Visual attention in 7-year-old children at familial high risk of schizophrenia or bipolar disorder: The Danish high risk and resilience study VIA 7

Nicoline Hemager, Signe Vangkilde, Anne Amalie Elgaard Thorup, Camilla Christiani, Ditte Ellersgaard, Katrine Soborg Spang, Birgitte Klee Burton, Aja Neergaard Greve, Ditte Lou Gantriis, Ole Mors, Jens Richardt Mollegaard Jepsen, Merete Nordentoft, Kerstin Jessica Plessen

4 Citations (Scopus)

Abstract

Background: Attention deficits are found in children at familial high risk of schizophrenia (FHR-SZ) and bipolar disorder (FHR-BP) using assessment methods relying on motor-based response latency. This study compares visual attention functions in children at FHR-SZ or FHR-BP with controls using an unspeeded task unconfounded by motor components. Methods: Visual attention was assessed in 133 7-year-old children at FHR-SZ (N = 56) or FHR-BP (N = 32), and controls (N = 45) using the unspeeded paradigm, TVA-based whole report. We compared four parameters of visual attention: visual processing speed, visual short-term memory, threshold for visual perception, and error rate. Further, we investigated their potential relationships with severity of psychopathology, adequacy of the home environment, and neurocognitive measures. Results: Children at FHR-SZ displayed significant deficits in perceptual processing speed of visual attention compared with controls (p <.001; d = 0.75) as did children at FHR-BP (p <.05; d = 0.54). Visual processing speed was significantly associated with spatial working memory (β = -0.23; t(68) = -3.34, p =.01) and psychomotor processing speed (β = 0.14, t(67) = 2.11, p <.05). Limitations: Larger group sizes would have permitted inclusion of more predictors in the search for neurocognitive and other factors associated with the parameters of TVA-based whole report. Conclusions: Young children at FHR-SZ and FHR-BP display significant deficits in processing speed of visual attention, which may reflect the effect of shared vulnerability risk genes. Early identification of children at FHR-SZ and FHR-BP with perceptual processing speed impairments may represent a low-cost basis for low-risk interventions.

Original languageEnglish
JournalJournal of Affective Disorders
Volume258
Pages (from-to)56-65
ISSN0165-0327
DOIs
Publication statusPublished - 1 Nov 2019

Keywords

  • Bipolar disorder
  • Schizophrenia
  • Familial high risk
  • Visual attention

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