PMID- 23830855 OWN - NLM STAT- MEDLINE DCOM- 20140311 LR - 20220409 IS - 1573-2509 (Electronic) IS - 0920-9964 (Linking) VI - 149 IP - 1-3 DP - 2013 Sep TI - Neurocognition in clinical high risk young adults who did or did not convert to a first schizophrenic psychosis: a meta-analysis. PG - 48-55 LID - S0920-9964(13)00317-4 [pii] LID - 10.1016/j.schres.2013.06.017 [doi] AB - BACKGROUND: Individuals at clinical high risk (CHR) for psychosis have become a major focus for research designed to explore early predictors of transition to full psychosis. Characterizing differences in neurocognitive (NC) functioning between psychosis converters (CHR-C) and non-converters (CHR-NC) might contribute to the identification of specific NC predictors of psychosis onset. Therefore, the aim of the present meta-analysis was to compare the baseline NC performance between CHR-C and CHR-NC. METHOD: PubMed (MEDLINE), Web of Science, Embase and reference lists were searched for studies reporting baseline cognitive data of CHR-C and CHR-NC. Included NC tests were classified within the MATRICS - Measurement and Treatment Research to Improve Cognition in Schizophrenia - cognitive domains. RESULTS: Of 95 studies assessed for eligibility, 9 studies comprising 583 CHR subjects (N CHR-C=195, N CHR-NC=388) met all the inclusion criteria. CHR-C performed significantly worse compared to CHR-NC on 2 MATRICS domains namely working memory (ES=-0.29, 95% CI=-0.53 to -0.05) and visual learning (ES=-0.40, 95% CI=-0.68 to -0.13). For the remaining 4 domains (processing speed, attention/vigilance, verbal learning, reasoning/problem solving) no significant differences between CHR-C and CHR-NC were observed. CONCLUSION: Based on the current meta-analytic data we might conclude that it is possible to differentiate between CHR-C and CHR-NC with respect to working memory and visual learning. The addition of visual learning and working memory tasks to psychosis regression models might contribute to the predictive power of these models. CI - Copyright (c) 2013 Elsevier B.V. All rights reserved. FAU - De Herdt, Amber AU - De Herdt A AD - Department of Rehabilitation Science, KU Leuven, Belgium. amber.deherdt@faber.kuleuven.be FAU - Wampers, Martien AU - Wampers M FAU - Vancampfort, Davy AU - Vancampfort D FAU - De Hert, Marc AU - De Hert M FAU - Vanhees, Luc AU - Vanhees L FAU - Demunter, Hella AU - Demunter H FAU - Van Bouwel, Ludwina AU - Van Bouwel L FAU - Brunner, Emanuel AU - Brunner E FAU - Probst, Michel AU - Probst M LA - eng PT - Journal Article PT - Meta-Analysis PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20130705 PL - Netherlands TA - Schizophr Res JT - Schizophrenia research JID - 8804207 SB - IM MH - Cognition Disorders/etiology MH - Databases, Factual/statistics & numerical data MH - Disease Progression MH - Female MH - Humans MH - Male MH - Psychotic Disorders/complications/*diagnosis/psychology MH - Schizophrenia/complications/*diagnosis MH - *Schizophrenic Psychology OTO - NOTNLM OT - At-risk-mental state OT - Cognition OT - First-episode OT - Schizophrenia EDAT- 2013/07/09 06:00 MHDA- 2014/03/13 06:00 CRDT- 2013/07/09 06:00 PHST- 2012/12/31 00:00 [received] PHST- 2013/05/16 00:00 [revised] PHST- 2013/06/04 00:00 [accepted] PHST- 2013/07/09 06:00 [entrez] PHST- 2013/07/09 06:00 [pubmed] PHST- 2014/03/13 06:00 [medline] AID - S0920-9964(13)00317-4 [pii] AID - 10.1016/j.schres.2013.06.017 [doi] PST - ppublish SO - Schizophr Res. 2013 Sep;149(1-3):48-55. doi: 10.1016/j.schres.2013.06.017. Epub 2013 Jul 5.