Neurological soft signs precede the onset of schizophrenia: a study of individuals with schizotypy, ultra-high-risk individuals, and first-onset schizophrenia

Neurological soft signs (NSS) are one of the biomarkers for schizophrenia spectrum disorders. However, a few studies have examined the prevalence of NSS across the schizophrenia spectrum. The present study adopted a quasi-longitudinal study design and examined the prevalence of NSS and their associa...

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Veröffentlicht in:European archives of psychiatry and clinical neuroscience 2018-02, Vol.268 (1), p.49-56
Hauptverfasser: Chan, Raymond C. K., Cui, Hui-ru, Chu, Min-yi, Zhang, Tian-hong, Wang, Ya, Wang, Yi, Li, Zhi, Lui, Simon S. Y., Wang, Ji-jun, Cheung, Eric F. C.
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container_title European archives of psychiatry and clinical neuroscience
container_volume 268
creator Chan, Raymond C. K.
Cui, Hui-ru
Chu, Min-yi
Zhang, Tian-hong
Wang, Ya
Wang, Yi
Li, Zhi
Lui, Simon S. Y.
Wang, Ji-jun
Cheung, Eric F. C.
description Neurological soft signs (NSS) are one of the biomarkers for schizophrenia spectrum disorders. However, a few studies have examined the prevalence of NSS across the schizophrenia spectrum. The present study adopted a quasi-longitudinal study design and examined the prevalence of NSS and their associations with clinical and behavioural manifestations in participants in different stages of the illness. The abridged version of the Cambridge Neurological Inventory was administered to 39 patients with the first-episode schizophrenia, 39 individuals with ultra-high risk (UHR) for psychosis, 39 individuals with schizotypy, and 39 healthy controls. Patients with the first-episode schizophrenia had a higher prevalence of NSS in motor coordination than healthy controls as well as individuals with UHR and schizotypy. Individuals with UHR exhibited a higher prevalence of sensory integration items than individuals with schizotypy and healthy controls. Discriminant analysis classified the membership of the individuals correctly across the spectrum with an accuracy of up to 60.9%. In particular, NSS could discriminate individuals with UHR from healthy controls at up to 85.9% accuracy. These findings suggest that NSS are robust biomarkers to detect and discriminate individuals in different stages of the schizophrenia spectrum from healthy controls.
doi_str_mv 10.1007/s00406-017-0828-4
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ispartof European archives of psychiatry and clinical neuroscience, 2018-02, Vol.268 (1), p.49-56
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subjects Adolescent
Biomarkers
Discriminant analysis
Female
Humans
Longitudinal Studies
Male
Medicine
Medicine & Public Health
Mental disorders
Nervous System Diseases - diagnosis
Nervous System Diseases - etiology
Neurologic Examination
Neuropsychological Tests
Neurosciences
Original Paper
Psychiatric Status Rating Scales
Psychiatry
Psychosis
Schizophrenia
Schizophrenia - diagnosis
Schizophrenia - physiopathology
Schizophrenic Psychology
Schizotypal Personality Disorder - diagnosis
Schizotypal Personality Disorder - physiopathology
Schizotypal Personality Disorder - psychology
Sensory integration
Statistics as Topic
Young Adult
title Neurological soft signs precede the onset of schizophrenia: a study of individuals with schizotypy, ultra-high-risk individuals, and first-onset schizophrenia
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