Visual attention in 7-year-old children at familial high risk of schizophrenia or bipolar disorder: The Danish high risk and resilience study VIA 7.


Journal

Journal of affective disorders
ISSN: 1573-2517
Titre abrégé: J Affect Disord
Pays: Netherlands
ID NLM: 7906073

Informations de publication

Date de publication:
01 11 2019
Historique:
received: 15 05 2019
revised: 10 07 2019
accepted: 29 07 2019
pubmed: 9 8 2019
medline: 14 7 2020
entrez: 9 8 2019
Statut: ppublish

Résumé

Attention deficits are found in children at familial high risk of schizophrenia (FHR-SZ) and bipolar disorder (FHR-BP) using assessment methods relying on motor-based response latency. This study compares visual attention functions in children at FHR-SZ or FHR-BP with controls using an unspeeded task unconfounded by motor components. Visual attention was assessed in 133 7-year-old children at FHR-SZ (N = 56) or FHR-BP (N = 32), and controls (N = 45) using the unspeeded paradigm, TVA-based whole report. We compared four parameters of visual attention: visual processing speed, visual short-term memory, threshold for visual perception, and error rate. Further, we investigated their potential relationships with severity of psychopathology, adequacy of the home environment, and neurocognitive measures. Children at FHR-SZ displayed significant deficits in perceptual processing speed of visual attention compared with controls (p < .001; d = 0.75) as did children at FHR-BP (p < .05; d = 0.54). Visual processing speed was significantly associated with spatial working memory (β = -0.23; t(68) = -3.34, p = .01) and psychomotor processing speed (β = 0.14, t(67) = 2.11, p < .05). Larger group sizes would have permitted inclusion of more predictors in the search for neurocognitive and other factors associated with the parameters of TVA-based whole report. Young children at FHR-SZ and FHR-BP display significant deficits in processing speed of visual attention, which may reflect the effect of shared vulnerability risk genes. Early identification of children at FHR-SZ and FHR-BP with perceptual processing speed impairments may represent a low-cost basis for low-risk interventions.

Sections du résumé

BACKGROUND
Attention deficits are found in children at familial high risk of schizophrenia (FHR-SZ) and bipolar disorder (FHR-BP) using assessment methods relying on motor-based response latency. This study compares visual attention functions in children at FHR-SZ or FHR-BP with controls using an unspeeded task unconfounded by motor components.
METHODS
Visual attention was assessed in 133 7-year-old children at FHR-SZ (N = 56) or FHR-BP (N = 32), and controls (N = 45) using the unspeeded paradigm, TVA-based whole report. We compared four parameters of visual attention: visual processing speed, visual short-term memory, threshold for visual perception, and error rate. Further, we investigated their potential relationships with severity of psychopathology, adequacy of the home environment, and neurocognitive measures.
RESULTS
Children at FHR-SZ displayed significant deficits in perceptual processing speed of visual attention compared with controls (p < .001; d = 0.75) as did children at FHR-BP (p < .05; d = 0.54). Visual processing speed was significantly associated with spatial working memory (β = -0.23; t(68) = -3.34, p = .01) and psychomotor processing speed (β = 0.14, t(67) = 2.11, p < .05).
LIMITATIONS
Larger group sizes would have permitted inclusion of more predictors in the search for neurocognitive and other factors associated with the parameters of TVA-based whole report.
CONCLUSIONS
Young children at FHR-SZ and FHR-BP display significant deficits in processing speed of visual attention, which may reflect the effect of shared vulnerability risk genes. Early identification of children at FHR-SZ and FHR-BP with perceptual processing speed impairments may represent a low-cost basis for low-risk interventions.

Identifiants

pubmed: 31394459
pii: S0165-0327(19)31256-X
doi: 10.1016/j.jad.2019.07.079
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

56-65

Informations de copyright

Copyright © 2019. Published by Elsevier B.V.

Auteurs

Nicoline Hemager (N)

Mental Health Services of the Capital Region of Denmark, Mental Health Centre Copenhagen, Research Unit, Gentofte Hospitalsvej 15, 4th Floor, 2900 Hellerup, Denmark; Mental Health Services of the Capital Region of Denmark, Child and Adolescent Mental Health Centre, Research Unit Denmark; The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Denmark. Electronic address: nicoline.hemager@regionh.dk.

Signe Vangkilde (S)

Mental Health Services of the Capital Region of Denmark, Child and Adolescent Mental Health Centre, Research Unit Denmark; Department of Psychology, Center for Visual Cognition, University of Copenhagen, Denmark.

Anne Thorup (A)

Mental Health Services of the Capital Region of Denmark, Mental Health Centre Copenhagen, Research Unit, Gentofte Hospitalsvej 15, 4th Floor, 2900 Hellerup, Denmark; The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Denmark.

Camilla Christiani (C)

Mental Health Services of the Capital Region of Denmark, Mental Health Centre Copenhagen, Research Unit, Gentofte Hospitalsvej 15, 4th Floor, 2900 Hellerup, Denmark; The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Denmark.

Ditte Ellersgaard (D)

Mental Health Services of the Capital Region of Denmark, Mental Health Centre Copenhagen, Research Unit, Gentofte Hospitalsvej 15, 4th Floor, 2900 Hellerup, Denmark; The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Denmark.

Katrine Søborg Spang (KS)

Mental Health Services of the Capital Region of Denmark, Child and Adolescent Mental Health Centre, Research Unit Denmark; The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Denmark.

Birgitte Klee Burton (BK)

Mental Health Services of the Capital Region of Denmark, Child and Adolescent Mental Health Centre, Research Unit Denmark; The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Denmark.

Aja Neergaard Greve (AN)

The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Denmark; Psychosis Research Unit, Aarhus University Hospital, Denmark.

Ditte Lou Gantriis (DL)

The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Denmark; Psychosis Research Unit, Aarhus University Hospital, Denmark.

Ole Mors (O)

The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Denmark; Psychosis Research Unit, Aarhus University Hospital, Denmark.

Jens Richardt Møllegaard Jepsen (JRM)

Mental Health Services of the Capital Region of Denmark, Child and Adolescent Mental Health Centre, Research Unit Denmark; The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Denmark; Mental Health Services of the Capital Region of Denmark, Mental Health Centre Glostrup, Center for Neuropsychiatric Schizophrenia Research and Center for Clinical Intervention and Neuropsychiatric Schizophrenia Research, Denmark.

Merete Nordentoft (M)

Mental Health Services of the Capital Region of Denmark, Mental Health Centre Copenhagen, Research Unit, Gentofte Hospitalsvej 15, 4th Floor, 2900 Hellerup, Denmark; The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Denmark; Faculty of Health and Medical Sciences, University of Copenhagen, Denmark.

Kerstin Jessica Plessen (KJ)

Mental Health Services of the Capital Region of Denmark, Child and Adolescent Mental Health Centre, Research Unit Denmark; The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Denmark; Division of Child and Adolescent Psychiatry, Department of Psychiatry, University Hospital of Lausanne, Switzerland.

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