Evidence map›Paper›PMID 40055632›Full record

Observational studyBMC psychiatry2025

Relationship between cognitive impairments and psychopathological symptoms in female schizophrenia subsequent to 8 weeks treatment with antipsychotic drugs.

Shuzhan Gao, Qing Xu, Yanlin Han, Jing Jiang, Fan Wu, Ting Peng, Chenxi Ling, Sulin Ni, Rongrong Zhang, Yidan Ming and 2 more

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT03451734. Not yet cited in PubMed.

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

NCT03451734 completed

Optimizing and Individualizing the Pharmacological Treatment of First-episode Schizophrenic Patients

Ran2018Enrolled2,000Registered outcomes4Posted comparisons0ConditionsMetabolic Syndrome, SchizophreniaArmsadjunctive group, antipsychotic medications, metformin and lifestyle intervention
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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Shuzhan GaoDepartment of Psychiatry, the Affiliated Brain Hospital of Nanjing Medical University, Nanjing Brain Hospital, Nanjing, 210029, China.
Qing XuDepartment of Psychiatry, the Affiliated Brain Hospital of Nanjing Medical University, Nanjing Brain Hospital, Nanjing, 210029, China.
Yanlin HanDepartment of Psychiatry, the Affiliated Brain Hospital of Nanjing Medical University, Nanjing Brain Hospital, Nanjing, 210029, China.
Jing JiangDepartment of Psychiatry, the Affiliated Brain Hospital of Nanjing Medical University, Nanjing Brain Hospital, Nanjing, 210029, China.
Fan WuDepartment of Psychiatry, the Affiliated Brain Hospital of Nanjing Medical University, Nanjing Brain Hospital, Nanjing, 210029, China.
Ting PengDepartment of Psychiatry, the Affiliated Brain Hospital of Nanjing Medical University, Nanjing Brain Hospital, Nanjing, 210029, China.
Chenxi LingDepartment of Psychiatry, the Affiliated Brain Hospital of Nanjing Medical University, Nanjing Brain Hospital, Nanjing, 210029, China.
Sulin NiDepartment of Psychiatry, the Affiliated Brain Hospital of Nanjing Medical University, Nanjing Brain Hospital, Nanjing, 210029, China.
Rongrong ZhangDepartment of Psychiatry, the Affiliated Brain Hospital of Nanjing Medical University, Nanjing Brain Hospital, Nanjing, 210029, China.
Yidan MingDepartment of Psychiatry, the Affiliated Brain Hospital of Nanjing Medical University, Nanjing Brain Hospital, Nanjing, 210029, China.
Xuzhen LiuDepartment of Psychiatry, the Affiliated Brain Hospital of Nanjing Medical University, Nanjing Brain Hospital, Nanjing, 210029, China. liuxuzhen@c-nbh.com.
Xijia XuDepartment of Psychiatry, the Affiliated Brain Hospital of Nanjing Medical University, Nanjing Brain Hospital, Nanjing, 210029, China. xuxijia@c-nbh.com.ORCID 0000-0002-0598-7188

Funding

Key Research and Development Plan in Jiangsu (Social Development) BE2022677Nanjing Health Technology Development Project YKK 23138National Key R&D Program of China 2016YFC1306900National Natural Science Foundation of China 82172061Training and Management of Young Talents in Nanjing Brain Hospital 23-25-289
6 · The paper itself

Abstract

backgroundChanges in cognitive impairments and their relationship with psychopathological symptoms during treatment in schizophrenia remain debatable. Especially, there is few studies specifically focusing on female patients. Further exploration of the characteristics of female schizophrenia patients can offer valuable sex-related considerations for clinicians in diagnosis and interventions.

methodsOur study involved 94 female patients with drug-naïve or drug-withdrawal schizophrenia who received antipsychotic drug for 8 weeks, along with 71 age-matched female healthy controls. The MATRICS Consensus Cognition Battery was used to assess cognition in the healthy controls at baseline and in the schizophrenia patients before and after 8 weeks of treatment. The Positive and Negative Syndrome Scale (PANSS) was employed to evaluate the psychopathological symptoms of the patients before and after 8 weeks of treatment.

resultsAfter antipsychotic treatment, 90.43% of the patients showed a reduction rate of more than 25% in their PANSS scores. Psychopathological symptoms and overall cognitive functioning improved significantly (p < 0.05), with the exception of verbal learning and social cognition (p > 0.05). Most cognitive dimensions were negatively correlated with positive symptoms, negative symptoms, and general psychopathological symptoms (p < 0.05, Bonferroni correction), while verbal learning and social cognition were only correlated with negative symptoms (p < 0.05, Bonferroni correction). Multivariate linear regression analysis revealed that improvements in positive symptoms and negative symptoms can predict the improvement in visual learning (p < 0.05) and overall cognitive composite scores (p < 0.05), improved positive symptoms can predict the improvement in the speed of processing (p < 0.05), reasoning and problem-solving(p < 0.05), and improvement in negative symptoms can predict the improvement in attention/vigilance (p < 0.05).

conclusionsVerbal learning and social cognition may serve as core independent cognitive impairments in female schizophrenia. Improvements in the overall cognitive function, along with most cognitive dimensions, appeared to be secondary to the improvement in positive and negative symptoms during the acute stages of antipsychotic treatment.

trial registrationClinicalTrials.gov Identifier: NCT03451734.

Indexed as

Antipsychotic AgentsCognition DisordersCognitive DysfunctionSchizophreniaSchizophrenic PsychologyAdultCase-Control StudiesFemaleHumansMiddle AgedNeuropsychological TestsPsychiatric Status Rating ScalesAntipsychotic AgentsAntipsychotic drugCognitive impairmentFemaleNegative symptomsPositive symptomsSchizophrenia

Identifiers

PMID40055632
PMCPMC11889899

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Registered trials

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.