psichiatria "Paolo Ottonello", Via Pepoli, 5, 40126, Bologna, Italy.
Emanuela LeuciDepartment of Mental Health and Pathological Addiction, Azienda USL di Parma, Parma, Province of Parma, Italy.
Emanuela QuattroneDepartment of Mental Health and Pathological Addiction, Azienda USL di Parma, Parma, Province of Parma, Italy.
Derna PalmisanoDepartment of Mental Health and Pathological Addiction, Azienda USL di Parma, Parma, Province of Parma, Italy.
Simona PupoPain Therapy Service, Department of Medicine and Surgery, Azienda Ospedaliero-Universitaria di Parma, Parma, Province of Parma, Italy.
Giuseppina PaulilloDepartment of Mental Health and Pathological Addiction, Azienda USL di Parma, Parma, Province of Parma, Italy.
Clara PellegriniDepartment of Mental Health and Pathological Addiction, Azienda USL di Parma, Parma, Province of Parma, Italy.
Pietro PellegriniDepartment of Mental Health and Pathological Addiction, Azienda USL di Parma, Parma, Province of Parma, Italy.
Marco MenchettiDepartment of Biomedical and Neuromotor Sciences, Alma Mater Studiorum-Università di Bologna, Istituto di Psichiatria "Paolo Ottonello", Via Pepoli, 5, 40126, Bologna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The PANSS Autism Severity Score (PAUSS) is a popular measure of autistic features in First Episode Psychosis (FEP) samples. However, evidence on its longitudinal stability, course and treatment response is poor. Therefore, the main aim of this research was to compare clinical outcomes between FEP individuals with or without "autistic features" enrolled within an "Early Intervention in Psychosis" (EIP) service across 2 years of follow-up, as well as any significant association with EIP treatment components. FEP subjects completed the Positive And Negative Syndrome Scale (PANSS), the Global Assessment of Functioning (GAF), and the Health of the Nation Outcome Scale (HoNOS) at entry and across the follow-up. Statistical tests included Kaplan-Meyer survival analysis, mixed-design ANOVA, and multiple linear logistic regression analysis. 301 FEP subjects were enrolled (85 [28.0%] scored above the PAUSS cut-off score). Across the follow-up, the PAUSS + subgroup showed lower incidence rates of both symptomatic and functional remission. No PAUSS long-term stability was observed, but a statistically significant reduction in its values. This longitudinal change was mainly predicted by the total number of case management sessions offered within the EIP program. Our results suggest that the PAUSS could not represent a valid instrument to assess "trait-like" autistic features in FEP subjects. On contrary, it seems to capture a FEP subgroup characterized by higher severity levels in psychopathology and poorer outcomes and prognosis.

Indexed as

Autism Spectrum DisorderAutistic DisorderPsychotic DisordersAdolescentAdultFemaleFollow-Up StudiesHumansLongitudinal StudiesMalePsychiatric Status Rating ScalesSeverity of Illness IndexYoung AdultAutism spectrum disorderEarly interventionFirst episode psychosisFollow-upPAUSSPsychopathology

Identifiers

PMID40045056
PMCPMC12638376

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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.