Executive functions in 7-year-old children of parents with schizophrenia or bipolar disorder compared with controls: The Danish High Risk and Resilience Study-VIA 7, a population-based cohort study.

Details

Serval ID
serval:BIB_707655ED2953
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Executive functions in 7-year-old children of parents with schizophrenia or bipolar disorder compared with controls: The Danish High Risk and Resilience Study-VIA 7, a population-based cohort study.
Journal
European child & adolescent psychiatry
Author(s)
Spang K.S., Ellersgaard D., Hemager N., Christiani C.J., Burton B.K., Greve A.N., Gantriis D., Ohland J., Pedersen M.G., Mors O., Nordentoft M., Plessen K.J., Obel C., Jepsen JRM, Thorup AAE
ISSN
1435-165X (Electronic)
ISSN-L
1018-8827
Publication state
Published
Issued date
12/2021
Peer-reviewed
Oui
Volume
30
Number
12
Pages
1871-1884
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Cognitive impairments are strongly associated with schizophrenia (SZ) and bipolar disorder (BP) with executive functions (EF) impairments as a likely key feature. Studies of everyday behavior rated EF in young children at familial high risk of SZ (FHR-SZ) are scarce and, to our knowledge, non-existent in young children at familial high risk of BP (FHR-BP). We aimed to compare everyday behavior-rated EF of FHR-SZ, FHR-BP, and control children. A nationwide population-based cohort of 522 7-year-old children with parents diagnosed with either SZ (N = 202) or BP (N = 120) and matched controls (N = 200) were recruited using the Danish national registries. The children's EF were assessed with the Behavior Rating Inventory of Executive Functions questionnaire rated by primary caregivers and teachers. According to primary caregiver assessments, FHR-SZ children displayed widespread EF impairments and had an odds ratio of 3.7 (2.0-6.9) of having clinically significant global EF impairments compared to controls. FHR-BP children were most severely impaired regarding EF related to emotional control and had an odds ratio of 2.5 (1.2-5.1) of clinically significant global EF impairments compared to controls. Teacher assessments were overall comparable to primary caregiver assessments but teachers rated more difficulties in the FHR-SZ group than primary caregivers. Already at age 7, children with a parental history of SZ or BP displayed significant impairments of EF in everyday-life situations. FHR-SZ children displayed widespread significant impairments of EF, whereas FHR-BP children were most severely impaired on emotional control. Clinicians should be aware of potential EF impairments in FHR children.
Keywords
Bipolar Disorder, Child, Child, Preschool, Cohort Studies, Denmark, Executive Function, Humans, Parents, Schizophrenia, Bipolar disorder, Executive function, Familial high risk
Pubmed
Web of science
Create date
09/10/2020 12:21
Last modification date
04/12/2021 7:36
Usage data