Cognitive functioning in the schizophrenia prodrome

Simon, Andor E; Cattapan-Ludewig, Katja; Zmilacher, Solange; Arbach, Dima; Gruber, Kerstin; Dvorsky, Diane N; Roth, Binia; Isler, Emanuel; Zimmer, Alexander; Umbricht, Daniel (2007). Cognitive functioning in the schizophrenia prodrome. Schizophrenia bulletin, 33(3), pp. 761-71. Oxford: Oxford University Press 10.1093/schbul/sbm018

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In the last decade, there has been an increasing interest in cognitive alterations during the early course of schizophrenia. From a clinical perspective, a better understanding of cognitive functioning in putative at-risk states for schizophrenia is essential for developing optimal early intervention models. Two approaches have more recently been combined to assess the entire course of the initial schizophrenia prodrome: the predictive "basic symptom at-risk" (BS) and the ultra high-risk (UHR) criteria. Basic symptoms are considered to be present during the entire disease progression, including the initial prodrome, while the onset of symptoms captured by the UHR criteria expresses further disease progression toward frank psychosis. The present study investigated the cognitive functioning in 93 subjects who met either BS or UHR criteria and thus were assumed to be at different points on the putative trajectory to psychosis. We compared them with 43 patients with a first episode of psychosis and to 49 help-seeking patient controls. All groups performed significantly below normative values. Both at-risk groups performed at intermediate levels between the first-episode (FE) group and normative values. The UHR group demonstrated intermediate performance between the FE and BS groups. Overall, auditory working memory, verbal fluency/processing speed, and declarative verbal memory were impaired the most. Our results suggest that cognitive impairments may still be modest in the early stages of the initial schizophrenia prodrome and thus support current efforts to intervene in the early course of impending schizophrenia because early intervention may prevent or delay the onset of frank psychosis and thus prevent further cognitive damage.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > University Psychiatric Services > University Hospital of Psychiatry and Psychotherapy > Management

UniBE Contributor:

Cattapan-Ludewig, Katja

ISSN:

0586-7614

ISBN:

17412711

Publisher:

Oxford University Press

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:55

Last Modified:

04 May 2014 23:16

Publisher DOI:

10.1093/schbul/sbm018

PubMed ID:

17412711

Web of Science ID:

000247241700022

URI:

https://boris.unibe.ch/id/eprint/23592 (FactScience: 42760)

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