PMID- 24529365 OWN - NLM STAT- MEDLINE DCOM- 20150422 LR - 20160526 IS - 1573-2509 (Electronic) IS - 0920-9964 (Linking) VI - 153 IP - 1-3 DP - 2014 Mar TI - Neurocognitive function as a possible marker for remission from clinical high risk for psychosis. PG - 48-53 LID - S0920-9964(14)00041-3 [pii] LID - 10.1016/j.schres.2014.01.018 [doi] AB - BACKGROUND: Recent studies revealed that nonconverters at clinical high risk (CHR) for psychosis comprise those who later remit from initial CHR state and those who do not remit and continue to have attenuated positive symptoms. CHR subjects who remit symptomatically are comparable to healthy controls for both baseline and longitudinal symptoms. However, the neurocognitive characteristics of this population are still obscure. METHODS: Seventy-five CHR subjects and 61 healthy controls were recruited, and their neurocognitive functions were assessed. CHR subjects were divided into converter, remitter, and non-remitter groups according to their clinical state during a 12 to 24month follow-up. RESULTS: Only the remitter group was comparable to healthy controls in terms of baseline neurocognitive functions. We observed that remitters showed better performance at baseline on tasks of attention, immediate/delayed verbal memory, verbal fluency, and immediate visual memory compared with converters. Moreover, we found that performance on semantic fluency was significantly improved in remitters but declined in non-remitters over the 2-year follow-up; however, there was no significant difference between these two groups at baseline. CONCLUSION: CHR nonconverters who later remit from an initial prodromal state do not show reduced neurocognitive functioning compared with healthy controls at baseline. Therefore, an advanced research diagnostic criterion for a CHR state that considers neurocognitive functions is needed to more precisely predict which patients will develop psychosis. CI - Copyright (c) 2014. Published by Elsevier B.V. FAU - Lee, Tae Young AU - Lee TY AD - Department of Psychiatry, Seoul National University Hospital, Seoul, Republic of Korea; Institute of Human Behavioral Medicine, SNU-MRC, Seoul, Republic of Korea. FAU - Shin, Ye Seul AU - Shin YS AD - Department of Brain & Cognitive Sciences, Seoul National University College of Natural Sciences, Seoul, Republic of Korea. FAU - Shin, Na Young AU - Shin NY AD - Interdisciplinary Cognitive Science Program, Seoul National University, Seoul, Republic of Korea. FAU - Kim, Sung Nyun AU - Kim SN AD - Department of Psychiatry, Seoul National University College of Medicine, Seoul, Republic of Korea. FAU - Jang, Joon Hwan AU - Jang JH AD - Department of Psychiatry, Seoul National University College of Medicine, Seoul, Republic of Korea. FAU - Kang, Do-Hyung AU - Kang DH AD - Department of Psychiatry, Seoul National University College of Medicine, Seoul, Republic of Korea. FAU - Kwon, Jun Soo AU - Kwon JS AD - Department of Psychiatry, Seoul National University Hospital, Seoul, Republic of Korea; Institute of Human Behavioral Medicine, SNU-MRC, Seoul, Republic of Korea; Department of Brain & Cognitive Sciences, Seoul National University College of Natural Sciences, Seoul, Republic of Korea; Interdisciplinary Cognitive Science Program, Seoul National University, Seoul, Republic of Korea; Department of Psychiatry, Seoul National University College of Medicine, Seoul, Republic of Korea. Electronic address: kwonjs@snu.ac.kr. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140213 PL - Netherlands TA - Schizophr Res JT - Schizophrenia research JID - 8804207 SB - IM MH - Adolescent MH - Adult MH - Analysis of Variance MH - Cognition Disorders/*etiology MH - Disease Progression MH - Female MH - Humans MH - Longitudinal Studies MH - Male MH - Neuropsychological Tests MH - Predictive Value of Tests MH - *Prodromal Symptoms MH - Psychiatric Status Rating Scales MH - Psychotic Disorders/*complications/*diagnosis MH - Recurrence MH - Regression Analysis MH - Risk Factors MH - Young Adult OTO - NOTNLM OT - Clinical high risk for psychosis OT - False positives OT - Neurocognition OT - Prediction OT - Remission OT - Semantic fluency EDAT- 2014/02/18 06:00 MHDA- 2015/04/23 06:00 CRDT- 2014/02/18 06:00 PHST- 2013/10/28 00:00 [received] PHST- 2013/12/16 00:00 [revised] PHST- 2014/01/18 00:00 [accepted] PHST- 2014/02/18 06:00 [entrez] PHST- 2014/02/18 06:00 [pubmed] PHST- 2015/04/23 06:00 [medline] AID - S0920-9964(14)00041-3 [pii] AID - 10.1016/j.schres.2014.01.018 [doi] PST - ppublish SO - Schizophr Res. 2014 Mar;153(1-3):48-53. doi: 10.1016/j.schres.2014.01.018. Epub 2014 Feb 13.