Evidence map›Paper›PMID 40341586›Full record

ArticleSchizophrenia bulletin2026

The Association Between Psychotropic Medications and Cognitive Functioning in a Real-World Cohort of 869 Individuals with Schizophrenia.

Faith Dickerson, Andrea Origoni, Emily Katsafanas, Kelly Rowe, Sabahat Khan, Allana Therese Calahatian, Fahad Mukhtar, Robert Yolken

Abstract read
In one paragraph

Article in Schizophrenia bulletin, 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

8 authors.

Faith DickersonThe Stanley Research Program at Sheppard Pratt, Baltimore, MD 21204, United States.
Andrea OrigoniThe Stanley Research Program at Sheppard Pratt, Baltimore, MD 21204, United States.
Emily KatsafanasThe Stanley Research Program at Sheppard Pratt, Baltimore, MD 21204, United States.
Kelly RoweThe Stanley Research Program at Sheppard Pratt, Baltimore, MD 21204, United States.
Sabahat KhanThe Stanley Research Program at Sheppard Pratt, Baltimore, MD 21204, United States.
Allana Therese CalahatianThe Stanley Research Program at Sheppard Pratt, Baltimore, MD 21204, United States.
Fahad MukhtarThe Stanley Research Program at Sheppard Pratt, Baltimore, MD 21204, United States.
Robert YolkenThe Stanley Neurovirology Laboratory, Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD 21205, United States.

Funding

Stanley Medical Research Institue # 07-1690
6 · The paper itself

Abstract

backgroundCognitive deficits are a central feature of schizophrenia for which there are not any established pharmacological treatments. Antipsychotics are the mainstay of schizophrenia therapy but the effects of these and other psychotropic medications on the cognitive functioning of people schizophrenia have not been extensively studied in routine real-world settings. STUDY

designA total of 869 people with schizophrenia receiving community-based care were assessed on a cognitive battery, the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). The machine-learning tool of partialing-out least absolute shrinkage and selection operator (LASSO) regression were used to examine the independent association between the RBANS total and index scores and receipt of individual psychotropic medications considering relevant demographic, clinical, and environmental covariates. In this cross-sectional study, we also examined the effects of medication dosage and some medication combinations. STUDY

resultsWe found that 4 medications, clozapine, quetiapine, benztropine, and oral haloperidol were each independently associated with significantly reduced cognitive scores compared with people not receiving these medications. Three of the 4 medications, clozapine, haloperidol, and benztropine, showed a significant dose-related relationship with total cognitive score. We also documented further reductions in cognitive functioning in people receiving some pair-wise combinations of these medications. Reduced memory was the domain most associated with these medications, especially among people receiving clozapine.

conclusionsPrescribers may consider minimizing doses and limiting the administration of combinations of the identified medications. Interventions should be further developed for people with schizophrenia to improve their cognitive functioning and quality of life.

Indexed as

Antipsychotic AgentsClozapineCognitive DysfunctionHaloperidolQuetiapine FumarateSchizophreniaAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedAntipsychotic AgentsClozapineHaloperidolQuetiapine Fumarateantipsychoticbenztropineclozapinehaloperidolmemoryquetiapine

Identifiers

PMID40341586
PMCPMC12809783

What Socratic 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 Socratic graph.