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Record W2794930997 · doi:10.1093/schbul/sby017.603

F72. NEUROCOGNITION AND ADAPTIVE FUNCTIONING IN THE 22Q11.2 DELETION SYNDROME MODEL OF SCHIZOPHRENIA

2018· article· en· W2794930997 on OpenAlexaff
Fiksinski Ania, Elemi Breetvelt, Jacob Vorstman, Eva W.C. Chow, Erin Lee, Lisa D. Palmer, Erik Boot, Nancy J. Butcher, René S. Kahn, Anne S. Bassett

Bibliographic record

VenueSchizophrenia Bulletin · 2018
Typearticle
Languageen
FieldNeuroscience
TopicFunctional Brain Connectivity Studies
Canadian institutionsUniversity of Toronto
Fundersnot available
KeywordsNeurocognitiveSchizophrenia (object-oriented programming)PsychologyClinical psychologyLogistic regressionPsychosisAdaptive behaviorCognitionExecutive functionsPsychiatryMedicineInternal medicine

Abstract

fetched live from OpenAlex

Identifying factors that influence functional outcome is an important goal in schizophrenia research. These factors, including overall cognitive functioning (IQ) and more specific domains of neurocognitive functioning, may not only aid in identifying those individuals at greatest risk for poor functional outcome but could inform potentially targetable treatment objectives. The 22q11.2 deletion syndrome (22q11DS) is a unique genetic model with high risk (20–25%) for schizophrenia. This study aimed to identify potentially targetable domains of neurocognitive functioning associated with functional outcome in adults with 22q11DS. Using data available from a comprehensive battery of 15 neurocognitive tests for 99 adults with 22q11DS (n=43 with schizophrenia) we derived four domains of neurocognition (Verbal memory, Visual memory, Motor functioning, and Executive performance) using a principal component analysis. To investigate the association of these domains with adaptive functioning, we used Vineland Adaptive Behavior Scales (VABS) data available for 84 subjects in a logistic regression model that accounted for the effects of schizophrenia status and overall intellectual level. The regression model explained 46.8% of the variance in overall functional outcome (p < 0.0001) and 47.7% of the variance on the daily living skills subdomain (p < 0.0001). Executive performance was significantly associated with subsequent functional outcome (p = 0.046); age and schizophrenia were also significant factors. VABS adaptive functioning scale scores were higher in those with better performance on Executive domain tests, no psychotic illness, and older age. The effects of Executive Performance on functioning did not significantly differ between those with and without psychotic illness. The significant relationship between Executive Performance and functional outcome is a novel addition to our understanding of cognitive factors that may contribute to the variability in functional outcome in schizophrenia high-risk groups. The results provide impetus for further studies of Executive Performance as a potential target of early intervention strategies to mitigate risk for schizophrenia and functional deterioration.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.001
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.029
Threshold uncertainty score0.057

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.001
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0000.001
Bibliometrics0.0010.001
Science and technology studies0.0000.001
Scholarly communication0.0010.000
Open science0.0010.001
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0040.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.037
GPT teacher head0.239
Teacher spread0.202 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2018
Admission routes1
Has abstractyes

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