Reduced anterior callosal white matter in risk for psychosis associated with processing speed as a fundamental cognitive impairment

Background - Previous research in psychotic disorders discovered associations between reduced integrity of white matter (WM) in the corpus callosum (CC) and impaired cognitive functions, suggesting processing speed as a central construct. However, it is still largely unexplored to what extent disrup...

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Hauptverfasser: Klaassen, Arndt-Lukas (VerfasserIn) , Michel, Chantal (VerfasserIn) , Stüble, Miriam (VerfasserIn) , Kaess, Michael (VerfasserIn) , Morishima, Yosuke (VerfasserIn) , Kindler, Jochen (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: February 2024
In: Schizophrenia research
Year: 2024, Jahrgang: 264, Pages: 211-219
ISSN:1573-2509
DOI:10.1016/j.schres.2023.12.026
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.schres.2023.12.026
Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S0920996423004723
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Verfasserangaben:Arndt-Lukas Klaassen, Chantal Michel, Miriam Stüble, Michael Kaess, Yosuke Morishima, Jochen Kindler

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520 |a Background - Previous research in psychotic disorders discovered associations between reduced integrity of white matter (WM) in the corpus callosum (CC) and impaired cognitive functions, suggesting processing speed as a central construct. However, it is still largely unexplored to what extent disruption in callosal WM is related to cognitive deficits during the risk stage prior to psychosis. - Methods - To address this gap, we measured the WM integrity in CC by fractional anisotropy (FA) and assessed cognition in 60 clinical-high risk for psychosis (CHR) patients during adolescence/young adulthood and 38 healthy control (HC) subjects. We employed tract based spatial statistics to examine group differences and associations between CC-FA and processing speed, executive function, and spatial working memory. - Results - We revealed deficits in processing speed, executive function, and spatial working memory of CHR patients, and reductions in FA of the genu and the body of the CC (p < 0.05, corrected for multiple comparisons) compared to HC. A mediation analysis using the combined sample (CHR + HC) showed that processing speed mediates the associations between the impaired CC structure and executive function and spatial working memory, respectively. Exploratory analyses between CC-FA and the cognitive domains located associations of processing speed in the genu and the body of CC with distinct spatial distributions of executive function and spatial working memory. - Conclusion - We suggest processing speed as a subordinate cognitive factor contributing to the associations between callosal WM, executive function and working memory. These results extend findings in psychotic disorders to the prior risk stage. 
650 4 |a Clinical high risk 
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650 4 |a Fractional anisotropy 
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700 1 |a Kindler, Jochen  |e VerfasserIn  |0 (DE-588)1201670624  |0 (DE-627)1685748139  |4 aut 
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