OBJECTIVE: The study aimed to explore premorbid academic and social functioning in patients with schizophrenia, and its associations with the severity of negative symptoms and neurocognitive impairment. METHOD: Premorbid adjustment (PA) in patients with schizophrenia was compared to early adjustment in unaffected first-degree relatives and healthy controls. Its associations with psychopathology, cognition, and real-life functioning were investigated. The associations of PA with primary negative symptoms and their two factors were explored. RESULTS: We found an impairment of academic and social PA in patients (P ≤ 0.000001) and an impairment of academic aspects of early adjustment in relatives (P ≤ 0.01). Patients with poor PA showed greater severity of negative symptoms (limited to avolition after excluding the effect of depression/parkinsonism), working memory, social cognition, and real-life functioning (P ≤ 0.01 to ≤0.000001). Worse academic and social PA were associated with greater severity of psychopathology, cognitive impairment, and real-life functioning impairment (P ≤ 0.000001). Regression analyses showed that worse PA in the academic domain was mainly associated to the impairment of working memory, whereas worse PA in the social domain to avolition (P ≤ 0.000001). CONCLUSION: Our findings suggest that poor early adjustment may represent a marker of vulnerability to schizophrenia and highlight the need for preventive/early interventions based on psychosocial and/or cognitive programs. © 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
|Titolo:||Premorbid academic and social functioning in patients with schizophrenia and its associations with negative symptoms and cognition|
|Citazione:||Bucci, P., Galderisi, S., Mucci, A., Rossi, A., Rocca, P., Bertolino, A., et al. (2018). Premorbid academic and social functioning in patients with schizophrenia and its associations with negative symptoms and cognition. ACTA PSYCHIATRICA SCANDINAVICA.|
|Appare nelle tipologie:||1.1 Articolo in rivista|
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