4.6 Article

Linking the Developmental and Degenerative Theories of Schizophrenia: Association Between Infant Development and Adult Cognitive Decline

Journal

SCHIZOPHRENIA BULLETIN
Volume 40, Issue 6, Pages 1319-1327

Publisher

OXFORD UNIV PRESS
DOI: 10.1093/schbul/sbu010

Keywords

schizophrenia; cognition; executive function; memory; neurodevelopment

Categories

Funding

  1. UK Medical Research Council [G0701911]
  2. Academy of Finland
  3. Sigrid Juselius Foundation
  4. Stanley Foundation
  5. Brain and Behavior Research Fund
  6. Medical Research Council [G1000183, 093875/Z/10/Z]
  7. Wellcome Trust [G1000183, 093875/Z/10/Z]
  8. Medical Research Council [G0001354, G1000183B, G0001354B, G1000183, G0701911] Funding Source: researchfish
  9. MRC [G1000183, G0701911] Funding Source: UKRI
  10. Wellcome Trust [093875/Z/10/Z] Funding Source: Wellcome Trust

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Neurodevelopmental and neurodegenerative theories may be viewed as incompatible accounts that compete to explain the pathogenesis of schizophrenia. However, it is possible that neurodevelopmental and neurodegenerative processes could both reflect common underlying causal mechanisms. We hypothesized that cognitive dysfunction would gradually deteriorate over time in schizophrenia and the degree of this deterioration in adulthood would be predicted by an infant measure of neurodevelopment. We aimed to examine the association between age of learning to stand in infancy and deterioration of cognitive function in adulthood. Participants were nonpsychotic control subjects (n = 76) and participants with schizophrenia (n = 36) drawn from the Northern Finland 1966 Birth Cohort study. The schizophrenia group showed greater deterioration in abstraction with memory than controls, but there were no differences between schizophrenia and controls in rate of change of other cognitive measures. Age of learning to stand in infancy significantly inversely predicted later deterioration of abstraction with memory in adult schizophrenia (later infant development linked to greater subsequent cognitive deterioration during adulthood), possibly suggesting a link between abnormal neurodevelopmental and neurodegenerative processes in schizophrenia.

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