PMID- 25311779 OWN - NLM STAT- MEDLINE DCOM- 20150819 LR - 20220317 IS - 1573-2509 (Electronic) IS - 0920-9964 (Print) IS - 0920-9964 (Linking) VI - 159 IP - 2-3 DP - 2014 Nov TI - Movement abnormalities predict transitioning to psychosis in individuals at clinical high risk for psychosis. PG - 263-6 LID - S0920-9964(14)00523-4 [pii] LID - 10.1016/j.schres.2014.09.031 [doi] AB - Improving upon the predictive validity of determining the transition from high risk to actual psychosis is a primary aim of early intervention research. Previous research has suggested that premorbid spontaneous dyskinesias may be one possible predictor. In this study, dyskinetic movements were assessed with the Abnormal Involuntary Movement Scale (AIMS) at baseline of a longitudinal study of 148 individuals at clinical high risk (CHR) of developing psychosis. Twenty-eight individuals transitioned to a psychotic disorder over the course of the study. Group comparisons between transitioned and non-transitioned individuals indicated that, relative to those that were not observed to transition, participants that developed a psychotic disorder exhibited greater spontaneous dyskinesias at baseline. Moreover, increased dyskinetic movements at baseline resulted in a more than two-fold increase in odds of developing a psychosis for each point increase in AIMS scale score. These findings suggest that individuals with greater premorbid dyskinetic movements may comprise a subset of CHR individuals at inordinate risk to decompensate into psychosis. Future work should employ assessments of spontaneous dyskinesias by instrumentation (e.g., electromyography) and look to ascertain whether specific dyskinesias (e.g., dystonia) or dyskinesias of specific body regions are associated with transitioning to psychosis. CI - Copyright (c) 2014 Elsevier B.V. All rights reserved. FAU - Callaway, Dallas A AU - Callaway DA AD - Mathison Centre for Mental Health Research & Education, University of Calgary, Calgary, Alberta, Canada. Electronic address: dacallaw@ucalgary.ca. FAU - Perkins, Diana O AU - Perkins DO AD - Department of Psychiatry, University of North Carolina, Chapel Hill, NC, USA. Electronic address: diana_perkins@med.unc.edu. FAU - Woods, Scott W AU - Woods SW AD - Department of Psychiatry, Yale University, New Haven, CT, USA. Electronic address: scott.woods@yale.edu. FAU - Liu, Lu AU - Liu L AD - Mathison Centre for Mental Health Research & Education, University of Calgary, Calgary, Alberta, Canada. Electronic address: luliu@ucalgary.ca. FAU - Addington, Jean AU - Addington J AD - Mathison Centre for Mental Health Research & Education, University of Calgary, Calgary, Alberta, Canada. Electronic address: jmadding@ucalgary.ca. LA - eng GR - U01MH06634/MH/NIMH NIH HHS/United States GR - U01MH066069/MH/NIMH NIH HHS/United States GR - U01 MH066160/MH/NIMH NIH HHS/United States GR - U01MH066160/MH/NIMH NIH HHS/United States GR - U01 MH066134/MH/NIMH NIH HHS/United States GR - U01 MH082022/MH/NIMH NIH HHS/United States GR - U01 MH081984/MH/NIMH NIH HHS/United States GR - K23 MH001905/MH/NIMH NIH HHS/United States GR - U01 MH066069/MH/NIMH NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20141011 PL - Netherlands TA - Schizophr Res JT - Schizophrenia research JID - 8804207 SB - IM MH - Adolescent MH - Adult MH - Disease Progression MH - Early Diagnosis MH - Female MH - Humans MH - Male MH - Movement Disorders/*etiology MH - Predictive Value of Tests MH - *Prodromal Symptoms MH - Psychiatric Status Rating Scales MH - Psychotic Disorders/*complications/*diagnosis MH - Risk Factors MH - Severity of Illness Index MH - Young Adult PMC - PMC4253541 MID - NIHMS631835 OTO - NOTNLM OT - Conversion OT - Dyskinesia OT - Movement abnormality OT - Prodromal OT - Psychosis OT - Schizophrenia COIS- Conflict of interest There are no conflicts of interest for any of the authors with respect to the data in this paper or for the study. EDAT- 2014/10/15 06:00 MHDA- 2015/08/20 06:00 PMCR- 2015/11/01 CRDT- 2014/10/15 06:00 PHST- 2014/08/06 00:00 [received] PHST- 2014/09/18 00:00 [revised] PHST- 2014/09/21 00:00 [accepted] PHST- 2014/10/15 06:00 [entrez] PHST- 2014/10/15 06:00 [pubmed] PHST- 2015/08/20 06:00 [medline] PHST- 2015/11/01 00:00 [pmc-release] AID - S0920-9964(14)00523-4 [pii] AID - 10.1016/j.schres.2014.09.031 [doi] PST - ppublish SO - Schizophr Res. 2014 Nov;159(2-3):263-6. doi: 10.1016/j.schres.2014.09.031. Epub 2014 Oct 11.