Processing speed and neurodevelopment in adolescent-onset psychosis: Cognitive slowing predicts social function

Peter Bachman, Tara A Niendam, Maria Jalbrzikowkski, Chan Y. Park, Melita Daley, Tyrone D. Cannon, Carrie E. Bearden

Research output: Contribution to journalArticle

21 Scopus citations

Abstract

Onset of psychosis may be associated with abnormal adolescent neurodevelopment. Here we examined the neurocognitive profile of first-episode, adolescent onset psychosis (AOP) as compared to typically developing adolescents, and asked whether neurocognitive performance varied differentially as a function of age in the cases compared with controls. A comprehensive neuropsychological battery was administered to 35 patients experiencing a first-episode of a DSM-IV psychotic disorder and to 31 matched controls. Clinicians also rated subjects' social and role functioning, both at the time of neuropsychological assessment and 1 year later. Although patients displayed a wide range of impairments relative to controls, their most pronounced deficits included verbal memory, sensorimotor dexterity and cognitive processing speed. Among these, only processing speed showed a significant group-by-age interaction, consistent with an aberrant developmental course among AOP patients. Processing speed also accounted for substantial variance in other areas of deficit, and predicted social functioning 1 year later. AOP patients fail to show normal age-related increases in processing speed, which in turn predicts poorer functional outcomes. This pattern is consistent with the view that adolescent brain developmental processes, such as myelination, may be disrupted in these patients.

Original languageEnglish (US)
Pages (from-to)645-654
Number of pages10
JournalJournal of Abnormal Child Psychology
Volume40
Issue number4
DOIs
StatePublished - May 2012

Keywords

  • Adolescence
  • Cognitive processing speed
  • Neurodevelopment
  • Outcome
  • Schizophrenia

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Psychiatry and Mental health

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