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Hillside study of risk and early detection in schizophrenia

Published online by Cambridge University Press:  06 August 2018

Barbara Cornblatt*
Affiliation:
Hillside Hospital, Long Island Jewish Medical Center, New York, USA
Michael Obuchowski
Affiliation:
Hillside Hospital, Long Island Jewish Medical Center, New York, USA
David Schnur
Affiliation:
Mt Sinai School of Medicine, Elmhurst Hospital Center, New York, USA
John D. O'Brien
Affiliation:
Mt Sinai School of Medicine, Elmhurst Hospital Center, New York, USA
*
Correspondence: Barbara Cornblatt, Hillside Hospital, Long Island Jewish Medical Center, 75–59 263rd Street, Glen Oaks, NY 11004, USA

Abstract

Background The Hillside Study of Risk and Early Detection in Schizophrenia is a prospective study of young probands (ages 14–28) and their at-risk siblings (ages 14–24). A major goal is the identification of early predictors of illness that will facilitate intervention. The project design and pilot study are discussed.

Method Fifteen adolescents were compared to 14 typical age-of-onset adults, all undergoing their first hospitalisation for schizophrenia.

Results There were no differences between adolescents and adults on any of the measures administered (i.e. attention, eye tracking, neurocognitive or clinical). In addition, for the sample overall, no association was found between neurocognitive functions and clinical state, either at admission or after treatment.

Conclusions Individuals with adolescent onset of schizophrenia are considered to be representative of schizophrenia in general. Furthermore, neurocognitive deficits and clinical symptoms are concluded to be two independent classess of risk indicators.

Type
Research Article
Copyright
Copyright © 1998 The Royal College of Psychiatrists 

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References

Abel, L. A. & Ziegler, A. S. (1988) Smooth pursuit eye movements in people with schizophrenia – what constitutes quantitative assessments? Biological Psychiatry, 24, 747762.CrossRefGoogle Scholar
American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM–III–R). Washington, DC: APA.Google Scholar
Andreasen, N. C. (1983) Comprehensive Assessment of Symptoms and History: CASH. Iowa City, IA: University of Iowa College of Medicine.Google Scholar
Bilder, R. M., Lipshutz-Broch, L., Reiter, G., et al (1992) Intellectual deficits in first-episode schizophrenia: evidence for progressive deterioration. Schizophrenia bulletin, 18, 437438.CrossRefGoogle ScholarPubMed
Cornblatt, B., Risch, N., Faris, G., et al (1988) The Continuous Performance Test, Identical Pairs Version (CPT-IP): I. New findings about sustained attention in normal families. Psychiatry Research, 26, 223238.CrossRefGoogle ScholarPubMed
Cornblatt, B., Lenzenweger, M. & Erlenmeyer-Kimling, L. (1989) The Continuous Performance–Identical Pairs (CPT–IP): II. contrasting profiles of attentional deficits in schizophrenic and depressed patients. Psychiatry Research, 29, 6585.CrossRefGoogle Scholar
Cornblatt, B., Lenzenweger, M., Dworkin, R. H., et al (1992) Childhood attentional dysfunctions predict social deficits in unaffected adults at risk for schizophrenia. British Journal of Psychiatry, 161, 5964.CrossRefGoogle Scholar
Cornblatt, B. & Kelip, J. (1994) Impaired attention, genetics, and the pathophysiology of schizophrenia. Schizophrenia Bulletin, 20, 3146.CrossRefGoogle ScholarPubMed
Cornblatt, B., Dworkin, R. H., Wolf, I. E., et al (1996) Markers, developmental processes and schizophrenia. In Frontiers in Developmental Psychopathology (eds Lenzenweger, M. & Haugaard, J.), pp. 125147. New York: Oxford University Press.CrossRefGoogle Scholar
Delisi, L. E. (1992) The significance of age of onset for schizophrenia. Schizophrenia Bulletin, 18, 209216.CrossRefGoogle ScholarPubMed
Eaton, W. W., Mortensen, P. B., Hermann, H., et al (1992a) Long-term course of hospitalisation for schizophrenia: part I, risk for rehospitalisation. Schizophrenia Bulletin, 18, 217228.CrossRefGoogle Scholar
Eaton, W. W., Bilker, W., Haro, J., et al (1992b) Long-term course of hospitalisation for schizophrenia: part II, change with passage of time. Schizophrenia Bulletin, 18, 229242.CrossRefGoogle ScholarPubMed
Erlenmeyer-Kimling, L. & Cornblatt, B. (1987) High-risk research in schizophrenia: a summary of what has been learned. Journal of Psychiatric Research, 21, 401411.CrossRefGoogle ScholarPubMed
Erlenmeyer-Kimling, L., Cornblatt, B., Fleiss, J., et al (1984a) Interim report on prospective study of children at risk for schizophrenia. In Handbook of Longitudinal Research, Vol. 2 (eds Mednick, S. A. & Harway, M.), pp. 487503. New York: Praeger.Google Scholar
Erlenmeyer-Kimling, L., Marcuse, Y., Cornblatt, B., et al (1984b) The New York high risk project. In Children at Risk for Schizophrenia (eds Watt, N. F., Anthony, E.J., Wynne, L.C., et al), pp. 169189. New York: Cambridge University Press.Google Scholar
Falloon, I. R. (1992) Early intervention for first episodes of schizophrenia: a preliminary exploration. Psychiatry, 55, 415.CrossRefGoogle ScholarPubMed
Falloon, I. R. H., Kydd, R. R., Coverdale, J. H., et al (1996) Early detection and intervention for initial episodes of schizophrenia. Schizophrenia Bulletin, 22, 271282.CrossRefGoogle ScholarPubMed
Fish, B., Marcus, J., Hans, S. L., et al (1992) Infants at risk for schizophrenia: sequelae of a genetic neurointegrative defect. Archives of General Psychiatry, 49, 221235.CrossRefGoogle ScholarPubMed
Gottesman, I. I. (1991) Schizophrenia Genesis: The Origins of Madness. New York: W. H. Freeman and Company.Google Scholar
Gottesman, I. I., Shields, J. & Hanson, D. (1982) Schizophrenia: The Epigenetic Puzzle. New York: Cambridge, University Press.Google Scholar
Haas, G. L. & Sweeney, J. A. (1992) Premorbid and onset features of first-episode schizophrenia. Schizophrenia Bulletin, 18, 373386.CrossRefGoogle ScholarPubMed
Heaton, R. K. (1981) Wisconsin Card Sorting Test Manual. Odessa, FL: Psychological Assessment Resources.Google Scholar
lacono, W. G. & Beiser, M. (1992) Where are the women in first-episode studies of schizophrenia? Schizophrenia Bulletin, 18, 471480.Google Scholar
Inoue, K., Nakajima, T. & Kato, N. (1986) A longitudinal study of schizophrenia in adolescence: I. the one- to three-year outcome. Japanese Journal of Psychiatry and Neurology, 40, 143151.Google ScholarPubMed
Kay, S. R., Opler, L. A. & Lindenmayer, J. P. (1989) The positive and negative syndrome scale (PANSS): rationale and standardisation. British Journal of Psychiatry, 155 (suppl. 7), 5967.CrossRefGoogle Scholar
Keshavan, M. S. & Schooler, N. R. (1992) First-episode studies in schizophrenia: criteria and characterisation. Schizophrenia Bulletin, 18, 491514.CrossRefGoogle Scholar
Kirch, D. G., Keith, S. J. & Matthews, S. M. (1992) Research on first-episode psychosis: report on a National Institute of Mental Health workshop. Schizophrenia Bulletin, 18, 179184.CrossRefGoogle ScholarPubMed
Larsen, T. K., McGlashan, T. H. & Moe, L. C. (1996) First-episode schizophrenia: I early course parameters. Schizophrenia Bulletin, 22, 241256.CrossRefGoogle ScholarPubMed
Lezak, M. D. (1995) Neuropsychological Assessment, (3rd edn). New York: Oxford University Press.Google Scholar
Loebel, A. D., Lieberman, J. A., Alvir, J. M. J., et al (1992) Duration of psychosis and outcome in first-episode schizophrenia. American Journal of Psychiatry, 149, 11831188.Google ScholarPubMed
Marcus, J., Hans, S. L., Nagler, S., et al (1987) Review of the NIMH Israeli Kibbutz-City Study and the Jerusalem Infant Development Study. Schizophrenia Bulletin, 13, 425438.CrossRefGoogle ScholarPubMed
McGlashan, T. H. (1996) Early detection and intervention in schizophrenia: research. Schizophrenia Bulletin, 22, 327346.CrossRefGoogle ScholarPubMed
McGlashan, T. H. & Johannessen, J. O. (1996) Early detection and intervention with schizophrenia: rationale. Schizophrenia Bulletin, 22, 201222.CrossRefGoogle ScholarPubMed
McGorry, P. D., Edwards, J., Mihalopoulos, C., et al (1996) EPPIC: an evolving system of early detection and optimal management. Schizophrenia Bulletin, 22, 305326.CrossRefGoogle ScholarPubMed
Mednick, S. A., Mura, E., Schulsinger, F., et al (1971) Perinatal conditions and infant development in children with schizophrenic parents. Social Biology, 18 (suppl.), S102–113.Google ScholarPubMed
Mednick, S. A., Parnas, J. & Schulsinger, F. (1987) The Copenhagen High-Risk Project, 1962–1986. Schizophrenia Bulletin, 13, 485495.CrossRefGoogle Scholar
Nuechterlein, K. H. (1983) Signal detection in vigilance tasks and behavioural attributes among offspring of schizophrenic mothers and among hyperactive children. journal of Abnormal Psychology, 92, 428.CrossRefGoogle ScholarPubMed
Orvaschel, H. & Puig-Antich, J. (1987) Schedule for Affective Disorder and Schizophrenia for School Age Children, Epidemiologic Version. Philadelphia, PA: Medical College of Pennsylvania.Google Scholar
Overall, J. E. & Gorham, D. R. (1962) The Brief Psychiatric Rating Scale. Psychological Reports, 10, 799812.CrossRefGoogle Scholar
Ram, R., Bromet, E. J., Eaton, W. W., et al (1992) The natural course of schizophrenia: a review of first-admission studies. Schizophrenia Bulletin, 18, 185208.CrossRefGoogle ScholarPubMed
Reitan, R. M. & Wolfson, D. (1985) The Halstead-Reitan Neuropsychological Test Battery. Tucson: Neuropsychology Press.Google Scholar
Schellenburg, G. D., Pericak, M. A., Wiijsman, E. M., et al (1991) Linkage analysis of familial Alzheimer disease, using chromosome 21 markers. American Journal of Human Genetics, 48, 563583.Google Scholar
SPSS Inc. (1993) Statistical Package for the Social Sciences, Release 6.0.1. Chicago, IL: SPSS Inc.Google Scholar
Spurr, N. K., Kelsell, D. P., Black, D., et al (1993) Linkage analysis of early-onset breast and ovarian cancer families, with markers on the long arm of chromosome 17. American Journal of Human Genetics, 52, 777785.Google Scholar
Tienari, P., Wynne, L. C., Moring, J., et al (1994) The Finnish Adoptive Family Study of Schizophrenia: implications for family research. British Journal of Psychiatry, 164 (suppl. 23), 2026.CrossRefGoogle Scholar
Vaglum, P. (1996) Earlier detection and intervention in schizophrenia: unsolved questions. Schizophrenia Bulletin, 22, 347352.CrossRefGoogle ScholarPubMed
Wyatt, R. J. (1991) Neuroleptics and the natural course of schizophrenia. Schizophrenia Bulletin, 17, 325351.CrossRefGoogle ScholarPubMed
Yung, A. R. & McGorry, P. D. (1996) The prodromal phase of first-episode psychosis: past and current conceptualisations. Schizophrenia Bulletin, 22, 353370.CrossRefGoogle Scholar
Yung, A. R. & McGorry, P. D., McFarlane, C. A., et al (1996) Monitoring and care of young people at incipient risk of psychosis. Schizophrenia Bulletin, 22, 283304.CrossRefGoogle ScholarPubMed
Zimmermann, W. W., Bender, E., Rohde, K., et al (1993) Linkage analysis in German breast cancer families with early-onset of the disease, using highly polymorphic markers from the chromosome 17 Q11–Q24 region. American Journal of Human Genetics, 52, 789791.Google ScholarPubMed
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