Evidence map›Paper›PMID 40227151›Full record

Trial reportSchizophrenia bulletin2025

Pharmacologic Augmentation of Computerized Auditory Training in Chronic Psychosis: Preliminary Findings From a Single-Site, Double-Blind Study.

Neal R Swerdlow, Joyce Sprock, Francesca Li, Jenny Min Din, Jessica Minhas, Jo Talledo, Yash B Joshi, Juan L Molina, Bethany Nordberg, Kevin Ing and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Schizophrenia bulletin, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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.

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

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.

Neal R SwerdlowDepartment of Psychiatry, UCSD School of Medicine, La Jolla, CA 92093, United States.
Joyce SprockDepartment of Psychiatry, UCSD School of Medicine, La Jolla, CA 92093, United States.ORCID 0000-0003-0225-9422
Francesca LiDepartment of Psychiatry, UCSD School of Medicine, La Jolla, CA 92093, United States.
Jenny Min DinDepartment of Psychiatry, UCSD School of Medicine, La Jolla, CA 92093, United States.
Jessica MinhasDepartment of Psychiatry, UCSD School of Medicine, La Jolla, CA 92093, United States.
Jo TalledoDepartment of Psychiatry, UCSD School of Medicine, La Jolla, CA 92093, United States.
Yash B JoshiDepartment of Psychiatry, UCSD School of Medicine, La Jolla, CA 92093, United States.
Juan L MolinaDepartment of Psychiatry, UCSD School of Medicine, La Jolla, CA 92093, United States.
Bethany NordbergDepartment of Psychiatry, UCSD School of Medicine, La Jolla, CA 92093, United States.
Kevin IngDepartment of Psychiatry, UCSD School of Medicine, La Jolla, CA 92093, United States.
Michael L ThomasDepartment of Psychology, Colorado State University, Fort Collins, CO 80523, United States.ORCID 0000-0002-3026-7609
Gregory A LightDepartment of Psychiatry, UCSD School of Medicine, La Jolla, CA 92093, United States.

Funding

Pharmacologic augmentation of targeted cognitive training in schizophreniaR33MH123603 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SWERDLOW, NEAL R · 2020 to 2022
$2.3M
NIMH NIH HHS R33 MH123603RRD VA IK2 RX004570
6 · The paper itself

Abstract

backgroundComputerized auditory training (AT) modestly improves symptoms, cognition, and functioning in schizophrenia. We assessed whether d-amphetamine (AMPH) or memantine (MEM) can enhance gains from 30-h of AT.

methodsAntipsychotic-medicated individuals with chronic psychosis (n = 68; mean age 47.03y; M:F = 39:29) completed up to 30 AT sessions (2-3/week; n = 50 completed 30 sessions) in 3 groups: "AMPH group" (AMPH (5 mg po) 1-h before each AT session); "MEM group" (titrated to 10 mg MEM bid and maintained that dose throughout training); "PBO group" (PBO dosed identically to either AMPH or MEM). Primary (PANSS total, MCCB Composite, WHODAS) and secondary (PANSS positive, PANSS negative, YMRS, PHQ-9, PSYRATS) outcome measures were acquired at baseline, after 10, 20, and 30 AT sessions, and 12 weeks post-training. Pill identity (active/PBO) was blind to subjects and staff.

resultsMarginally significant between-group gains for AMPH vs PBO were detected for one of three primary outcomes (WHODAS, P =.050; but not PANSS total or MCCB Composite), and for 3 of 5 secondary clinical outcomes (PANSS positive, YMRS, PSYRATS, P's≤.027-.049). Within-subject gains over time were detected for primary and secondary clinical measures for AMPH (P's≤.014-.004) and MEM (P's≤.02-.001) groups; some of these would not survive conservative correction for multiple comparisons. No measures detected symptom worsening; treatment satisfaction exceeded subjects' expectations.

conclusionsResults are mixed; drug-associated gains in several measures vs PBO suggest that these regimens may augment AT-induced functional and clinical improvement in psychosis patients, independent of changes in neurocognition. Assessment in larger samples seems warranted.

Indexed as

Central Nervous System StimulantsCognitive RemediationDextroamphetamineDopamine AgentsMemantineOutcome Assessment, Health CarePsychotic DisordersAdultAntipsychotic AgentsChronic DiseaseCombined Modality TherapyDouble-Blind MethodFemaleHumansMaleMiddle AgedAntipsychotic AgentsCentral Nervous System StimulantsDextroamphetamineDopamine AgentsMemantineAmphetamineauditory trainingmemantinepharmacologic augmentationschizophrenia

Identifiers

PMID40227151
PMCPMC12597525

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.