{"title":"A reflection on schizophrenia's “voices” based on personal experience","authors":"Lucas Peluffo","doi":"10.1016/j.schres.2025.02.013","DOIUrl":"10.1016/j.schres.2025.02.013","url":null,"abstract":"","PeriodicalId":21417,"journal":{"name":"Schizophrenia Research","volume":"277 ","pages":"Pages 188-189"},"PeriodicalIF":3.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143637542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jacqueline F. Dow , Nicole Cerundolo , Katerina Konstas , Emily E. Carol , Kelsey A. Johnson , Matcheri S. Keshavan , Dost Öngür
{"title":"Implementing early psychosis services: Experiences from the laboratory for early psychosis center","authors":"Jacqueline F. Dow , Nicole Cerundolo , Katerina Konstas , Emily E. Carol , Kelsey A. Johnson , Matcheri S. Keshavan , Dost Öngür","doi":"10.1016/j.schres.2025.02.016","DOIUrl":"10.1016/j.schres.2025.02.016","url":null,"abstract":"<div><div>Increased research on early psychosis treatment and clinical outcomes has prompted interest in greater understanding of the efficacy of coordinated specialty care (CSC) across the United States. CSC clinics have become the standard for early psychosis care and act as a venue through which learning health systems (LHS) can be established. A learning health system integrates research findings into clinical care to create a continuous feedback loop. The Laboratory for Early Psychosis (LEAP) Center's position as a part of a learning health system in Massachusetts serves to improve care across the state through ongoing research on the effectiveness of early psychosis interventions. The following report highlights the LEAP Center's foundation as an LHS, as well as the systems and relationships that contribute to the success of learning health systems. Recommendations and practical applications are explored for interested stakeholders to implement an LHS that best serves their populations.</div></div>","PeriodicalId":21417,"journal":{"name":"Schizophrenia Research","volume":"277 ","pages":"Pages 124-129"},"PeriodicalIF":3.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143562671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Commentary: Examining language and selfhood in hallucinations","authors":"Lena Palaniyappan , Oliver Delgaram-Nejad","doi":"10.1016/j.schres.2025.02.014","DOIUrl":"10.1016/j.schres.2025.02.014","url":null,"abstract":"","PeriodicalId":21417,"journal":{"name":"Schizophrenia Research","volume":"277 ","pages":"Pages 42-43"},"PeriodicalIF":3.6,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143488386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
André Barciela Veras , Karyson Macruz Ribeiro , Clayton Peixoto , Natia Horato , Jeffrey Paul Kahn , Antonio Egidio Nardi
{"title":"Schizophrenia spectrum disorders with comorbid panic: A systematic review","authors":"André Barciela Veras , Karyson Macruz Ribeiro , Clayton Peixoto , Natia Horato , Jeffrey Paul Kahn , Antonio Egidio Nardi","doi":"10.1016/j.schres.2025.02.005","DOIUrl":"10.1016/j.schres.2025.02.005","url":null,"abstract":"<div><h3>Background</h3><div>The classical description of panic psychosis is characterized by existence of paroxysmal panic anxiety concurrent with auditory hallucinations or paranoid delusions. Although there is a high prevalence of panic comorbidity in schizophrenia, there remains much uncertainty among clinicians.</div></div><div><h3>Aims</h3><div>We aim to describe the psychopathological manifestations and pathogenetic factors of subjects with schizophrenia spectrum disorders comorbid with panic disorder. Adequate diagnosis and treatment of these conditions can produce significant amelioration of co-morbidities and psychotic symptoms.</div></div><div><h3>Methods</h3><div>Studies included in the review were selected through electronic search in these databases: Medical Literature databases and Retrieval System Online (Medline), Latin American and Caribbean Health Sciences (LILACS) and the Cochrane Library. Included were clinical studies in which schizophrenia spectrum disorder subjects had their diagnoses confirmed according to criteria from systematized manuals, and who also were evaluated with standardized scales for psychiatric symptomatology (psychosis, diagnosis of panic disorder or panic attacks, anxiety and general symptoms).</div></div><div><h3>Results</h3><div>We found a total of 449 results from electronic searches. Only twenty-five studies fully met the inclusion criteria for this review. Two main methodological approaches were identified: 1. Clinical studies which specifically focused on patients with Schizophrenia Spectrum Disorders (SSD) with comorbid Panic Disorder (PD) (<em>N</em> = 11); 2. Clinical studies which examined broader groups of SSD patients (<em>N</em> = 13) for Panic symptoms.</div></div><div><h3>Conclusion</h3><div>Comparative studies show that SSD patients with PD comorbidity usually have more severe psychotic symptomatology, more depressive symptoms, more suicide ideation, earlier onset, and worse outcome. Correlation analysis confirmed the association of panic with more depressive symptoms, early onset, and worse functioning. In addition, other risk factors such as early trauma, hypovitaminosis D and a cross familiar risk are considered.</div></div>","PeriodicalId":21417,"journal":{"name":"Schizophrenia Research","volume":"277 ","pages":"Pages 33-41"},"PeriodicalIF":3.6,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143488544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amal Abdel-Baki , Manuela Ferrari , Annie Leblanc , Camille Arbaud , Daniel Rabouin , Marc-André Roy , Srividya N. Iyer
{"title":"SARPEP, a rapid-learning healthcare system of early intervention services for psychosis in Quebec, Canada: Feasibility, acceptability and early impacts","authors":"Amal Abdel-Baki , Manuela Ferrari , Annie Leblanc , Camille Arbaud , Daniel Rabouin , Marc-André Roy , Srividya N. Iyer","doi":"10.1016/j.schres.2025.02.001","DOIUrl":"10.1016/j.schres.2025.02.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Despite growing interest in learning health systems, their application and evaluation in mental health have been scarce. This study aimed to evaluate the feasibility, acceptability and early impacts of SARPEP, a rapid learning healthcare system (RLHS) for early intervention services for psychosis in Quebec, Canada.</div></div><div><h3>Methods</h3><div>SARPEP comprised technology-supported monitoring of program and patient outcomes, feedback and capacity-building. It involved 11 services (128 professionals, 1700+ patients). We descriptively analyzed quantitative data on the RE-AIM framework (Reach, Effectiveness, Adoption, Implementation, Maintenance) collected in the first two years.</div></div><div><h3>Results</h3><div><em>Reach</em>: Patient and family partners, all programs (clinicians, managers), government representatives and the provincial early psychosis association agreed to co-design and implement all SARPEP components. <em>Effectiveness</em>: Data informed program- and provincial-level decision-making. Some quality indicators (e.g., timely access) improved over time. 80 % of youth were satisfied with services. <em>Adoption</em>: All programs collected data on satisfaction and quality, with data collection improving over time. Eight programs and all stakeholder groups participated in most community-of-practice sessions. <em>Implementation</em>: The time required for data collection and providing feedback decreased over time. SARPEP offered rapid, flexible support; tools; and a community of practice that facilitated collecting data, and monitoring and improving practices. <em>Maintenance</em>: All programs remained in SARPEP post study.</div></div><div><h3>Conclusion</h3><div>Involving all stakeholders, RLHSs can be deployed, adopted, and maintained in mental healthcare and increase the measurement of practices and quality improvement efforts. Strategies are needed to increase the completion of patient-reported measures and to rigorously evaluate the RLHS' effectiveness in improving service quality and outcomes.</div></div>","PeriodicalId":21417,"journal":{"name":"Schizophrenia Research","volume":"277 ","pages":"Pages 20-30"},"PeriodicalIF":3.6,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143453888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Tribute to Timothy J. Crow: 1938–2024","authors":"Lynn E. DeLisi","doi":"10.1016/j.schres.2025.01.011","DOIUrl":"10.1016/j.schres.2025.01.011","url":null,"abstract":"","PeriodicalId":21417,"journal":{"name":"Schizophrenia Research","volume":"277 ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143429472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Xiaoxiao Sun , Ying Xu , Yanqing Wu , Meijuan Li , Yuying Qiu , Qiao Su , Jiayue Wang , Jie Li , Fuqiang Mao
{"title":"Sex differences in the relationship between the vascular endothelial growth factor and cognition in drug-naïve schizophrenia","authors":"Xiaoxiao Sun , Ying Xu , Yanqing Wu , Meijuan Li , Yuying Qiu , Qiao Su , Jiayue Wang , Jie Li , Fuqiang Mao","doi":"10.1016/j.schres.2025.02.002","DOIUrl":"10.1016/j.schres.2025.02.002","url":null,"abstract":"<div><h3>Background</h3><div>This study investigates the sex-specific relationship between plasma Vascular Endothelial Growth Factor (VEGF) levels and cognitive performance in drug-naïve schizophrenia (DNS) patients, focusing on longitudinal changes.</div></div><div><h3>Methods</h3><div>A total of 175 DNS patients and 80 healthy controls (HCs) completed the MATRICS Consensus Cognitive Battery (MCCB). VEGF levels were measured via ELISA, and DNS patients were assessed using the Positive and Negative Syndrome Scale (PANSS). Partial correlations and multiple linear regressions were used to evaluate the relationships between VEGF, cognition, and symptom severity, adjusting for demographic and clinical factors.</div></div><div><h3>Results</h3><div>Female DNS patients showed greater cognitive impairments than female HCs (all <em>P</em> < 0.05), while male DNS patients had specific deficits in Attention/Vigilance (<em>P</em> = 0.027) and Working Memory (<em>P</em> = 0.002). Among females, baseline VEGF levels were inversely correlated with psychotic symptoms, including PANSS Positive symptom scores (<em>r</em> = −0.281) and PANSS total scores (<em>r</em> = −0.224). Additionally, baseline VEGF levels were positively associated with cognitive performance, including Processing Speed (<em>r</em> = 0.302), Neurocognition (<em>r</em> = 0.193), and the MCCB total score (<em>r</em> = 0.201). In males, baseline VEGF levels showed a trend toward predicting less severe negative symptoms at the 8-week (<em>β</em> = −0.42, <em>P</em> = 0.060), though not statistically significant.</div></div><div><h3>Conclusion</h3><div>VEGF may protect cognition in female DNS patients through neuroprotective or anti-inflammatory mechanisms. Higher VEGF levels in females were linked to better cognition and milder symptoms over time. These findings suggest VEGF as a potential sex-specific biomarker for schizophrenia, warranting further investigation.</div></div>","PeriodicalId":21417,"journal":{"name":"Schizophrenia Research","volume":"277 ","pages":"Pages 9-17"},"PeriodicalIF":3.6,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143419653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ryan D. Orth , Imani L. Todd , Kristen R. Dwyer , Melanie E. Bennett , Jack J. Blanchard
{"title":"Socially relevant affective learning in psychosis: Relations to deficits in motivation and pleasure and cognitive ability","authors":"Ryan D. Orth , Imani L. Todd , Kristen R. Dwyer , Melanie E. Bennett , Jack J. Blanchard","doi":"10.1016/j.schres.2025.02.003","DOIUrl":"10.1016/j.schres.2025.02.003","url":null,"abstract":"<div><div>Negative symptoms are common in psychotic disorders and significantly contribute to functional impairment. Deficits in reward processing and memory have been implicated as important factors which contribute to negative symptoms, leading to speculation that deficits in learning and memory of socially relevant information may be particularly important. Previous work has also found poorer learning of positive social behavior associations in psychotic disorders, but limitations have prevented an examination of symptom correlates of this diminished learning. In the present study, we used an updated social affective learning task to examine whether diminished accuracy in learning the affective value of others was related to motivation and pleasure negative symptoms as well as cognitive deficits. Results indicated that participants were able to use both positive and negative behavioral information to generate accurate socially evaluative perceptions. Results also demonstrated that reduced accuracy of learning from positive behavioral information was related to greater motivation and pleasure symptoms and cognitive deficits, including working memory, while reduced accuracy of learning from negative behavioral information was only related to cognitive deficits across multiple domains. When controlling for cognition, motivation and pleasure symptoms were no longer related to positive affective learning, but working memory remained related to learning when controlling for motivation and pleasure symptoms. These findings underscore the role of diminished positive affective learning in negative symptoms and suggest that poorer learning of the positive value of others may be one pathway through which cognitive deficits lead to reduced reward anticipation, defeatist performance beliefs, and negative symptoms.</div></div>","PeriodicalId":21417,"journal":{"name":"Schizophrenia Research","volume":"277 ","pages":"Pages 1-8"},"PeriodicalIF":3.6,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143396093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}