Multimodal prognosis of negative symptom severity in individuals at increased risk of developing psychosis. 2021

Daniel J Hauke, and André Schmidt, and Erich Studerus, and Christina Andreou, and Anita Riecher-Rössler, and Joaquim Radua, and Joseph Kambeitz, and Anne Ruef, and Dominic B Dwyer, and Lana Kambeitz-Ilankovic, and Theresa Lichtenstein, and Rachele Sanfelici, and Nora Penzel, and Shalaila S Haas, and Linda A Antonucci, and Paris Alexandros Lalousis, and Katharine Chisholm, and Frauke Schultze-Lutter, and Stephan Ruhrmann, and Jarmo Hietala, and Paolo Brambilla, and Nikolaos Koutsouleris, and Eva Meisenzahl, and Christos Pantelis, and Marlene Rosen, and Raimo K R Salokangas, and Rachel Upthegrove, and Stephen J Wood, and Stefan Borgwardt, and
Department of Psychiatry (UPK), University of Basel, Basel, Switzerland. daniel.hauke@unibas.ch.

Negative symptoms occur frequently in individuals at clinical high risk (CHR) for psychosis and contribute to functional impairments. The aim of this study was to predict negative symptom severity in CHR after 9 months. Predictive models either included baseline negative symptoms measured with the Structured Interview for Psychosis-Risk Syndromes (SIPS-N), whole-brain gyrification, or both to forecast negative symptoms of at least moderate severity in 94 CHR. We also conducted sequential risk stratification to stratify CHR into different risk groups based on the SIPS-N and gyrification model. Additionally, we assessed the models' ability to predict functional outcomes in CHR and their transdiagnostic generalizability to predict negative symptoms in 96 patients with recent-onset psychosis (ROP) and 97 patients with recent-onset depression (ROD). Baseline SIPS-N and gyrification predicted moderate/severe negative symptoms with significant balanced accuracies of 68 and 62%, while the combined model achieved 73% accuracy. Sequential risk stratification stratified CHR into a high (83%), medium (40-64%), and low (19%) risk group regarding their risk of having moderate/severe negative symptoms at 9 months follow-up. The baseline SIPS-N model was also able to predict social (61%), but not role functioning (59%) at above-chance accuracies, whereas the gyrification model achieved significant accuracies in predicting both social (76%) and role (74%) functioning in CHR. Finally, only the baseline SIPS-N model showed transdiagnostic generalization to ROP (63%). This study delivers a multimodal prognostic model to identify those CHR with a clinically relevant negative symptom severity and functional impairments, potentially requiring further therapeutic consideration.

UI MeSH Term Description Entries
D011379 Prognosis A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations. Prognostic Factor,Prognostic Factors,Factor, Prognostic,Factors, Prognostic,Prognoses
D011618 Psychotic Disorders Disorders in which there is a loss of ego boundaries or a gross impairment in reality testing with delusions or prominent hallucinations. (From DSM-IV, 1994) Psychoses,Psychosis, Brief Reactive,Schizoaffective Disorder,Schizophreniform Disorders,Psychosis,Brief Reactive Psychoses,Brief Reactive Psychosis,Disorder, Psychotic,Disorder, Schizoaffective,Disorder, Schizophreniform,Disorders, Psychotic,Disorders, Schizoaffective,Disorders, Schizophreniform,Psychoses, Brief Reactive,Psychotic Disorder,Reactive Psychoses, Brief,Reactive Psychosis, Brief,Schizoaffective Disorders,Schizophreniform Disorder
D001921 Brain The part of CENTRAL NERVOUS SYSTEM that is contained within the skull (CRANIUM). Arising from the NEURAL TUBE, the embryonic brain is comprised of three major parts including PROSENCEPHALON (the forebrain); MESENCEPHALON (the midbrain); and RHOMBENCEPHALON (the hindbrain). The developed brain consists of CEREBRUM; CEREBELLUM; and other structures in the BRAIN STEM. Encephalon
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012307 Risk Factors An aspect of personal behavior or lifestyle, environmental exposure, inborn or inherited characteristic, which, based on epidemiological evidence, is known to be associated with a health-related condition considered important to prevent. Health Correlates,Risk Factor Scores,Risk Scores,Social Risk Factors,Population at Risk,Populations at Risk,Correlates, Health,Factor, Risk,Factor, Social Risk,Factors, Social Risk,Risk Factor,Risk Factor Score,Risk Factor, Social,Risk Factors, Social,Risk Score,Score, Risk,Score, Risk Factor,Social Risk Factor
D062706 Prodromal Symptoms Clinical or physiological indicators that precede the onset of disease. Prodromal Characteristics,Prodromal Period,Prodromal Signs,Prodromal Stage,Prodromal States,Prodromal Syndromes,Characteristic, Prodromal,Characteristics, Prodromal,Period, Prodromal,Periods, Prodromal,Prodromal Characteristic,Prodromal Periods,Prodromal Sign,Prodromal Stages,Prodromal State,Prodromal Symptom,Prodromal Syndrome,Sign, Prodromal,Signs, Prodromal,Stage, Prodromal,Stages, Prodromal,State, Prodromal,States, Prodromal,Symptom, Prodromal,Symptoms, Prodromal,Syndrome, Prodromal,Syndromes, Prodromal

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