Evidence map›Paper›PMID 30394240›Full record

Trial reportActa neuropsychiatrica2019

Associations between C-reactive protein levels and cognition during the first 6 months after acute psychosis.

Farivar Fathian, Else-Marie Løberg, Rolf Gjestad, Vidar M Steen, Rune A Kroken, Hugo A Jørgensen, Erik Johnsen

Abstract readPragmatic Clinical Trial
In one paragraph

Trial report in Acta neuropsychiatrica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  14. Cognitive Deficit in Schizophrenia: From Etiology to Novel Treatments.International journal of molecular sciences · 2021
    Review
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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

7 authors.

Farivar Fathian1NKS Olaviken Gerontopsychiatric Hospital,Bergen,Norway.ORCID https://orcid.org/0000-0002-1678-1337
Else-Marie Løberg2Department of Addiction Medicine,Haukeland University Hospital,Bergen,Norway.
Rolf Gjestad4Division of Psychiatry,Haukeland University Hospital,Bergen,Norway.
Vidar M Steen5Department of Clinical Science,NORMENT and KG Jebsen Centre for Psychosis Research,University of Bergen,Bergen,Norway.
Rune A Kroken4Division of Psychiatry,Haukeland University Hospital,Bergen,Norway.
Hugo A Jørgensen7Department of Clinical Medicine,Section Psychiatry,University of Bergen,Bergen,Norway.
Erik Johnsen4Division of Psychiatry,Haukeland University Hospital,Bergen,Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveInverse relationships between the C-reactive protein (CRP) levels and cognitive performance in acute psychosis have been demonstrated. We aimed to investigate how the serum level and initial change of CRP in acutely admitted patients with psychosis was correlated with cognitive performance during a 6-months follow-up period.

methodsThe study is part of a pragmatic, randomised trial comparing four different second-generation antipsychotic drugs, and consists of 208 acute phase patients recruited at admittance for psychosis. This study reports data for all groups collectively, and does not compare treatment groups. Measurements of CRP and cognitive performance were conducted at baseline (T1) and after 4 weeks on average after inclusion (T2). Cognition was also assessed after 3 months (T3) and 6 months (T4) of follow-up.

resultsGlobal cognition improved during the follow-up period of 6 months, especially in the T1-T2 interval. The different cognitive subdomains showed different time-dependent profiles of improvement, with memory and attention improving significantly also in the later phases. Reduction of the CRP level during the initial follow-up interval (T1-T2) was associated with increased overall cognitive performance in the T2-T4 interval, but not in the T1-T2 interval. For the cognitive subdomains, we found an inverse association between change in CRP level and verbal abilities (T2-T4 interval), and attention (T2-T3 interval).

conclusionThese findings indicate that initial changes in the serum level of CRP in the acute phase of psychosis may predict cognitive function in later phases of the disease.

Indexed as

Cognitive DysfunctionC-Reactive ProteinOutcome Assessment, Health CarePsychotic DisordersAdolescentAdultAgedAntipsychotic AgentsFemaleFollow-Up StudiesHumansMaleMiddle AgedYoung AdultAntipsychotic AgentsC-Reactive ProteincognitionC-reactive proteininflammationpsychosisschizophrenia

Identifiers

PMID30394240
PMCPMC6468237

What Socratic holds

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LicenceCC BY
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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 Socratic graph.