PMID- 26093946 OWN - NLM STAT- MEDLINE DCOM- 20160502 LR - 20181113 IS - 1573-2509 (Electronic) IS - 0920-9964 (Print) IS - 0920-9964 (Linking) VI - 166 IP - 1-3 DP - 2015 Aug TI - Negative symptoms in youths with psychosis spectrum features: complementary scales in relation to neurocognitive performance and function. PG - 322-7 LID - S0920-9964(15)00310-2 [pii] LID - 10.1016/j.schres.2015.05.037 [doi] AB - BACKGROUND: Negative symptoms in schizophrenia are related to impaired functioning. The presence of negative symptoms in early phases of psychosis in individuals at clinical risk is receiving increased attention. METHODS: We evaluated comprehensively a sample of 92 young people (age range 15-25) applying the Clinical Assessment Interview for Negative Symptoms (CAINS), adapted for youth. Individuals at clinical high risk (CHR, n=29) were compared to individuals with schizophrenia (SZ, n=31) and normal controls (NC, n=32). In addition to the CAINS, participants were assessed with the Structured Interview for Prodromal Syndromes (SIPS), enabling examination of the relations among scales, as well as the Penn Computerized Neurocognitive Battery (CNB), to examine association with cognitive performance, and the Global Assessment of Function (GAF) to assess overall functioning. RESULTS: The CHR group was intermediate to SZ and NC on nearly all clinical measures. Negative symptoms on the CAINS correlated better with negative than with other symptoms on the SIPS and were associated with neurocognitive deficits and poorer functioning. CONCLUSIONS: This study illustrates the feasibility of in-depth evaluation of negative symptoms in youth and indicates that these symptoms are present already in the at-risk state and relate to impaired cognition and functioning. CI - Copyright (c) 2015 Elsevier B.V. All rights reserved. FAU - Gur, Raquel E AU - Gur RE AD - Department of Psychiatry, Neuropsychiatry Section, Perelman School of Medicine, University of Pennsylvania, 10 Gates, 3400 Spruce Street, Philadelphia, PA 19104, USA. Electronic address: raquel@upenn.edu. FAU - March, Mary AU - March M AD - Department of Psychiatry, Neuropsychiatry Section, Perelman School of Medicine, University of Pennsylvania, 10 Gates, 3400 Spruce Street, Philadelphia, PA 19104, USA. FAU - Calkins, Monica E AU - Calkins ME AD - Department of Psychiatry, Neuropsychiatry Section, Perelman School of Medicine, University of Pennsylvania, 10 Gates, 3400 Spruce Street, Philadelphia, PA 19104, USA. FAU - Weittenhiller, Lauren AU - Weittenhiller L AD - Department of Psychiatry, Neuropsychiatry Section, Perelman School of Medicine, University of Pennsylvania, 10 Gates, 3400 Spruce Street, Philadelphia, PA 19104, USA. FAU - Wolf, Daniel H AU - Wolf DH AD - Department of Psychiatry, Neuropsychiatry Section, Perelman School of Medicine, University of Pennsylvania, 10 Gates, 3400 Spruce Street, Philadelphia, PA 19104, USA. FAU - Turetsky, Bruce I AU - Turetsky BI AD - Department of Psychiatry, Neuropsychiatry Section, Perelman School of Medicine, University of Pennsylvania, 10 Gates, 3400 Spruce Street, Philadelphia, PA 19104, USA. FAU - Gur, Ruben C AU - Gur RC AD - Department of Psychiatry, Neuropsychiatry Section, Perelman School of Medicine, University of Pennsylvania, 10 Gates, 3400 Spruce Street, Philadelphia, PA 19104, USA. LA - eng GR - P50 MH096891/MH/NIMH NIH HHS/United States GR - P50-MH096891/MH/NIMH NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20150617 PL - Netherlands TA - Schizophr Res JT - Schizophrenia research JID - 8804207 SB - IM MH - Adolescent MH - Adult MH - Female MH - Humans MH - Interview, Psychological MH - Male MH - Neuropsychological Tests MH - Prodromal Symptoms MH - Psychiatric Status Rating Scales MH - Psychotic Disorders/*psychology MH - Risk MH - Schizophrenia MH - Schizophrenic Psychology MH - Young Adult PMC - PMC4512843 MID - NIHMS695741 OTO - NOTNLM OT - Clinical risk OT - Negative symptoms OT - Neurocognition OT - Psychosis COIS- Conflict of interest Raquel E. Gur participated in an advisory board for Otsuka unrelated to the study. All other authors declare no conflicts. EDAT- 2015/06/22 06:00 MHDA- 2016/05/03 06:00 PMCR- 2016/08/01 CRDT- 2015/06/22 06:00 PHST- 2015/04/14 00:00 [received] PHST- 2015/05/20 00:00 [revised] PHST- 2015/05/22 00:00 [accepted] PHST- 2015/06/22 06:00 [entrez] PHST- 2015/06/22 06:00 [pubmed] PHST- 2016/05/03 06:00 [medline] PHST- 2016/08/01 00:00 [pmc-release] AID - S0920-9964(15)00310-2 [pii] AID - 10.1016/j.schres.2015.05.037 [doi] PST - ppublish SO - Schizophr Res. 2015 Aug;166(1-3):322-7. doi: 10.1016/j.schres.2015.05.037. Epub 2015 Jun 17.