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Inicio European Journal of Psychiatry Cognitive and motor alterations in children attending a psychiatric clinic in re...
Información de la revista
Vol. 38. Núm. 3.
(julio - septiembre 2024)
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Vol. 38. Núm. 3.
(julio - septiembre 2024)
Original article
Cognitive and motor alterations in children attending a psychiatric clinic in relation to schizophrenia spectrum family antecedents and thought problems
Maria A. Parrilla-Escobara,c,
Autor para correspondencia
mparrillae@saludcastillayleon.es

Corresponding author at: Psychiatry Service, Clinic Hospital of Valladolid, Avenida Ramón y Cajal, 3, 47003, Valladolid, Spain.
, Jose L. Quintana-Velascob, Antonia Maniega-Rubioa, Carlos Imaz-Roncerob,c, Soraya Geijo-Uribea, Vicente Molinaa,c
a Psychiatry Service, Clinical Hospital of Valladolid, Avda. Ramón y Cajal, 3, 47003, Valladolid, Spain
b Psychiatry Service, Río Hortega Hospital, C/ Dulzaina, 2, 47012, Valladolid, Spain
c Psychiatry Department, School of Medicine, University of Valladolid, Avda. Ramón y Cajal, 7, 47005, Valladolid, Spain
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Tablas (4)
Table 1. Clinical and neuropsychological characteristics of the sample.
Table 2. Demographics and characteristics of TP group and non-TP group.
Table 3. Primary diagnosis in both groups (TP and non-TP).
Table 4. Comparison between clinical and neuropsychological variables in both groups (TP and non-TP).
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Abstract
Background and objectives

Neurodevelopmental and clinical problems in childhood often precede adult Schizophrenia Spectrum Disorders.

We investigated if children attending a psychiatric clinic presented more psychopathology and cognitive and motor alterations if there was a family history of Schizophrenia Spectrum Disorder diagnosis. We also searched if there was a relationship between borderline/clinical scores (≥65) in Child Behavior Checklist (subscale Thought Problems) and increased problems in motor and cognitive performance.

Methods

Seventy-five children (aged 7 to 16; mean 12 y/o; 53% males) were recruited (45 reported family history -seven of them first degree-). They completed the Wechsler Intelligence Scale for Children (WISC-V), Movement Assessment Battery for Children (MABC-2), social cognition from the Developmental NEuroPSYchological Assessment (NEPSY-II) and Conners Continuous Performance Test (CPT-3). Parents completed the Child Behavior Checklist (CBCL) and Behavior Rating Inventory of Executive Function (BRIEF-2).

Results

A neurodevelopmental disorder was the primary diagnosis in 65% (mainly ADHD). Motor performance and emotion recognition were below expected by age, and IQ was average. No relevant differences in relation to family history were found. Patients with high scores (≥65) in the CBCL Thought Problems subscale (n = 38) were older, more often presented a diagnosis of combined ADHD, performed worse in Emotion Recognition (and more often made “angry” errors), had Executive Function problems and clinical symptoms in subscales Anxious/Depressed, Withdrawal/Depressed and Attention problems.

Conclusions

In children attending a psychiatric clinic, elevated scores on CBCL Thought Problems subscale associates with more urban upbringing, more internalizing clinical problems, executive function, and facial emotion recognition difficulties, with a tendency to report “angry” to other emotions.

Keywords:
Family history
Schizophrenia spectrum disorders
Cognition
Child and adolescent psychopathology
Facial emotion recognition

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