NESMOS Department (Neurosciences, Mental Health and Sense Organs) Unit of Psychiatry, Sant׳Andrea Hospital, School of Medicine and Psychology, Sapienza University of Rome, Italy.
NESMOS Department (Neurosciences, Mental Health and Sense Organs) Unit of Neurology, Sant׳Andrea Hospital, School of Medicine and Psychology, Sapienza University of Rome, Italy.
Psychiatry Res. 2014 Dec 15;220(1-2):129-34. doi: 10.1016/j.psychres.2014.07.067. Epub 2014 Aug 6.
Individuals with schizophrenia present a neuropsychological deficit throughout the course of the disorder. Few studies have addressed the progression of the deficit since the prodromal phase of the disorder. This investigation explored neurocognition in accordance with the Measurement and Treatment Research to Improve Cognition in Schizophrenia (MATRICS) Consensus recommendations. The aim of the study was to explore the presence of neurocognitive impairment in ultra-high-risk individuals and the stage of this impairment in samples at different phases of illness. Thirty-six individuals with a prodromal syndrome, 53 first-episode and 44 multi-episode schizophrenia patients were assessed to examine neuropsychological performance. ANCOVA analysis adjusted for possible confounder factors and planned contrasts with healthy controls were undertaken. The results revealed deficits in speed-of-processing, visual-learning and social-cognition in prodromal individuals, and of all other neuropsychological domains in both first-episode and multi-episode patients. Furthermore impairment was found in the first-episode and in the multi-episode group, respectively on working-memory and attention. Within the framework of the neurodevelopmental model of schizophrenia, our results suggest the presence of neuropsychological impairment before the onset of full-blown psychosis. Moreover, the deficits are larger in the more chronic groups, according to the theory of an ongoing neurodevelopmental alteration.
精神分裂症患者在疾病过程中存在神经认知缺陷。很少有研究关注从疾病前驱期开始的缺陷进展。本研究根据精神分裂症的测量和治疗研究以改善认知(MATRICS)共识建议探索了神经认知。本研究的目的是探讨前驱症状个体中是否存在神经认知障碍,以及在不同疾病阶段的样本中这种障碍的阶段。对 36 名前驱综合征患者、53 名首发和 44 名多次发作的精神分裂症患者进行了评估,以检查神经心理学表现。进行了协方差分析(ANCOVA),以调整可能的混杂因素,并与健康对照组进行了计划对比。结果显示,前驱症状个体在加工速度、视觉学习和社会认知方面存在缺陷,首发和多次发作患者在所有其他神经心理学领域均存在缺陷。此外,在首发和多次发作组中,工作记忆和注意力分别存在障碍。根据精神分裂症的神经发育模型,我们的结果表明,在全面精神病发作之前存在神经认知障碍。此外,根据持续神经发育改变的理论,在更慢性的组中,缺陷更大。