Neural correlates of cognitive deficits across developmental phases of schizophrenia

Schizophrenia is associated with cognitive deficits across all stages of the illness (i.e., high risk, first episode, early and chronic phases). Identifying the underlying neurobiological mechanisms of these deficits is an important area of scientific inquiry. Here, we selectively review evidence re...

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Veröffentlicht in:Neurobiology of disease 2019-11, Vol.131, p.104353, Article 104353
Hauptverfasser: Kelly, Sinead, Guimond, Synthia, Lyall, Amanda, Stone, William S., Shenton, Martha E., Keshavan, Matcheri, Seidman, Larry J.
Format: Artikel
Sprache:eng
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Zusammenfassung:Schizophrenia is associated with cognitive deficits across all stages of the illness (i.e., high risk, first episode, early and chronic phases). Identifying the underlying neurobiological mechanisms of these deficits is an important area of scientific inquiry. Here, we selectively review evidence regarding the pattern of deficits across the developmental trajectory of schizophrenia using the five cognitive domains identified by the Research Domain Criteria (RDoC) initiative. We also report associated findings from neuroimaging studies. We suggest that most cognitive domains are affected across the developmental trajectory, with corresponding brain structural and/or functional differences. The idea of a common mechanism driving these deficits is discussed, along with implications for cognitive treatment in schizophrenia.
ISSN:0969-9961
1095-953X
DOI:10.1016/j.nbd.2018.12.013