Neuropsychological Performance in First-Episode Adolescents with Schizophrenia: A Comparison with First-Episode Adults and Adolescent Control Subjects

The goal of this study was to compare the extent of cognitive deficits between adolescents and adults early in the course of schizophrenia. A comprehensive neuropsychological battery was performed on 49 adolescents with childhood- or adolescent-onset schizophrenia, 139 adults with adult-onset schizo...

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Veröffentlicht in:Biological psychiatry (1969) Jg. 60; H. 5; S. 463 - 471
Hauptverfasser: White, Tonya, Ho, Beng-Choon, Ward, Julianna, O’Leary, Daniel, Andreasen, Nancy C.
Format: Journal Article
Sprache:Englisch
Veröffentlicht: New York, NY Elsevier Inc 01.09.2006
Elsevier Science
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ISSN:0006-3223, 1873-2402
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Abstract The goal of this study was to compare the extent of cognitive deficits between adolescents and adults early in the course of schizophrenia. A comprehensive neuropsychological battery was performed on 49 adolescents with childhood- or adolescent-onset schizophrenia, 139 adults with adult-onset schizophrenia, 32 healthy adolescent volunteers, and 240 healthy adult volunteers. Both patient groups were assessed early in the course of their illness and were matched to their respective control groups on age and parental education. The adolescent patients performed significantly worse than the adult patients on tasks of working memory, language, and motor function. The healthy adolescents also performed significantly worse than the healthy adults in working memory and language tasks but were significantly better than the adults in motor function. When accounting for developmental differences in the control group, only motor performance was worse in the adolescent patients compared with the adult patients. These findings, when coupled with published retrospective studies reporting greater cognitive deficits in earlier onset schizophrenia, implicate a cessation in development in specific cognitive domains following the onset of schizophrenia in adolescent patients.
AbstractList The goal of this study was to compare the extent of cognitive deficits between adolescents and adults early in the course of schizophrenia.BACKGROUNDThe goal of this study was to compare the extent of cognitive deficits between adolescents and adults early in the course of schizophrenia.A comprehensive neuropsychological battery was performed on 49 adolescents with childhood- or adolescent-onset schizophrenia, 139 adults with adult-onset schizophrenia, 32 healthy adolescent volunteers, and 240 healthy adult volunteers. Both patient groups were assessed early in the course of their illness and were matched to their respective control groups on age and parental education.METHODSA comprehensive neuropsychological battery was performed on 49 adolescents with childhood- or adolescent-onset schizophrenia, 139 adults with adult-onset schizophrenia, 32 healthy adolescent volunteers, and 240 healthy adult volunteers. Both patient groups were assessed early in the course of their illness and were matched to their respective control groups on age and parental education.The adolescent patients performed significantly worse than the adult patients on tasks of working memory, language, and motor function. The healthy adolescents also performed significantly worse than the healthy adults in working memory and language tasks but were significantly better than the adults in motor function. When accounting for developmental differences in the control group, only motor performance was worse in the adolescent patients compared with the adult patients.RESULTSThe adolescent patients performed significantly worse than the adult patients on tasks of working memory, language, and motor function. The healthy adolescents also performed significantly worse than the healthy adults in working memory and language tasks but were significantly better than the adults in motor function. When accounting for developmental differences in the control group, only motor performance was worse in the adolescent patients compared with the adult patients.These findings, when coupled with published retrospective studies reporting greater cognitive deficits in earlier onset schizophrenia, implicate a cessation in development in specific cognitive domains following the onset of schizophrenia in adolescent patients.CONCLUSIONSThese findings, when coupled with published retrospective studies reporting greater cognitive deficits in earlier onset schizophrenia, implicate a cessation in development in specific cognitive domains following the onset of schizophrenia in adolescent patients.
Background The goal of this study was to compare the extent of cognitive deficits between adolescents and adults early in the course of schizophrenia. Methods A comprehensive neuropsychological battery was performed on 49 adolescents with childhood- or adolescent-onset schizophrenia, 139 adults with adult-onset schizophrenia, 32 healthy adolescent volunteers, and 240 healthy adult volunteers. Both patient groups were assessed early in the course of their illness and were matched to their respective control groups on age and parental education. Results The adolescent patients performed significantly worse than the adult patients on tasks of working memory, language, and motor function. The healthy adolescents also performed significantly worse than the healthy adults in working memory and language tasks but were significantly better than the adults in motor function. When accounting for developmental differences in the control group, only motor performance was worse in the adolescent patients compared with the adult patients. Conclusions These findings, when coupled with published retrospective studies reporting greater cognitive deficits in earlier onset schizophrenia, implicate a cessation in development in specific cognitive domains following the onset of schizophrenia in adolescent patients.
The goal of this study was to compare the extent of cognitive deficits between adolescents and adults early in the course of schizophrenia. A comprehensive neuropsychological battery was performed on 49 adolescents with childhood- or adolescent-onset schizophrenia, 139 adults with adult-onset schizophrenia, 32 healthy adolescent volunteers, and 240 healthy adult volunteers. Both patient groups were assessed early in the course of their illness and were matched to their respective control groups on age and parental education. The adolescent patients performed significantly worse than the adult patients on tasks of working memory, language, and motor function. The healthy adolescents also performed significantly worse than the healthy adults in working memory and language tasks but were significantly better than the adults in motor function. When accounting for developmental differences in the control group, only motor performance was worse in the adolescent patients compared with the adult patients. These findings, when coupled with published retrospective studies reporting greater cognitive deficits in earlier onset schizophrenia, implicate a cessation in development in specific cognitive domains following the onset of schizophrenia in adolescent patients.
Author O’Leary, Daniel
Andreasen, Nancy C.
Ward, Julianna
White, Tonya
Ho, Beng-Choon
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  organization: Johns Hopkins University, Baltimore, Maryland
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  givenname: Nancy C.
  surname: Andreasen
  fullname: Andreasen, Nancy C.
  organization: Mental Health Clinical Research Center, Department of Psychiatry, University of Iowa, Iowa City, Iowa
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Issue 5
Keywords Schizophrenia
neuropsychology
adolescence
language
motor function
working memory
Human
Neuropsychological test
Psychometrics
Cognition
Psychosis
Language
First episode
Adolescent
Adult
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PublicationTitle Biological psychiatry (1969)
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Snippet The goal of this study was to compare the extent of cognitive deficits between adolescents and adults early in the course of schizophrenia. A comprehensive...
Background The goal of this study was to compare the extent of cognitive deficits between adolescents and adults early in the course of schizophrenia. Methods...
The goal of this study was to compare the extent of cognitive deficits between adolescents and adults early in the course of schizophrenia.BACKGROUNDThe goal...
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StartPage 463
SubjectTerms adolescence
Adolescent
Adolescent Development - physiology
Adult
Adult and adolescent clinical studies
Age of Onset
Aging - physiology
Aging - psychology
Biological and medical sciences
Brain - growth & development
Case-Control Studies
Cognition Disorders - complications
Cognition Disorders - diagnosis
Cognition Disorders - etiology
Female
Humans
language
Longitudinal Studies
Male
Matched-Pair Analysis
Medical sciences
Memory, Short-Term - physiology
motor function
Motor Skills - physiology
Neuropsychological Tests
neuropsychology
Problem Solving - physiology
Psychiatric Status Rating Scales
Psychology, Adolescent
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychoses
Reference Values
Schizophrenia
Schizophrenia - complications
Schizophrenia - diagnosis
Schizophrenic Psychology
Statistics, Nonparametric
Verbal Behavior - physiology
working memory
Title Neuropsychological Performance in First-Episode Adolescents with Schizophrenia: A Comparison with First-Episode Adults and Adolescent Control Subjects
URI https://www.clinicalkey.com/#!/content/1-s2.0-S0006322306000965
https://dx.doi.org/10.1016/j.biopsych.2006.01.002
https://www.ncbi.nlm.nih.gov/pubmed/16566898
https://www.proquest.com/docview/19704546
https://www.proquest.com/docview/68809156
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