Negative Symptoms and Their Associations With Other Clinical Variables and Working Memory Across the Schizophrenia Spectrum and Bipolar Disorder.

Autor:	De Pieri M; Division of Adult Psychiatry, Department of Psychiatry, University Hospitals Geneva, Geneva, Switzerland., Berg X; Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital University of Zurich, Zürich, Switzerland., Georgiadis F; Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital University of Zurich, Zürich, Switzerland., Brakowski J; Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital University of Zurich, Zürich, Switzerland., Burrer A; Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital University of Zurich, Zürich, Switzerland., Sabé M; Division of Adult Psychiatry, Department of Psychiatry, University Hospitals Geneva, Geneva, Switzerland., Kaliuzhna M; Division of Adult Psychiatry, Department of Psychiatry, University Hospitals Geneva, Geneva, Switzerland., Vetter S; Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital University of Zurich, Zürich, Switzerland., Seifritz E; Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital University of Zurich, Zürich, Switzerland., Homan P; Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital University of Zurich, Zürich, Switzerland.; Neuroscience Center Zurich, University of Zurich and Swiss Federal Institute of Technology Zurich, Zürich, Switzerland., Kaiser S; Division of Adult Psychiatry, Department of Psychiatry, University Hospitals Geneva, Geneva, Switzerland., Kirschner M; Division of Adult Psychiatry, Department of Psychiatry, University Hospitals Geneva, Geneva, Switzerland.; Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital University of Zurich, Zürich, Switzerland.
Jazyk:	angličtina
Zdroj:	Schizophrenia bulletin open [Schizophr Bull Open] 2024 Sep 18; Vol. 5 (1), pp. sgae024. Date of Electronic Publication: 2024 Sep 18 (Print Publication: 2024).
DOI:	10.1093/schizbullopen/sgae024
Abstrakt:	Negative symptoms (NS) of schizophrenia spectrum disorders (SSD) are also prevalent in bipolar disorder I (BD-I) and show associations with impaired working memory (WM). However, empirical work on their relationship to other clinical factors across SSD and BD-I is sparse. Here, we characterized the associations of NS with key clinical variables and WM capacity across a combined sample of SSD and BD. We included 50 outpatients with SSD and 49 with BD-I and assessed NS domains using SANS global scores for avolition-apathy, anhedonia-asociality, alogia, and blunted affect. We assessed the transdiagnostic relationship between NS and other clinical variables, including positive symptoms, disorganization, depressive symptoms, and antipsychotic medication, using multiple regressions. The strength of these associations was further determined through dominance analyses. Finally, we used multiple regression to assess the relationship between NS domains and WM. To assess the generalizability of transdiagnostic associations, analyses were repeated in each diagnostic group separately. Across SSD and BD-I, disorganization was associated with avolition-apathy and anhedonia-asociality and depressive symptoms additionally predicted anhedonia-asociality. Antipsychotic dose was associated with blunted affect while group differences only predicted alogia. Higher avolition-apathy was related to impaired WM transdiagnostically, partially mediated by the severity of disorganization, whereas only in BD-I higher anhedonia-asociality was associated with better WM capacity. This study demonstrated transdiagnostic associations of both avolition-apathy and anhedonia-asociality with disorganization and identified avolition-apathy as a potential transdiagnostic predictor of WM impairments. Overall, our findings highlight the importance of understanding the relationship between NS domains and other clinical factors with cognitive function across SSD and BD. (© The Author(s) 2024. Published by Oxford University Press on behalf of the University of Maryland's school of medicine, Maryland Psychiatric Research Center.)
Databáze:	MEDLINE
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