Evidence map›Paper›PMID 40108191›Full record

ArticleSchizophrenia (Heidelberg, Germany)2025

Neurobiology-based cognitive biotypes using multi-scale intrinsic connectivity networks in psychotic disorders.

Pablo Andrés-Camazón, Covadonga M Diaz-Caneja, Ram Ballem, Jiayu Chen, Vince D Calhoun, Armin Iraji

Abstract read
In one paragraph

Article in Schizophrenia (Heidelberg, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Pablo Andrés-CamazónInstitute of Psychiatry and Mental Health, Hospital General Universitario Gregorio Marañón, IiSGM, CIBERSAM, ISCIII, School of Medicine, Universidad Complutense, Madrid, Spain. pabloandres.camazon@iisgm.com.ORCID http://orcid.org/0000-0002-7322-1248
Covadonga M Diaz-CanejaInstitute of Psychiatry and Mental Health, Hospital General Universitario Gregorio Marañón, IiSGM, CIBERSAM, ISCIII, School of Medicine, Universidad Complutense, Madrid, Spain.ORCID http://orcid.org/0000-0001-8538-3175
Ram BallemTri-Institutional Center for Translational Research in Neuroimaging and Data Science (Georgia State University, Georgia Institute of Technology, Emory University), Atlanta, GA, USA.
Jiayu ChenTri-Institutional Center for Translational Research in Neuroimaging and Data Science (Georgia State University, Georgia Institute of Technology, Emory University), Atlanta, GA, USA.
Vince D CalhounTri-Institutional Center for Translational Research in Neuroimaging and Data Science (Georgia State University, Georgia Institute of Technology, Emory University), Atlanta, GA, USA.ORCID http://orcid.org/0000-0001-9058-0747
Armin IrajiTri-Institutional Center for Translational Research in Neuroimaging and Data Science (Georgia State University, Georgia Institute of Technology, Emory University), Atlanta, GA, USA.

Funding

Data-driven solutions for temporal, spatial, and spatiotemporal dynamic functional connectivityR01MH123610 · NIMH · GEORGIA STATE UNIVERSITY · PI ADALI, TULAY, CALHOUN, VINCE D · 2021 to 2025
$3.1M
Foundation for the National Institutes of Health (Foundation for the National Institutes of Health, Inc.) R01MH123610NIMH NIH HHS R01 MH123610
6 · The paper itself

Abstract

Understanding neurobiology and developing effective interventions for cognitive dysfunction in psychotic disorders remain elusive. Insufficient knowledge about the biological heterogeneity of cognitive dysfunction hinders progress. We aimed to identify subgroups of patients with psychosis and distinct patterns of functional brain alterations related to cognition (cognitive biotypes). We analyzed B-SNIP consortium data (2 270 participants including participants with psychotic disorders, relatives, and controls, 55% females). We used reference-informed independent component analysis with the standardized and fully automated framework NeuroMark and the 100k multi-scale intrinsic connectivity networks (ICN) template to obtain subject-specific ICNs and whole-brain functional network connectivity (FNC). FNC features associated with cognitive performance were identified using multivariate joint analysis. K-means clustering identified patient subgroups based on these features. Two biotypes with different functional brain alteration patterns were identified. Relative to controls, biotype 1 exhibited hypoconnectivity in cerebellar-subcortical and somatomotor-visual networks and worse cognitive performance. Biotype 2 exhibited hyperconnectivity in somatomotor-subcortical networks, hypoconnectivity in somatomotor-high cognitive processing networks, and better-preserved cognitive performance. Demographic, clinical, cognitive, and FNC characteristics of biotypes were consistent in discovery and replication sets and in relatives. 76.56% of relatives were assigned to a psychosis biotype, of those, 70.12% were to the same biotype as their affected family members. These findings suggest two distinctive psychosis-related cognitive biotypes with differing functional brain patterns shared with their relatives. Instead of traditional diagnosis, patient stratification based on these biotypes may help optimize future research and identify biological targets for the treatment of cognitive dysfunction in psychosis.

Identifiers

PMID40108191
PMCPMC11923125

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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.