Decision making and its associations to neurocognitive functions, psychopathology, and the home environment in seven-year-old children at familial high risk of schizophrenia or bipolar disorder: The Danish High Risk and Resilience Study VIA 7
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Decision making and its associations to neurocognitive functions, psychopathology, and the home environment in seven-year-old children at familial high risk of schizophrenia or bipolar disorder : The Danish High Risk and Resilience Study VIA 7. / Hemager, Nicoline; Jepsen, Jens Richardt Møllegaard; Thorup, Anne; Christiani, Camilla; Ellersgaard, Ditte; Spang, Katrine Søborg; Burton, Birgitte Klee; Gregersen, Maja; Søndergaard, Anne; Greve, Aja Neergaard; Gantriis, Ditte Lou; Mors, Ole; Nordentoft, Merete; Plessen, Kerstin J.
In: Journal of Affective Disorders, Vol. 281, 01.02.2021, p. 609-617.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Decision making and its associations to neurocognitive functions, psychopathology, and the home environment in seven-year-old children at familial high risk of schizophrenia or bipolar disorder
T2 - The Danish High Risk and Resilience Study VIA 7
AU - Hemager, Nicoline
AU - Jepsen, Jens Richardt Møllegaard
AU - Thorup, Anne
AU - Christiani, Camilla
AU - Ellersgaard, Ditte
AU - Spang, Katrine Søborg
AU - Burton, Birgitte Klee
AU - Gregersen, Maja
AU - Søndergaard, Anne
AU - Greve, Aja Neergaard
AU - Gantriis, Ditte Lou
AU - Mors, Ole
AU - Nordentoft, Merete
AU - Plessen, Kerstin J.
PY - 2021/2/1
Y1 - 2021/2/1
N2 - Background: Slower and suboptimal decision making has been identified in adults with schizophrenia and bipolar disorder. Owing to the limited evidence on decision making in first-degree relatives, we aimed to investigate, whether alterations in decision making are present in young children at familial high risk of bipolar disorder or schizophrenia.Methods: In this population-based cohort study we assessed decision making in 197 children at familial high risk of schizophrenia (FHR-SZ), 115 children at familial high risk of bipolar disorder (FHR-BP), and 190 controls aged seven using the Cambridge Gambling Task. Potential associations to neurocognition, psychopathology, and the home environment were investigated.Results: Children at FHR-SZ or FHR-BP displayed intact decision making. Quality of decision making showed significant but weak cross-sectional associations to neurocognition and adequacy of the home environment. Associations to aspects of executive functions and the home environment differed across groups.Limitations: Due to the cross-sectional nature of this study, the predictive value of efficient and inefficient decision making remains to be investigated in planned follow-up studies of this cohort.Conclusions: Young children at FHR-SZ or FHR-BP do not differ from controls in decision making efficacy, which does not appear to be an early risk marker of bipolar disorder or schizophrenia. Decision making is weakly associated to neurocognition and the home environment, but not to general intelligence or psychopathology.
AB - Background: Slower and suboptimal decision making has been identified in adults with schizophrenia and bipolar disorder. Owing to the limited evidence on decision making in first-degree relatives, we aimed to investigate, whether alterations in decision making are present in young children at familial high risk of bipolar disorder or schizophrenia.Methods: In this population-based cohort study we assessed decision making in 197 children at familial high risk of schizophrenia (FHR-SZ), 115 children at familial high risk of bipolar disorder (FHR-BP), and 190 controls aged seven using the Cambridge Gambling Task. Potential associations to neurocognition, psychopathology, and the home environment were investigated.Results: Children at FHR-SZ or FHR-BP displayed intact decision making. Quality of decision making showed significant but weak cross-sectional associations to neurocognition and adequacy of the home environment. Associations to aspects of executive functions and the home environment differed across groups.Limitations: Due to the cross-sectional nature of this study, the predictive value of efficient and inefficient decision making remains to be investigated in planned follow-up studies of this cohort.Conclusions: Young children at FHR-SZ or FHR-BP do not differ from controls in decision making efficacy, which does not appear to be an early risk marker of bipolar disorder or schizophrenia. Decision making is weakly associated to neurocognition and the home environment, but not to general intelligence or psychopathology.
U2 - 10.1016/j.jad.2020.11.107
DO - 10.1016/j.jad.2020.11.107
M3 - Journal article
C2 - 33257040
VL - 281
SP - 609
EP - 617
JO - Journal of Affective Disorders
JF - Journal of Affective Disorders
SN - 0165-0327
ER -
ID: 282745666