The clinical course of individuals with 22q11.2 deletion syndrome converting to psychotic disorders: a long-term retrospective follow-up

Objectives This retrospective study aims to investigate the evolution and clinical course of psychotic disorders from three large international cohorts of individuals with 22q11.2 deletion syndrome (22q11.2DS) (Tel Aviv, Philadelphia, and Geneva). Methods We followed 118 individuals with 22q11.2DS f...

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Veröffentlicht in:European child & adolescent psychiatry 2024-12, Vol.33 (12), p.4371-4379
Hauptverfasser: Kulikova, Katerina, Schneider, Maude, McDonald McGinn, Donna M., Dar, Shira, Taler, Michal, Schwartz-Lifshitz, Maya, Eliez, Stephan, Gur, Raquel E., Gothelf, Doron
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container_end_page 4379
container_issue 12
container_start_page 4371
container_title European child & adolescent psychiatry
container_volume 33
creator Kulikova, Katerina
Schneider, Maude
McDonald McGinn, Donna M.
Dar, Shira
Taler, Michal
Schwartz-Lifshitz, Maya
Eliez, Stephan
Gur, Raquel E.
Gothelf, Doron
description Objectives This retrospective study aims to investigate the evolution and clinical course of psychotic disorders from three large international cohorts of individuals with 22q11.2 deletion syndrome (22q11.2DS) (Tel Aviv, Philadelphia, and Geneva). Methods We followed 118 individuals with 22q11.2DS from several years before the onset to several years after the onset of psychotic disorders. Data from structured baseline assessment of psychiatric disorders, symptoms of prodrome, indicators and types of psychotic disorders were collected. Additionally, cognitive evaluation was conducted using the age-appropriate Wechsler Intelligence Scale. Electronic medical records were reviewed for medication usage, occupational status, living situation, and psychiatric hospitalizations. Results At baseline evaluation, the most common psychiatric disorders were anxiety disorder (80%) and attention/deficit hyperactivity disorder (50%). The age of onset of prodromal symptoms and conversion to psychotic disorders were 18.6 ± 6.8 and 20.3 ± 7.2, respectively. The most common prodromal symptoms were exacerbation of anxiety symptoms and social isolation. Of the psychotic disorders, schizophrenia was the most common, occurring in 49% of cases. History of at least one psychiatric hospitalization was present in 43% of participants, and the number of psychiatric hospitalizations was 2.1 ± 1.4. Compared to the normalized chart, IQ scores in our cohort were lower after vs. before conversion to psychosis. Following conversion there was a decrease in the use of stimulants and antidepressants and an increase in antipsychotics use, and most individuals with 22q11.2DS were unemployed and lived with their parents. Conclusions Our results indicate that 22q11.2DS psychosis is like non-22q11.2DS in its course, symptoms, and cognitive and functional impairments.
doi_str_mv 10.1007/s00787-024-02469-9
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Methods We followed 118 individuals with 22q11.2DS from several years before the onset to several years after the onset of psychotic disorders. Data from structured baseline assessment of psychiatric disorders, symptoms of prodrome, indicators and types of psychotic disorders were collected. Additionally, cognitive evaluation was conducted using the age-appropriate Wechsler Intelligence Scale. Electronic medical records were reviewed for medication usage, occupational status, living situation, and psychiatric hospitalizations. Results At baseline evaluation, the most common psychiatric disorders were anxiety disorder (80%) and attention/deficit hyperactivity disorder (50%). The age of onset of prodromal symptoms and conversion to psychotic disorders were 18.6 ± 6.8 and 20.3 ± 7.2, respectively. The most common prodromal symptoms were exacerbation of anxiety symptoms and social isolation. Of the psychotic disorders, schizophrenia was the most common, occurring in 49% of cases. History of at least one psychiatric hospitalization was present in 43% of participants, and the number of psychiatric hospitalizations was 2.1 ± 1.4. Compared to the normalized chart, IQ scores in our cohort were lower after vs. before conversion to psychosis. Following conversion there was a decrease in the use of stimulants and antidepressants and an increase in antipsychotics use, and most individuals with 22q11.2DS were unemployed and lived with their parents. Conclusions Our results indicate that 22q11.2DS psychosis is like non-22q11.2DS in its course, symptoms, and cognitive and functional impairments.</description><identifier>ISSN: 1018-8827</identifier><identifier>ISSN: 1435-165X</identifier><identifier>EISSN: 1435-165X</identifier><identifier>DOI: 10.1007/s00787-024-02469-9</identifier><identifier>PMID: 38834873</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adult ; Age of onset ; Antidepressants ; Antipsychotics ; Anxiety disorders ; Attention deficit hyperactivity disorder ; Child ; Child and Adolescent Psychiatry ; Computerized medical records ; Conversion disorder ; DiGeorge Syndrome - complications ; DiGeorge Syndrome - psychology ; Disease Progression ; Drugs ; Electronic medical records ; Female ; Follow-Up Studies ; Hospitalization ; Humans ; Hyperactivity ; Intelligence tests ; Male ; Medical records ; Medicine ; Medicine &amp; Public Health ; Mental disorders ; Occupational status ; Original Contribution ; Prodromal Symptoms ; Psychiatric hospitals ; Psychiatric symptoms ; Psychiatry ; Psychosis ; Psychotic Disorders ; Psychotic symptoms ; Psychotropic drugs ; Retrospective Studies ; Schizophrenia ; Social anxiety ; Social interactions ; Social isolation ; Stimulants ; Symptoms ; Unemployed people ; Young Adult</subject><ispartof>European child &amp; adolescent psychiatry, 2024-12, Vol.33 (12), p.4371-4379</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2024 Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. Springer-Verlag GmbH Germany, part of Springer Nature.</rights><rights>Copyright Springer Nature B.V. Dec 2024</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c256t-ee82756aadcd10f2f0b7ef0b79d94a252d51440ac331b3899a918450df3c32eb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00787-024-02469-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00787-024-02469-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,30978,41467,42536,51298</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38834873$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kulikova, Katerina</creatorcontrib><creatorcontrib>Schneider, Maude</creatorcontrib><creatorcontrib>McDonald McGinn, Donna M.</creatorcontrib><creatorcontrib>Dar, Shira</creatorcontrib><creatorcontrib>Taler, Michal</creatorcontrib><creatorcontrib>Schwartz-Lifshitz, Maya</creatorcontrib><creatorcontrib>Eliez, Stephan</creatorcontrib><creatorcontrib>Gur, Raquel E.</creatorcontrib><creatorcontrib>Gothelf, Doron</creatorcontrib><title>The clinical course of individuals with 22q11.2 deletion syndrome converting to psychotic disorders: a long-term retrospective follow-up</title><title>European child &amp; adolescent psychiatry</title><addtitle>Eur Child Adolesc Psychiatry</addtitle><addtitle>Eur Child Adolesc Psychiatry</addtitle><description>Objectives This retrospective study aims to investigate the evolution and clinical course of psychotic disorders from three large international cohorts of individuals with 22q11.2 deletion syndrome (22q11.2DS) (Tel Aviv, Philadelphia, and Geneva). Methods We followed 118 individuals with 22q11.2DS from several years before the onset to several years after the onset of psychotic disorders. Data from structured baseline assessment of psychiatric disorders, symptoms of prodrome, indicators and types of psychotic disorders were collected. Additionally, cognitive evaluation was conducted using the age-appropriate Wechsler Intelligence Scale. Electronic medical records were reviewed for medication usage, occupational status, living situation, and psychiatric hospitalizations. Results At baseline evaluation, the most common psychiatric disorders were anxiety disorder (80%) and attention/deficit hyperactivity disorder (50%). The age of onset of prodromal symptoms and conversion to psychotic disorders were 18.6 ± 6.8 and 20.3 ± 7.2, respectively. The most common prodromal symptoms were exacerbation of anxiety symptoms and social isolation. Of the psychotic disorders, schizophrenia was the most common, occurring in 49% of cases. History of at least one psychiatric hospitalization was present in 43% of participants, and the number of psychiatric hospitalizations was 2.1 ± 1.4. Compared to the normalized chart, IQ scores in our cohort were lower after vs. before conversion to psychosis. Following conversion there was a decrease in the use of stimulants and antidepressants and an increase in antipsychotics use, and most individuals with 22q11.2DS were unemployed and lived with their parents. 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Schneider, Maude ; McDonald McGinn, Donna M. ; Dar, Shira ; Taler, Michal ; Schwartz-Lifshitz, Maya ; Eliez, Stephan ; Gur, Raquel E. ; Gothelf, Doron</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c256t-ee82756aadcd10f2f0b7ef0b79d94a252d51440ac331b3899a918450df3c32eb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age of onset</topic><topic>Antidepressants</topic><topic>Antipsychotics</topic><topic>Anxiety disorders</topic><topic>Attention deficit hyperactivity disorder</topic><topic>Child</topic><topic>Child and Adolescent Psychiatry</topic><topic>Computerized medical records</topic><topic>Conversion disorder</topic><topic>DiGeorge Syndrome - complications</topic><topic>DiGeorge Syndrome - psychology</topic><topic>Disease Progression</topic><topic>Drugs</topic><topic>Electronic medical records</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Hyperactivity</topic><topic>Intelligence tests</topic><topic>Male</topic><topic>Medical records</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Mental disorders</topic><topic>Occupational status</topic><topic>Original Contribution</topic><topic>Prodromal Symptoms</topic><topic>Psychiatric hospitals</topic><topic>Psychiatric symptoms</topic><topic>Psychiatry</topic><topic>Psychosis</topic><topic>Psychotic Disorders</topic><topic>Psychotic symptoms</topic><topic>Psychotropic drugs</topic><topic>Retrospective Studies</topic><topic>Schizophrenia</topic><topic>Social anxiety</topic><topic>Social interactions</topic><topic>Social isolation</topic><topic>Stimulants</topic><topic>Symptoms</topic><topic>Unemployed people</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kulikova, Katerina</creatorcontrib><creatorcontrib>Schneider, Maude</creatorcontrib><creatorcontrib>McDonald McGinn, Donna M.</creatorcontrib><creatorcontrib>Dar, Shira</creatorcontrib><creatorcontrib>Taler, Michal</creatorcontrib><creatorcontrib>Schwartz-Lifshitz, Maya</creatorcontrib><creatorcontrib>Eliez, Stephan</creatorcontrib><creatorcontrib>Gur, Raquel E.</creatorcontrib><creatorcontrib>Gothelf, Doron</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>European child &amp; adolescent psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kulikova, Katerina</au><au>Schneider, Maude</au><au>McDonald McGinn, Donna M.</au><au>Dar, Shira</au><au>Taler, Michal</au><au>Schwartz-Lifshitz, Maya</au><au>Eliez, Stephan</au><au>Gur, Raquel E.</au><au>Gothelf, Doron</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The clinical course of individuals with 22q11.2 deletion syndrome converting to psychotic disorders: a long-term retrospective follow-up</atitle><jtitle>European child &amp; adolescent psychiatry</jtitle><stitle>Eur Child Adolesc Psychiatry</stitle><addtitle>Eur Child Adolesc Psychiatry</addtitle><date>2024-12-01</date><risdate>2024</risdate><volume>33</volume><issue>12</issue><spage>4371</spage><epage>4379</epage><pages>4371-4379</pages><issn>1018-8827</issn><issn>1435-165X</issn><eissn>1435-165X</eissn><abstract>Objectives This retrospective study aims to investigate the evolution and clinical course of psychotic disorders from three large international cohorts of individuals with 22q11.2 deletion syndrome (22q11.2DS) (Tel Aviv, Philadelphia, and Geneva). Methods We followed 118 individuals with 22q11.2DS from several years before the onset to several years after the onset of psychotic disorders. Data from structured baseline assessment of psychiatric disorders, symptoms of prodrome, indicators and types of psychotic disorders were collected. Additionally, cognitive evaluation was conducted using the age-appropriate Wechsler Intelligence Scale. Electronic medical records were reviewed for medication usage, occupational status, living situation, and psychiatric hospitalizations. Results At baseline evaluation, the most common psychiatric disorders were anxiety disorder (80%) and attention/deficit hyperactivity disorder (50%). The age of onset of prodromal symptoms and conversion to psychotic disorders were 18.6 ± 6.8 and 20.3 ± 7.2, respectively. The most common prodromal symptoms were exacerbation of anxiety symptoms and social isolation. Of the psychotic disorders, schizophrenia was the most common, occurring in 49% of cases. History of at least one psychiatric hospitalization was present in 43% of participants, and the number of psychiatric hospitalizations was 2.1 ± 1.4. Compared to the normalized chart, IQ scores in our cohort were lower after vs. before conversion to psychosis. Following conversion there was a decrease in the use of stimulants and antidepressants and an increase in antipsychotics use, and most individuals with 22q11.2DS were unemployed and lived with their parents. Conclusions Our results indicate that 22q11.2DS psychosis is like non-22q11.2DS in its course, symptoms, and cognitive and functional impairments.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>38834873</pmid><doi>10.1007/s00787-024-02469-9</doi><tpages>9</tpages></addata></record>
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source MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); Springer Nature - Complete Springer Journals
subjects Adolescent
Adult
Age of onset
Antidepressants
Antipsychotics
Anxiety disorders
Attention deficit hyperactivity disorder
Child
Child and Adolescent Psychiatry
Computerized medical records
Conversion disorder
DiGeorge Syndrome - complications
DiGeorge Syndrome - psychology
Disease Progression
Drugs
Electronic medical records
Female
Follow-Up Studies
Hospitalization
Humans
Hyperactivity
Intelligence tests
Male
Medical records
Medicine
Medicine & Public Health
Mental disorders
Occupational status
Original Contribution
Prodromal Symptoms
Psychiatric hospitals
Psychiatric symptoms
Psychiatry
Psychosis
Psychotic Disorders
Psychotic symptoms
Psychotropic drugs
Retrospective Studies
Schizophrenia
Social anxiety
Social interactions
Social isolation
Stimulants
Symptoms
Unemployed people
Young Adult
title The clinical course of individuals with 22q11.2 deletion syndrome converting to psychotic disorders: a long-term retrospective follow-up
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