A prospective study of childhood neurocognitive functioning in schizophrenic patients and their siblings

Am J Psychiatry. 2003 Nov;160(11):2060-2. doi: 10.1176/appi.ajp.160.11.2060.

Abstract

Objective: This study evaluated childhood cognitive functioning in individuals who later developed schizophrenia and in their unaffected siblings.

Method: Through the National Collaborative Perinatal Project, seven subtests of the Wechsler Intelligence Scale for Children were administered at age 7 to 32 individuals who developed schizophrenia in adulthood, 25 of their nonschizophrenic siblings, and 201 demographically similar nonpsychiatric comparison subjects. Mixed model analysis was used to examine between-group differences in standardized scores on the subtests.

Results: The probands and unaffected siblings had lower scores for picture arrangement, vocabulary, and coding than the comparison subjects but differed from each other only on the coding subtest.

Conclusions: Children who later developed schizophrenia and their siblings showed similar patterns of deficits involving spatial reasoning, verbal knowledge, perceptual-motor speed, and speeded processes of working memory. However, the probands exhibited more severe deficits in perceptual-motor speed and speeded processes of working memory than their unaffected siblings.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Child
  • Cognition Disorders / diagnosis*
  • Cognition Disorders / epidemiology
  • Cognition Disorders / genetics
  • Comorbidity
  • Female
  • Humans
  • Male
  • Neuropsychological Tests / statistics & numerical data*
  • Prospective Studies
  • Psychomotor Performance / physiology*
  • Schizophrenia / diagnosis*
  • Schizophrenia / epidemiology
  • Schizophrenia / genetics
  • Schizophrenic Psychology
  • Siblings / psychology*
  • Wechsler Scales / statistics & numerical data*