OBJECTIVE: This study evaluates longitudinal neuropsychological performance and its association with clinical symptomatology and psychosocial outcome in individuals identified as ultra high risk (UHR) for psychosis. METHODS: Thirty-five UHR individuals completed neurocognitive, clinical, and social/role functioning assessments at baseline and, on average, 8.3 months later. RESULTS: UHR subjects showed significant cognitive deficits at baseline and 2 distinct profiles of cognitive change over time. On average, 50% demonstrated improvement in social and role functioning over the follow-up period, while the other half showed either stability or decline in functioning. Functional improvement was associated with improved processing speed and visual memory, as well as improvement in clinical symptoms over the follow-up period. In contrast, patients who did not improve functionally showed stable clinical symptoms and cognitive performance over time. CONCLUSIONS: Although the degree of neurocognitive deficit at baseline in UHR patients does not predict psychosocial outcome, the course of neurocognitive change over the first 8 months of follow-up does differentiate patients with good and poor functional outcomes.
The course of neurocognition and social functioning in individuals at ultra high risk for psychosis. Publishing Authors By Initials
The course of neurocognition and social functioning in individuals at ultra high risk for psychosis. Journal Published:
PUBLICATION TYPE: Research Support, U.S. Gov't,
Journal: Schizophrenia bulletin
VOLUME: 33
Page Numbers: 772-81
Journal Abbreviation:
ISSN: 0586-7614
DAY: 9
MONTH: 04
YEAR: 2007
The course of neurocognition and social functioning in individuals at ultra high risk for psychosis. Information
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LANGUAGE: eng
NlmUniqueID: 236760
The course of neurocognition and social functioning in individuals at ultra high risk for psychosis. Keywords Mesh Terms:
KEYWORDS: Social Adjustment
MESH TERMS: psychology
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Grant and Affiliation Information for The course of neurocognition and social functioning in individuals at ultra high risk for psychosis.
AFFILIATION: Department of Psychology, University of California, Los Angeles, 1285 Franz Hall, Box 951563, Los Angeles, CA 90095-1563, USA. tniendam@ucla.edu
Country: United States
AGENCY: United States NIMH
GRANT: P50 MH066286
ACRONYM: MH
MEDLINETA: Schizophr Bull
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