Motor dysfunction as research domain in the period preceding manifest schizophrenia: a systematic review

Schizophrenia is a severe behavioral syndrome of neurodevelopmental nature marked by primary or genuine motor abnormalities (GMA), which refer to spontaneous and medication-independent motor phenomena. Since motor dysfunction thus might be a consequence of events occurring during early childhood and...

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Main Authors: Hirjak, Dusan (Author) , Meyer-Lindenberg, Andreas (Author) , Kubera, Katharina Maria (Author) , Thomann, Philipp (Author) , Wolf, Robert Christian (Author)
Format: Article (Journal)
Language:English
Published: 21 January 2018
In: Neuroscience & biobehavioral reviews
Year: 2018, Volume: 87, Pages: 87-105
ISSN:1873-7528
DOI:10.1016/j.neubiorev.2018.01.011
Online Access:Verlag, Volltext: https://doi.org/10.1016/j.neubiorev.2018.01.011
Verlag, Volltext: http://www.sciencedirect.com/science/article/pii/S0149763417308618
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Author Notes:Dusan Hirjak, Andreas Meyer-Lindenberg, Katharina M. Kubera, Philipp A. Thomann, Robert C. Wolf
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Summary:Schizophrenia is a severe behavioral syndrome of neurodevelopmental nature marked by primary or genuine motor abnormalities (GMA), which refer to spontaneous and medication-independent motor phenomena. Since motor dysfunction thus might be a consequence of events occurring during early childhood and adolescence, GMA can be detected in the period preceding manifest schizophrenia. However, the question whether motor system dysfunction might be a promising motor intermediate phenotype for schizophrenia remains unanswered. In this review, we systematically evaluate the evidence on GMA in healthy persons, individuals with schizotypal personality traits, persons at ultra-high risk for psychosis, and unaffected first-degree relatives of schizophrenia patients. What becomes evident is a continuum of GMA expression, which appears to be linked to abnormalities of cerebello-thalamo-cortical, fronto-parietal, and cortico-subcortical motor circuits. According to current evidence, motor dysfunction is a key aspect of the neurodevelopmental risk factor model of schizophrenia. Insights provided by this research will help promoting the RDoC Motor System construct and expand the clinical relevance of the motor domain in the period preceding manifest schizophrenia.
Item Description:Accepted 21 January 2018
Gesehen am 27.01.2020
Physical Description:Online Resource
ISSN:1873-7528
DOI:10.1016/j.neubiorev.2018.01.011