Neuropsychological functioning in early-onset first-episode psychosis: comparison of diagnostic subgroups

被引:0
作者
Arantzazu Zabala
Marta Rapado
Celso Arango
Olalla Robles
Elena de la Serna
Cristina González
José Manuel Rodríguez-Sánchez
Patricia Andrés
María Mayoral
Igor Bombín
机构
[1] Hospital General Universitario Gregorio Marañón,Adolescent Unit, Department of Psychiatry
[2] Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM),Hospital General Universitario Gregorio Marañón
[3] University of the Basque Country (UPV/EHU),Department of Neuroscience
[4] Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM),Department of Child and Adolescent Psychiatry and Psychology, Institute Clinic of Neurosciences
[5] IDIBAPS,Stanley Institute International Mood
[6] Hospital Clínic,Disorders Research Center, 03
[7] Universitari of Barcelona,RC
[8] Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM),003
[9] Hospital Santiago Apóstol de Vitoria,Child and Adolescent Mental Health Unit, Department of Psychiatry and Psychology
[10] Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM),Section of Child and Adolescent Psychiatry and Psychology
[11] Hospital Universitario Marqués de Valdecilla,Neuropsychology Department
[12] Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM),Department of Psychiatry
[13] Hospital Infantil Universitario Niño Jesús,undefined
[14] Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM),undefined
[15] Reintegra Foundation,undefined
[16] University of Oviedo,undefined
[17] Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM),undefined
来源
European Archives of Psychiatry and Clinical Neuroscience | 2010年 / 260卷
关键词
Cognition; Early onset; First episode; Psychosis;
D O I
暂无
中图分类号
学科分类号
摘要
The aims of this study were to examine the nature and extent of cognitive impairment in first-episode early-onset psychosis (FE-EOP) soon after their stabilisation and to search for potential differences according to specific diagnostic sub-groups of patients. As part of a Spanish multicentre longitudinal study, 107 FE-EOP patients and 98 healthy controls were assessed on the following cognitive domains: attention, working memory, executive functioning, and verbal learning and memory. Three diagnostic categories were established in the patient sample: schizophrenia (n = 36), bipolar disorder (n = 19), and other psychosis (n = 52). Patients performed significantly worse than controls in all cognitive domains. The three diagnostic sub-groups did not differ in terms of impaired/preserved cognitive functions or degree of impairment. FE-EOP patients show significant cognitive impairment that, during this early phase, seems to be non-specific to differential diagnosis.
引用
收藏
页码:225 / 233
页数:8
相关论文
共 184 条
[1]  
Addington J(2003)Cognitive functioning in first episode psychosis: initial presentation Schizophr Res 62 59-64
[2]  
Brooks BL(1997)Cognitive deficits distinguish patients with adolescent- and adult- onset schizophrenia Neuropsych Neuropsychol Behav Neurol 10 107-112
[3]  
Addington D(2000)Neuropsychology of first-episode schizophrenia: initial characterization and clinical correlates Am J Psychiatry 157 549-559
[4]  
Basso M(2004)Neuropsychological functioning in first-break, never-medicated adolescents with psychosis J Nerv Ment Dis 192 615-622
[5]  
Nasrallah H(2007)The child and adolescent first-episode psychosis study (CAFEPS): design and baseline results Schizophr Res 91 226-237
[6]  
Olson S(2006)Cognitive deficits and levels of IQ in adolescent onset schizophrenia and other psychotic disorders Schizophr Res 85 30-39
[7]  
Bornstein R(2004)Cognitive functioning in young people with first episode psychosis: relationship to diagnosis and clinical characteristics Aust N Z J Psychiatry 38 501-510
[8]  
Bilder RM(2008)Does diagnostic classification of early-onset psychosis change over follow-up? Child Psychiatry Hum Dev 39 137-145
[9]  
Goldman RS(2006)Cognitive functioning in the early course of first-episode schizophrenia spectrum disorders: timing and patterns Eur Arch Psychiatry Clin Neurosci 256 364-371
[10]  
Robinson D(2006)Cognitive impairment and functional outcome in schizophrenia and bipolar disorder J Clin Psychiatry 67 e12-307