Cognitive Functions in Children of Persons with Schizophrenia

Ravindran Os, N. Shanmugasundaram, Sathianathan Ramanathan, Akshaya Kannan
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Abstract

Background: Cognitive deficits are a central feature of schizophrenia and occur in high-risk relatives of the patients. Aim: We aimed to investigate whether children at-risk for schizophrenia also present neurocognitive deficits that are commonly observed in patients with schizophrenia. Settings and Design: In a cross-sectional study, we assessed neurocognitive functioning in 15 at–risk children of schizophrenia patients with an equal number of healthy controls. Materials and Methods: Offspring at-risk were compared with the control group on the measures of intelligence, verbal comprehension, perceptual reasoning, working memory, processing speed (assessed with Wechsler Intelligence Scale for Children – Fourth (India Edition), verbal working memory (Rey Auditory Verbal Learning Test) and executive function (Maze test). Results: Participants in the study group obtained significantly lesser scores, compared to those in the control group, on all neurocognitive measures including verbal comprehension, working memory, processing speed and verbal working memory except for perceptual reasoning and executive function. Conclusion: High-risk children had lower than average IQ and performed poorly on several neuropsychological measures in contrast to children in the control group.
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精神分裂症患者儿童的认知功能
背景:认知障碍是精神分裂症的主要特征,多发生于患者的高危亲属。目的:我们旨在调查精神分裂症风险儿童是否也存在精神分裂症患者中常见的神经认知缺陷。背景和设计:在一项横断面研究中,我们评估了15名精神分裂症患者高危儿童的神经认知功能,并与同等数量的健康对照。材料与方法:将高危子代与对照组在智力、言语理解、知觉推理、工作记忆、处理速度(韦氏儿童智力量表-第四版(印度版))、言语工作记忆(雷伊听觉言语学习测验)和执行功能(迷宫测验)等方面进行比较。结果:与对照组相比,研究组的参与者在所有神经认知测试中的得分都明显较低,包括语言理解、工作记忆、处理速度和语言工作记忆,但知觉推理和执行功能除外。结论:与对照组儿童相比,高危儿童的智商低于平均水平,在多项神经心理测试中表现较差。
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