Evidence map›Paper›PMID 41620428›Full record

Observational studyTranslational psychiatry2026

Exploring the intricate interplay between metabolic abnormalities and multidimensional cognitive impairment in stable schizophrenia patients.

Xiao Wang, Jing Dang, Xin Yu, De Cao, Yanfang Wang, Qingwei Ji, Yu Wang, Xiaohu Zheng, Miao Chen, Jianping Feng and 4 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Translational psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

14 authors.

Xiao Wang *Shanxi Key Laboratory of Artificial Intelligence Assisted Diagnosis and Treatment for Mental Disorder, First Hospital of Shanxi Medical University, Taiyuan, Shanxi, 030001, China.ORCID http://orcid.org/0000-0003-2842-4975
Jing Dang *Shanxi Key Laboratory of Artificial Intelligence Assisted Diagnosis and Treatment for Mental Disorder, First Hospital of Shanxi Medical University, Taiyuan, Shanxi, 030001, China.
Xin YuPeking University Institute of Mental Health (Sixth Hospital), Beijing, 100191, China.ORCID http://orcid.org/0000-0003-3983-4937
De CaoThe Sixth People's Hospital of Datong City, Datong, Shanxi, 037008, China.
Yanfang WangFifth People's Hospital of Linfen, Linfen, Shanxi, 041000, China.
Qingwei JiJincheng Psychiatric Hospital, Jincheng, Shanxi, 048000, China.
Yu WangChangzhi Mental Health Center, Changzhi, Shanxi, 046000, China.
Xiaohu ZhengYangquan Spiritual Kangning Hospital, Yangquan, Shanxi, 045000, China.
Miao ChenShanxi Key Laboratory of Artificial Intelligence Assisted Diagnosis and Treatment for Mental Disorder, First Hospital of Shanxi Medical University, Taiyuan, Shanxi, 030001, China.
Jianping FengShanxi Key Laboratory of Artificial Intelligence Assisted Diagnosis and Treatment for Mental Disorder, First Hospital of Shanxi Medical University, Taiyuan, Shanxi, 030001, China.
Song SongShanxi Key Laboratory of Artificial Intelligence Assisted Diagnosis and Treatment for Mental Disorder, First Hospital of Shanxi Medical University, Taiyuan, Shanxi, 030001, China.
Binhong WangTaiyuan Psychiatric Hospital, Taiyuan, Shanxi, 030045, China. wangbinhong2@126.com.
Chuan ShiPeking University Institute of Mental Health (Sixth Hospital), Beijing, 100191, China. shichuan@bjmu.edu.cn.ORCID http://orcid.org/0000-0002-2627-1189
Sha LiuShanxi Key Laboratory of Artificial Intelligence Assisted Diagnosis and Treatment for Mental Disorder, First Hospital of Shanxi Medical University, Taiyuan, Shanxi, 030001, China. liusha1984114@163.com.ORCID http://orcid.org/0000-0002-6710-8126

Funding

National Natural Science Foundation of China (National Science Foundation of China) 82201710National Natural Science Foundation of China (National Science Foundation of China) 82271546
6 · The paper itself

Abstract

Cognitive deficits across multiple domains are prevalent in patients with schizophrenia (PWS), and metabolic syndrome (MetS) may significantly contribute to this impairment. To clarify the complex relationships between individual MetS components and multidimensional cognitive dysfunction in PWS, we conducted a multicenter study involving 727 clinically stable patients recruited from ten psychiatric hospitals. Cognitive function was assessed using the Chinese Brief Cognitive Test (C-BCT). We employed network analysis and structural equation modeling (SEM) to explore these associations, with machine learning techniques applied for further validation. The results revealed statistically significant differences in several cognitive domains between patients with and without dyslipidemia (DL). Patients with hypertension (HT) also exhibited overall poorer cognitive performance. Network analysis indicated meaningful distinctions between patients presenting two or more MetS components (MetS-2+) and those without, showing a sparser network configuration in the MetS-2+ group. Across both groups, the Symbol Coding task demonstrated the highest strength centrality. SEM indicated that metabolic indicators, specifically DL and HT, mediated the relationship between clinical symptoms and cognitive function. Furthermore, a transformer-based machine learning model performed effectively in predicting cognitive dimensions, supporting the predictive utility of MetS components for multidimensional cognitive outcomes. In summary, specific MetS components, particularly DL and HT, show intricate associations with cognitive function in stable-phase PWS. Our findings suggest that management of HT in this population may represent a potential pathway for cognitive enhancement and improved social functioning. Trial registration: MR-11-23-007343.

Indexed as

Cognitive DysfunctionDyslipidemiasMetabolic SyndromeSchizophreniaSchizophrenic PsychologyAdultFemaleHumansHypertensionMachine LearningMaleMiddle AgedNeuropsychological Tests

Identifiers

PMID41620428
PMCPMC12923556

What OpenQuestion holds

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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.