PMID- 27798225 OWN - NLM STAT- MEDLINE DCOM- 20170724 LR - 20181113 IS - 1745-1701 (Electronic) IS - 0586-7614 (Print) IS - 0586-7614 (Linking) VI - 43 IP - 1 DP - 2017 Jan TI - The Role of Cognition and Social Functioning as Predictors in the Transition to Psychosis for Youth With Attenuated Psychotic Symptoms. PG - 57-63 LID - 10.1093/schbul/sbw152 [doi] AB - In the literature, there have been several attempts to develop prediction models for youth who are at clinical high risk (CHR) of developing psychosis. Although there are no specific clinical or demographic variables that seem to consistently predict the later transition to psychosis in those CHR youth, in addition to attenuated psychotic symptoms, the most commonly occuring predictors tend to be poor social functioning and certain cognitive tasks. Unfortunately, there has been little attempt to replicate alogorithms. A recently published article by Cornblatt et al suggested that, for individuals with attentuated psychotic symptoms (APS), disorganized communication, suspiciousness, verbal memory, and a decline in social functioning were the best predictors of later transition to psychosis (the RAP model). The purpose of this article was to first test the prediction model of Cornblatt et al with a new sample of individuals with APS from the PREDICT study. The RAP model was not the best fit for the PREDICT data. However, using other variables from PREDICT, it was demonstrated that unusual thought content, disorganized communication, baseline social functioning, verbal fluency, and memory, processing speed and age were predictors of later transition to psychosis in the PREDICT sample. Although the predictors were different in these 2 models, both supported that disorganized communication, poor social functioning, and verbal memory, were good candidates as predictors for later conversion to psychosis. CI - (c) The Author 2016. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. All rights reserved. For permissions, please email: journals.permissions@oup.com. FAU - Addington, Jean AU - Addington J AD - Hotchkiss Brain Institute, Department of Psychiatry, University of Calgary, Calgary, AB, Canada; jmadding@ucalgary.ca. FAU - Liu, Lu AU - Liu L AD - Hotchkiss Brain Institute, Department of Psychiatry, University of Calgary, Calgary, AB, Canada. FAU - Perkins, Diana O AU - Perkins DO AD - Department of Psychiatry, University of North Carolina, Chapel Hill, NC. FAU - Carrion, Ricardo E AU - Carrion RE AD - Department of Psychiatry, Zucker Hillside Hospital, Glen Oaks, NY. FAU - Keefe, Richard S E AU - Keefe RS AD - Department of Psychiatry, Duke University, Durham, NC. FAU - Woods, Scott W AU - Woods SW AD - Department of Psychiatry, Yale University, New Haven, CT. LA - eng GR - U01 MH066069/MH/NIMH NIH HHS/United States GR - U01 MH082004/MH/NIMH NIH HHS/United States GR - U01 MH082022/MH/NIMH NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20161025 PL - United States TA - Schizophr Bull JT - Schizophrenia bulletin JID - 0236760 SB - IM MH - Adolescent MH - Adult MH - Child MH - Cognitive Dysfunction/*diagnosis/etiology MH - *Disease Progression MH - Female MH - Humans MH - *Interpersonal Relations MH - Male MH - Models, Statistical MH - *Prodromal Symptoms MH - Prognosis MH - Psychotic Disorders/complications/*diagnosis MH - Risk MH - Schizophrenia/*diagnosis MH - *Social Behavior MH - Young Adult PMC - PMC5216866 OTO - NOTNLM OT - clinical high risk OT - prediction OT - prodromal OT - schizophrenia EDAT- 2016/11/01 06:00 MHDA- 2017/07/25 06:00 PMCR- 2018/01/01 CRDT- 2016/11/01 06:00 PHST- 2016/11/01 06:00 [pubmed] PHST- 2017/07/25 06:00 [medline] PHST- 2016/11/01 06:00 [entrez] PHST- 2018/01/01 00:00 [pmc-release] AID - sbw152 [pii] AID - 10.1093/schbul/sbw152 [doi] PST - ppublish SO - Schizophr Bull. 2017 Jan;43(1):57-63. doi: 10.1093/schbul/sbw152. Epub 2016 Oct 25.