Cognitive and motor alterations in children attending a psychiatric clinic in relation to schizophrenia spectrum family antecedents and thought problems

IF 2.5 4区 医学 Q2 PSYCHIATRY European Journal of Psychiatry Pub Date : 2024-02-07 DOI:10.1016/j.ejpsy.2024.100252
Maria A. Parrilla-Escobar , Jose L. Quintana-Velasco , Antonia Maniega-Rubio , Carlos Imaz-Roncero , Soraya Geijo-Uribe , Vicente Molina
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Abstract

Background and objectives

Neurodevelopmental and clinical problems in childhood often precede adult Schizophrenia Spectrum Disorders.

We investigated if children attending a psychiatric clinic presented more psychopathology and cognitive and motor alterations if there was a family history of Schizophrenia Spectrum Disorder diagnosis. We also searched if there was a relationship between borderline/clinical scores (≥65) in Child Behavior Checklist (subscale Thought Problems) and increased problems in motor and cognitive performance.

Methods

Seventy-five children (aged 7 to 16; mean 12 y/o; 53% males) were recruited (45 reported family history -seven of them first degree-). They completed the Wechsler Intelligence Scale for Children (WISC-V), Movement Assessment Battery for Children (MABC-2), social cognition from the Developmental NEuroPSYchological Assessment (NEPSY-II) and Conners Continuous Performance Test (CPT-3). Parents completed the Child Behavior Checklist (CBCL) and Behavior Rating Inventory of Executive Function (BRIEF-2).

Results

A neurodevelopmental disorder was the primary diagnosis in 65% (mainly ADHD). Motor performance and emotion recognition were below expected by age, and IQ was average. No relevant differences in relation to family history were found. Patients with high scores (≥65) in the CBCL Thought Problems subscale (n = 38) were older, more often presented a diagnosis of combined ADHD, performed worse in Emotion Recognition (and more often made “angry” errors), had Executive Function problems and clinical symptoms in subscales Anxious/Depressed, Withdrawal/Depressed and Attention problems.

Conclusions

In children attending a psychiatric clinic, elevated scores on CBCL Thought Problems subscale associates with more urban upbringing, more internalizing clinical problems, executive function, and facial emotion recognition difficulties, with a tendency to report “angry” to other emotions.

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精神病诊所就诊儿童的认知和运动改变与精神分裂症谱系家庭先兆和思维问题的关系
背景和目的儿童时期的神经发育和临床问题往往先于成人的精神分裂症谱系障碍。我们调查了如果有精神分裂症谱系障碍诊断家族史,到精神科门诊就诊的儿童是否会出现更多的精神病理、认知和运动改变。我们还研究了儿童行为检查表(思维问题分量表)中的边缘/临床评分(≥65 分)与运动和认知能力问题增加之间是否存在关系。方法:我们招募了 75 名儿童(7 至 16 岁;平均 12 岁/o;53% 为男性)(45 名儿童报告了家族病史,其中 7 名儿童为一级精神病患者)。他们完成了韦氏儿童智力量表(WISC-V)、儿童运动评估电池(MABC-2)、发育神经心理学评估(NEPSY-II)中的社会认知和康纳斯连续表现测试(CPT-3)。结果 65%(主要是多动症)的主要诊断为神经发育障碍。运动表现和情绪识别能力低于预期年龄,智商处于平均水平。没有发现与家族史相关的差异。在CBCL思维问题分量表中得分较高(≥65分)的患者(n = 38)年龄较大,更常被诊断为合并多动症,在情绪识别方面表现较差(更常犯 "愤怒 "错误),有执行功能问题,在焦虑/抑郁、退缩/抑郁和注意力问题分量表中有临床症状。结论 在精神科诊所就诊的儿童中,CBCL 思考问题分量表的得分升高与城市教养方式、更多内化临床问题、执行功能和面部情绪识别困难有关,并倾向于将 "生气 "报告为其他情绪。
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来源期刊
CiteScore
2.90
自引率
0.00%
发文量
40
审稿时长
43 days
期刊介绍: The European journal of psychiatry is a quarterly publication founded in 1986 and directed by Professor Seva until his death in 2004. It was originally intended to report “the scientific activity of European psychiatrists” and “to bring about a greater degree of communication” among them. However, “since scientific knowledge has no geographical or cultural boundaries, is open to contributions from all over the world”. These principles are maintained in the new stage of the journal, now expanded with the help of an American editor.
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