New Study Compares Risk Factors for Schizophrenia and BipolarMarch 21, 2013 • A GoodTherapy.org News Summary
Bipolar (BD) and schizophrenia (SCZ) share many elements including age of onset, family history patterns, and premorbid symptomology. Individuals who develop bipolar psychosis (BP) have even more in common with those who develop SCZ. However, until recently, few studies have examined how cognitive impairment in childhood/adolescence differs between individuals who later develop SCZ compared to those who go on to develop BP and BD. To examine these early risk factors in more depth, Larry J. Seidman of the Department of Psychiatry at Harvard Medical School in Massachusetts recently conducted a study using data from 99 individuals with either BP or SCZ, and data from 101 nonpsychotic control participants. He assessed their IQs and cognitive abilities with data from school tests when they were seven years old and also looked at family history to determine its influence on future psychosis.
Seidman discovered that although BD, BP, and SCZ all shared some early risk factors, the participants with SCZ had more severe cognitive impairments and memory and attention deficits in childhood than the BD or BP participants. Family history significantly increased the risk for psychosis in all of the participants, but most in those who developed SCZ. The participants with BD had the lowest levels of cognitive impairment and academic difficulties in childhood, followed closely by those who later developed BP. Seidman hopes that the results of this study will provide educators with pertinent information that can be used to identify children most at risk for future psychotic problems. He also feels that having this information could prevent children from being misdiagnosed with other issues that could mimic premorbid conditions, such as defiance issues or attention deficit hyperactivity (ADHD). In conclusion, Seidman said that children with neuropsychological impairments, especially those with a family history of psychosis, should be closely monitored and targeted for early identification of SCZ, BP, and even BD. He added, “Future work should assess genetic and environmental factors that explain this FH [family history] effect.”
Seidman, L. J., et al. (2013). Neuropsychological performance and family history in children at age 7 who develop adult schizophrenia or bipolar psychosis in the New England Family Studies. Psychological Medicine 43.1 (2013): 119-31.ProQuest. Web.
© Copyright 2013 by www.GoodTherapy.org - All Rights Reserved.
The preceding article summarizes research or news from periodicals or related source material in the fields of mental health and psychology. GoodTherapy.org did not participate in or condone any studies, or conclucions thereof, that may have been cited. Any views or opinions expressed are not necessarily shared by GoodTherapy.org.
MelindaMarch 21st, 2013 at 2:13 PM
Looking for signs early is good. But is it really that useful when we all they are doing is seeing if a child has difficulties in academics and then proclaiming that the child may have a disorder in the future? Without a clinical analysis I don’t see how this can be fairly accurate.
Leave a Comment
By commenting you acknowledge acceptance of GoodTherapy.org's Terms and Conditions of Use.
Search Our Blog
- Lucy: Wow, this hit home for me. Thanks! “Next time I’ll listen to my instincts. For those who are wondering, this is what happens-you go...
- Lucy: A great group is Narcissist Freei on Facebook. Private group. There are more as well.
- eleanor: Would I ever feel like doing something that would let both of us feel turned on? I would always be wondering in the back of my mind if he...
- Elise: Am I wrong to think OMG I would have died, and that it would have to be a long time before I let the child come back over for a spend the...
- Tara: There are still going to be all kinds of opinions out there and mainly because there are people who are going to swear that this or that...