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Delusional ideation, manic symptomatology and working memory in a cohort at clinical high-risk for psychosis: A longitudinal study

Published online by Cambridge University Press:  15 April 2020

M.R. Broome*
Affiliation:
Department of Psychosis Studies, Institute of Psychiatry, King's College London, London, United Kingdom Health Sciences Research Institute, Warwick Medical School, University of Warwick, Gibbet Hill, Coventry, CV4 7AL, United Kingdom
F. Day
Affiliation:
Department of Psychosis Studies, Institute of Psychiatry, King's College London, London, United Kingdom
I. Valli
Affiliation:
Department of Psychosis Studies, Institute of Psychiatry, King's College London, London, United Kingdom
L. Valmaggia
Affiliation:
Department of Psychosis Studies, Institute of Psychiatry, King's College London, London, United Kingdom
L.C. Johns
Affiliation:
Department of Psychosis Studies, Institute of Psychiatry, King's College London, London, United Kingdom Department of Psychology, Institute of Psychiatry, King's College London, De Crespigny Park, SE5 8AF, London, United Kingdom
O. Howes
Affiliation:
Department of Psychosis Studies, Institute of Psychiatry, King's College London, London, United Kingdom
P. Garety
Affiliation:
Department of Psychology, Institute of Psychiatry, King's College London, De Crespigny Park, SE5 8AF, London, United Kingdom
P.K. McGuire
Affiliation:
Department of Psychosis Studies, Institute of Psychiatry, King's College London, London, United Kingdom
*
*Corresponding author. E-mail address: [email protected] (M.R. Broome).
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Abstract

We followed up a cohort (n = 35) of clients with an “At Risk Mental State” (ARMS) for almost 2 years (mean 21.3 months). At baseline, these clients had taken part in research looking at the relationship between reasoning biases, memory, personality styles and delusional ideation. During the follow-up period, clients underwent a package of intervention from a specialist early detection team. Eighty percent (n = 28) of these clients were successfully re-interviewed. There was improvement across the cohort as a whole, however five participants (17.9%) had made the transition to psychosis at follow-up. Those who had become psychotic had lower levels of manic symptomatology at baseline than those who did not enter the first episode. Further, across the cohort, impaired working memory and delusional ideation at baseline combined to predict 45% of the delusional ideation at follow-up. These preliminary findings suggest that working memory impairments may be linked to the persistence of delusional ideation and that manic symptoms in someone with an ARMS may suggest that such an individual is less likely to develop a frank psychotic episode.

Type
Original articles
Copyright
Copyright © Elsevier Masson SAS 2012

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References

Ammons R, Ammons C. Quick Test. Psychological Test Specialists, Missoula, Mont, 1962.Google Scholar
Andreason NC, The Scale for the Assessment of Positive Symptoms (SAPS). Iowa City: University of Iowa; 1984.Google Scholar
Baare, W.F., van Oel, C.J., Hulshoff Pol, H.E., Schnack, H.G., Durston, S., Sitskoorn, M.M.et al.Volumes of brain structures in twins discordant for schizophrenia. Arch Gen Psychiatry. 2001; 58: 3340.CrossRefGoogle Scholar
Benetti, S., Mechelli, A., Picchioni, M., Broome, M.R., Williams, S., McGuire, P.Functional integration between the posterior hippocampus and prefrontal cortex is impaired in both first episode schizophrenia and the at-risk mental state. Brain. 132 9: 2009 24262436 10.1093/brain/awp098.CrossRefGoogle ScholarPubMed
Bramon, E., McDonald, C., Croft, R.J., Landau, S., Filbey, F., Gruzelier, J.H.et al.Is the P300 wave an endophenotype for schizophrenia? A meta-analysis and a family study. Neuroimage. 2005; 27: 960968.CrossRefGoogle Scholar
Brewer, W.J., Francey, S.M., Wood, S.J., Jackson, H.J., Pantelis, C., Phillips, L.J.et al.Memory impairments identified in people at ultra-high-risk for psychosis who later develop first-episode psychosis. Am J Psychiatry. 2005; 162: 7178.CrossRefGoogle ScholarPubMed
Brockington, I.F., Roper, A., Copas, J., Buckley, M., Andrade, C.E., Wigg, P.et al.Schizophrenia, bipolar disorder and depression. A discriminant analysis, using ‘lifetime’ psychopathology ratings. Br J Psychiatry. 1991; 159: 485494.CrossRefGoogle ScholarPubMed
Broome, M.R., Johns, L.C., Valli, I., Woolley, J.B., Tabraham, P., Brett, C.et al.Delusion formation and reasoning biases in those at clinical high-risk for psychosis. Br J Psychiatry. 2007 p s38–42.CrossRefGoogle ScholarPubMed
Broome, M.R., Matthiasson, P., Fusar-Poli, P., Woolley, J.B., Johns, L.C., Tabraham, P.et al.Neural correlates of executive function and working memory in the “at-risk mental state”. Br J Psychiatry. 2009; 194: 2533.CrossRefGoogle ScholarPubMed
Broome MR, Matthiasson P, Fusar-Poli P, Woolley JB, Johns LC, Tabraham P, et al. Neural correlates of movement generation in the ‘at-risk mental state’. Acta Psychiatrica Scandinavica (doi: 10.1111/j.16000447.2009.01524.x, article first published online: 7 January 2010).CrossRefGoogle Scholar
Broome MR, Matthiasson P, Fusar-Poli P, Woolley JB, Johns LC, Tabraham P, et al. Neural correlates of paired associate learning in the ‘at-risk mental state’. Psychol Med:1–13 (doi:10.1017/S0033291710000280, available on CJO 10 March 2010).CrossRefGoogle Scholar
Broome, M.R., Woolley, J.B., Johns, L.C., Valmaggia, L.R., Tabraham, P., Gafoor, R.et al.Outreach and support in South London (OASIS): implementation of a clinical service for prodromal psychosis and the at risk mental state. Eur Psychiatry. 2005; 20: 372378.CrossRefGoogle ScholarPubMed
Broome, M.R., Woolley, J.B., Tabraham, P., Johns, L.C., Bramon, E., Murray, G.K.et al.What causes the onset of psychosis?. Schizophr Res. 2005; 79: 2334.CrossRefGoogle Scholar
Callicott, J.H., Egan, M.F., Mattay, V.S., Bertolino, A., Bone, A.D., Verchinski, B.et al.Abnormal fMRI response of the dorsolateral prefrontal cortex in cognitively intact siblings of patients with schizophrenia. Am J Psychiatry. 2003; 160: 709719.CrossRefGoogle ScholarPubMed
Cannon, M., Caspi, A., Moffitt, T.E., Harrington, H., Taylor, A., Murray, R.M.et al.Evidence for early-childhood, pan-developmental impairment specific to schizophreniform disorder: results from a longitudinal birth cohort. Predictors of later schizophrenia and affective psychosis among attendees at a child psychiatry department. Br J Psychiatry. 2001; 178: 420426.CrossRefGoogle Scholar
Cannon, T., Thompson, P., van Erp, T.et al.A probabilistic atlas of cortical gray matter changes in monozygotic twins discordant for schizophrenia. Neuroimage. 2001; 13: S1034.CrossRefGoogle Scholar
Crossley N, Mechelli A, Fusar-Poli P, Broome MR, Matthiasson P, Johns L, et al. Superior temporal lobe dysfunction and frontotemporal dysconnectivity in subjects at risk of psychosis and in first-episode psychosis. Hum Brain Mapp 2009;12:4129–37.CrossRefGoogle Scholar
Escher, S., Romme, M., Buiks, A., Delespaul, P., Van Os, J.Independent course of childhood auditory hallucinations: a sequential 3-year follow-up study. Br J Psychiatry. suppl. 43: 2002 s10s18.CrossRefGoogle ScholarPubMed
Freeman, D.Suspicious minds: the psychology of persecutory delusions. Clin Psychol Rev. 2007; 27: 425457.CrossRefGoogle ScholarPubMed
Freeman, D., Garety, P.A., Kuipers, E., Fowler, D., Bebbington, P.E.A cognitive model of persecutory delusions. Br J Clin Psychol. 2002; 41: 331347.CrossRefGoogle ScholarPubMed
Freeston, M.H., Rheaume, J., Letarte, H., Dugas, M.J., Ladoucher, R.Why do people worry?. Pers Individ Diff. 1994; 17: 791802.CrossRefGoogle Scholar
Garety PA, Bebbington P, Fowler D, Freeman D, Kuipers E. Implications for neurobiological research of cognitive models of psychosis. Psychol Med;2007;37:1377–91.CrossRefGoogle Scholar
Garety, P.A., Freeman, D.Cognitive approaches to delusions: a critical review of theories and evidence. Br J Clin Psychol. 1999; 38: 113154.CrossRefGoogle ScholarPubMed
Garety, P.A., Freeman, D., Jolley, S., Dunn, G., Bebbington, P.E., Fowler, D.G.et al.Reasoning, emotions, and delusional conviction in psychosis. J Abnorm Psychol. 2005; 114: 373384.CrossRefGoogle ScholarPubMed
Gschwandtner U, Aston J, Borgwardt S, Drewe M, Feinendegen C, Lacher D, et al. Basel Early Detection of Psychosis Study. Neuropsychological and neurophysiological findings in individuals suspected to be at risk for schizophrenia: preliminary results from the Basel early detection of psychosis study – Fruherkennung von Psychosen (FEPSY). Acta Psychiatrica Scandinavica 2003;108:152–5.CrossRefGoogle Scholar
Hamilton, M.The assessment of anxiety states by rating. Br J Med Psychol. 1959; 32: 5055.CrossRefGoogle ScholarPubMed
Hamilton, M.A rating scale for depression. J Neurol Neurosurg Psychiatry. 1960; 23: 5662.CrossRefGoogle ScholarPubMed
Hanssen, M., Bak, M., Bijl, R., Vollebergh, W., van Os, J.The incidence and outcome of subclinical psychotic experiences in the general population. Br J Clin Psychol. 2005; 44: 181191.CrossRefGoogle ScholarPubMed
Hawkins, K.A., Addington, J., Keefe, R.S., Christensen, B., Perkins, D.O., Zipurksy, R.et al.Neuropsychological status of subjects at high-risk for a first episode of psychosis. Schizophr Res. 2004; 67: 115122.CrossRefGoogle ScholarPubMed
Huq, S., Garety, P., Hemsley, D.Probabilistic judgements in deluded and non-deluded subjects. Q J Exp Psychol A. 1988; 40: 801812.CrossRefGoogle ScholarPubMed
Kapur, S.Psychosis as a state of aberrant salience: a framework linking biology, phenomenology, and pharmacology in schizophrenia. Am J Psychiatry. 2003; 160: 1323.CrossRefGoogle Scholar
Kawasaki, Y., Suzuki, M., Nohara, S., Hagino, H., Takahashi, T., Matsui, M.et al.Structural brain differences in patients with schizophrenia and schizotypal disorder demonstrated by voxel-based morphometry. Eur Arch Psychiatry Clin Neurosci. 2004; 254: 406414.CrossRefGoogle ScholarPubMed
Kay, S., Fiszbein, A., Opler, L.The positive and negative symptom scale (PANSS) for schizophrenia. Schizophr Bull. 1987; 13: 261276.CrossRefGoogle Scholar
Lawrie, S.M., Whalley, H., Kestelman, J.N., Abukmeil, S.S., Byrne, M., Hodges, A.et al.Magnetic resonance imaging of brain in people at high-risk of developing schizophrenia. The Lancet. 1999; 353: 3033.CrossRefGoogle ScholarPubMed
Lawrie, S.M., Whalley, H.C., Abukmeil, S.S., Kestelman, J.N., Miller, P., Best, J.J.et al.Temporal lobe volume changes in people at high-risk of schizophrenia with psychotic symptoms. Br J Psychiatry. 2002; 181: 138143.CrossRefGoogle ScholarPubMed
Linney, Y.M., Peters, E.R., Ayton, P.Reasoning biases in delusion-prone individuals. Br J Clin Psychol. 1998; 37: 285302.CrossRefGoogle ScholarPubMed
Morrison, A.P., French, P., Walford, L., Lewis, S.W., Kilcommons, A., Green, J.et al.Cognitive therapy for the prevention of psychosis in people at ultra-high-risk: randomised controlled trial. Br J Psychiatry. 2004; 185: 291297.CrossRefGoogle ScholarPubMed
Nelson HE, Willison J. National adult reading test (NART). NFER-Nelson, Windsor, 1991.Google Scholar
Peters, E.R., Joseph, S.A., Garety, P.A.Measurement of delusional ideation in the normal population: introducing the PDI (Peters et al. Delusions Inventory). Schizophr Bull. 1999; 25: 553576.CrossRefGoogle Scholar
Sharma, T., Lancaster, E., Sigmundsson, T., Lewis, S., Takei, N., Gurling, H.et al.Lack of normal pattern of cerebral asymmetry in familial schizophrenic patients and their relatives – The Maudsley Family Study. Schizophr Res. 40 2: 1999 111120.CrossRefGoogle ScholarPubMed
Toulopoulou, T., Mapua-Filbey, F., Quraishi, S., Kravariti, E., Morris, R.G., McDonald, C.et al.Cognitive performance in presumed obligate carriers for psychosis. Br J Psychiatry. 2005; 187: 284285.CrossRefGoogle Scholar
Toulopoulou, T., Rabe-Hesketh, S., King, H., Murray, R.M., Morris, R.G.Episodic memory in schizophrenic patients and their relatives. Schizophr Res. 2003; 63: 261271.CrossRefGoogle ScholarPubMed
Valmaggia, L.R., McCrone, P., Knapp, M., Woolley, J.B., Broome, M.R., Tabraham, P.et al.Economic impact of early intervention in people at high-risk of psychosis. Psychol Med. 2009; 39: 16171626.CrossRefGoogle Scholar
Van Dael, F., Versmissen, D., Janssen, I., Myin-Germeys, I., van Os, J., Krabbendam, L.Data Gathering: biased in psychosis?. Schizophr Bull. 2006; 32: 341351.CrossRefGoogle ScholarPubMed
van der Gaag, M.A neuropsychiatric model of biological and psychological processes in the remission of delusions and auditory hallucinations. Schizophr Bull. 2006; 32: S113S122.CrossRefGoogle ScholarPubMed
van Os, J.A salience dysregulation syndrome. Br J Psychiatry. 2009; 194: 101103.CrossRefGoogle ScholarPubMed
Young, R.C., Biggs, J.T., Ziegler, V.E., Meyer, D.A.A rating scale for mania: reliability, validity and sensitivity. Br J Psychiatry. 1978; 133: 429435.CrossRefGoogle ScholarPubMed
Yung, A.R., Phillips, L.J., Yuen, H.P., Francey, S.M., McFarlane, C.A., Hallgren, M.et al.Psychosis prediction: 12-month follow up of a high-risk (prodromal) group. Schizophr Res. 2003; 60: 2132.CrossRefGoogle ScholarPubMed
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