Literature DB >> 30852621

Social Cognition, Language, and Social Behavior in 7-Year-Old Children at Familial High-Risk of Developing Schizophrenia or Bipolar Disorder: The Danish High Risk and Resilience Study VIA 7-A Population-Based Cohort Study.

Camilla Jerlang Christiani1,2, Jens R M Jepsen1,2,3,4, Anne Thorup1,2, Nicoline Hemager1,2,3, Ditte Ellersgaard1,2, Katrine S Spang2,3, Birgitte K Burton2,3, Maja Gregersen1,2, Anne Søndergaard1,2, Aja N Greve2,5, Ditte L Gantriis2,5, Gry Poulsen2,6, Md Jamal Uddin2,6, Larry J Seidman7, Ole Mors2,5, Kerstin J Plessen2,3,8, Merete Nordentoft1,2,9.   

Abstract

OBJECTIVE: To characterize social cognition, language, and social behavior as potentially shared vulnerability markers in children at familial high-risk of schizophrenia (FHR-SZ) and bipolar disorder (FHR-BP).
METHODS: The Danish High-Risk and Resilience Study VIA7 is a multisite population-based cohort of 522 7-year-old children extracted from the Danish registries. The population-based controls were matched to the FHR-SZ children on age, sex, and municipality. The FHR-BP group followed same inclusion criteria. Data were collected blinded to familial high-risk status. Outcomes were social cognition, language, and social behavior.
RESULTS: The analysis included 202 FHR-SZ children (girls: 46%), 120 FHR-BP children (girls: 46.7%), and 200 controls (girls: 46.5%). FHR-SZ children displayed significant deficits in language (receptive: d = -0.27, P = .006; pragmatic: d = -0.51, P < .001), social responsiveness (d = -0.54, P < .001), and adaptive social functioning (d = -0.47, P < .001) compared to controls after Bonferroni correction. Compared to FHR-BP children, FHR-SZ children performed significantly poorer on adaptive social functioning (d = -0.29, P = .007) after Bonferroni correction. FHR-BP and FHR-SZ children showed no significant social cognitive impairments compared to controls after Bonferroni correction.
CONCLUSION: Language, social responsiveness, and adaptive social functioning deficits seem associated with FHR-SZ but not FHR-BP in this developmental phase. The pattern of results suggests adaptive social functioning impairments may not be shared between FHR-BP and FHR-SZ in this developmental phase and thus not reflective of the shared risk factors for schizophrenia and bipolar disorder.
© The Author(s) 2019. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. All rights reserved. For permissions, please email: journals.permissions@oup.com.

Entities:  

Keywords:  facial affect identification; language; neurodevelopment; offspring; social functioning; theory of mind

Mesh:

Year:  2019        PMID: 30852621      PMCID: PMC6811824          DOI: 10.1093/schbul/sbz001

Source DB:  PubMed          Journal:  Schizophr Bull        ISSN: 0586-7614            Impact factor:   9.306


  64 in total

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Authors:  Katrine Søborg Spang; Anne A E Thorup; Ditte Ellersgaard; Nicoline Hemager; Camilla Christiani; Birgitte Klee Burton; Ditte Gantriis; Aja Greve; Maja Gregersen; Ole Mors; Merete Nordentoft; Jens Richardt Møllegaard Jepsen; Carsten Obel; Kerstin J Plessen
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