Fronto-Parietal Gray Matter Volume Loss Is Associated with Decreased Working Memory Performance in Adolescents with a First Episode of Psychosis

Cognitive maturation during adolescence is modulated by brain maturation. However, it is unknown how these processes intertwine in early onset psychosis (EOP). Studies examining longitudinal brain changes and cognitive performance in psychosis lend support for an altered development of high-order co...

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Main Authors: Marta Rapado-Castro, Mara Villar-Arenzana, Joost Janssen, David Fraguas, Igor Bombin, Josefina Castro-Fornieles, Maria Mayoral, Ana González-Pinto, Elena de la Serna, Mara Parellada, Dolores Moreno, Beatriz Paya, Montserrat Graell, Inmaculada Baeza, Christos Pantelis, Celso Arango
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/10/17/3929
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author Marta Rapado-Castro
Mara Villar-Arenzana
Joost Janssen
David Fraguas
Igor Bombin
Josefina Castro-Fornieles
Maria Mayoral
Ana González-Pinto
Elena de la Serna
Mara Parellada
Dolores Moreno
Beatriz Paya
Montserrat Graell
Inmaculada Baeza
Christos Pantelis
Celso Arango
author_facet Marta Rapado-Castro
Mara Villar-Arenzana
Joost Janssen
David Fraguas
Igor Bombin
Josefina Castro-Fornieles
Maria Mayoral
Ana González-Pinto
Elena de la Serna
Mara Parellada
Dolores Moreno
Beatriz Paya
Montserrat Graell
Inmaculada Baeza
Christos Pantelis
Celso Arango
author_sort Marta Rapado-Castro
collection DOAJ
description Cognitive maturation during adolescence is modulated by brain maturation. However, it is unknown how these processes intertwine in early onset psychosis (EOP). Studies examining longitudinal brain changes and cognitive performance in psychosis lend support for an altered development of high-order cognitive functions, which parallels progressive gray matter (GM) loss over time, particularly in fronto-parietal brain regions. We aimed to assess this relationship in a subsample of 33 adolescents with first-episode EOP and 47 matched controls over 2 years. Backwards stepwise regression analyses were conducted to determine the association and predictive value of longitudinal brain changes over cognitive performance within each group. Fronto-parietal GM volume loss was positively associated with decreased working memory in adolescents with psychosis (frontal left (B = 0.096, <i>p</i> = 0.008); right (B = 0.089, <i>p</i> = 0.015); parietal left (B = 0.119, <i>p</i> = 0.007), right (B = 0.125, <i>p</i> = 0.015)) as a function of age. A particular decrease in frontal left GM volume best predicted a significant amount (22.28%) of the variance of decreased working memory performance over time, accounting for variance in age (14.9%). No such association was found in controls. Our results suggest that during adolescence, EOP individuals seem to follow an abnormal neurodevelopmental trajectory, in which fronto-parietal GM volume reduction is associated with the differential age-related working memory dysfunction in this group.
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spelling doaj.art-7a980c198e7f42a995df633921d14fc42023-11-22T10:49:31ZengMDPI AGJournal of Clinical Medicine2077-03832021-08-011017392910.3390/jcm10173929Fronto-Parietal Gray Matter Volume Loss Is Associated with Decreased Working Memory Performance in Adolescents with a First Episode of PsychosisMarta Rapado-Castro0Mara Villar-Arenzana1Joost Janssen2David Fraguas3Igor Bombin4Josefina Castro-Fornieles5Maria Mayoral6Ana González-Pinto7Elena de la Serna8Mara Parellada9Dolores Moreno10Beatriz Paya11Montserrat Graell12Inmaculada Baeza13Christos Pantelis14Celso Arango15Department of Child and Adolescent Psychiatry, Institute of Psychiatry and Mental Health, Hospital General Universitario Gregorio Marañón, School of Medicine, Universidad Complutense, IiSGM, CIBERSAM, 28040 Madrid, SpainDepartment of Psychiatry, School of Medicine, Universidad Complutense, 28040 Madrid, SpainDepartment of Child and Adolescent Psychiatry, Institute of Psychiatry and Mental Health, Hospital General Universitario Gregorio Marañón, School of Medicine, Universidad Complutense, IiSGM, CIBERSAM, 28040 Madrid, SpainInstitute of Psychiatry and Mental Health, Hospital Clínico San Carlos, IdISSC, CIBERSAM, School of Medicine, Universidad Complutense, 28040 Madrid, SpainCentro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), 33011 Oviedo, SpainChild Psychiatry and Psychology Department, 2017SGR881, Neurosciences Institute, Hospital Clinic de Barcelona, IDIBAPS (Institut d’Investigacions Biomèdiques August Pi Sunyer), CIBERSAM (Centro deInvestigación Biomédica en Red de Salud Mental), Department of Medicine University of Barcelona, 28036 Barcelona, SpainDepartment of Child and Adolescent Psychiatry, Institute of Psychiatry and Mental Health, Hospital General Universitario Gregorio Marañón, School of Medicine, Universidad Complutense, IiSGM, CIBERSAM, 28040 Madrid, SpainHospital Universitario de Álava, BIOARABA, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Kronikgune, EHU-UPV, 01009 Vitoria, SpainChild Psychiatry and Psychology Department, 2017SGR881, Neurosciences Institute, Hospital Clinic de Barcelona, IDIBAPS (Institut d’Investigacions Biomèdiques August Pi Sunyer), CIBERSAM (Centro deInvestigación Biomédica en Red de Salud Mental), Department of Medicine University of Barcelona, 28036 Barcelona, SpainDepartment of Child and Adolescent Psychiatry, Institute of Psychiatry and Mental Health, Hospital General Universitario Gregorio Marañón, School of Medicine, Universidad Complutense, IiSGM, CIBERSAM, 28040 Madrid, SpainDepartment of Child and Adolescent Psychiatry, Institute of Psychiatry and Mental Health, Hospital General Universitario Gregorio Marañón, School of Medicine, Universidad Complutense, IiSGM, CIBERSAM, 28040 Madrid, SpainChild Psychiatry Unit, Hospital Universitario Marqués de Valdecilla, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, 39008 Santander, SpainPsychiatry and Psychology Department, Hospital Infantil Universitario Niño Jesús, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, 28009 Madrid, SpainChild Psychiatry and Psychology Department, 2017SGR881, Neurosciences Institute, Hospital Clinic de Barcelona, IDIBAPS (Institut d’Investigacions Biomèdiques August Pi Sunyer), CIBERSAM (Centro deInvestigación Biomédica en Red de Salud Mental), Department of Medicine University of Barcelona, 28036 Barcelona, SpainMelbourne Neuropsychiatry Centre, Department of Psychiatry, The University of Melbourne and Melbourne Health, 161 Barry Street, Carlton South, VIC 3053, AustraliaDepartment of Child and Adolescent Psychiatry, Institute of Psychiatry and Mental Health, Hospital General Universitario Gregorio Marañón, School of Medicine, Universidad Complutense, IiSGM, CIBERSAM, 28040 Madrid, SpainCognitive maturation during adolescence is modulated by brain maturation. However, it is unknown how these processes intertwine in early onset psychosis (EOP). Studies examining longitudinal brain changes and cognitive performance in psychosis lend support for an altered development of high-order cognitive functions, which parallels progressive gray matter (GM) loss over time, particularly in fronto-parietal brain regions. We aimed to assess this relationship in a subsample of 33 adolescents with first-episode EOP and 47 matched controls over 2 years. Backwards stepwise regression analyses were conducted to determine the association and predictive value of longitudinal brain changes over cognitive performance within each group. Fronto-parietal GM volume loss was positively associated with decreased working memory in adolescents with psychosis (frontal left (B = 0.096, <i>p</i> = 0.008); right (B = 0.089, <i>p</i> = 0.015); parietal left (B = 0.119, <i>p</i> = 0.007), right (B = 0.125, <i>p</i> = 0.015)) as a function of age. A particular decrease in frontal left GM volume best predicted a significant amount (22.28%) of the variance of decreased working memory performance over time, accounting for variance in age (14.9%). No such association was found in controls. Our results suggest that during adolescence, EOP individuals seem to follow an abnormal neurodevelopmental trajectory, in which fronto-parietal GM volume reduction is associated with the differential age-related working memory dysfunction in this group.https://www.mdpi.com/2077-0383/10/17/3929working memoryattentionexecutive functionearly onset psychosisbrain volumeadolescence
spellingShingle Marta Rapado-Castro
Mara Villar-Arenzana
Joost Janssen
David Fraguas
Igor Bombin
Josefina Castro-Fornieles
Maria Mayoral
Ana González-Pinto
Elena de la Serna
Mara Parellada
Dolores Moreno
Beatriz Paya
Montserrat Graell
Inmaculada Baeza
Christos Pantelis
Celso Arango
Fronto-Parietal Gray Matter Volume Loss Is Associated with Decreased Working Memory Performance in Adolescents with a First Episode of Psychosis
Journal of Clinical Medicine
working memory
attention
executive function
early onset psychosis
brain volume
adolescence
title Fronto-Parietal Gray Matter Volume Loss Is Associated with Decreased Working Memory Performance in Adolescents with a First Episode of Psychosis
title_full Fronto-Parietal Gray Matter Volume Loss Is Associated with Decreased Working Memory Performance in Adolescents with a First Episode of Psychosis
title_fullStr Fronto-Parietal Gray Matter Volume Loss Is Associated with Decreased Working Memory Performance in Adolescents with a First Episode of Psychosis
title_full_unstemmed Fronto-Parietal Gray Matter Volume Loss Is Associated with Decreased Working Memory Performance in Adolescents with a First Episode of Psychosis
title_short Fronto-Parietal Gray Matter Volume Loss Is Associated with Decreased Working Memory Performance in Adolescents with a First Episode of Psychosis
title_sort fronto parietal gray matter volume loss is associated with decreased working memory performance in adolescents with a first episode of psychosis
topic working memory
attention
executive function
early onset psychosis
brain volume
adolescence
url https://www.mdpi.com/2077-0383/10/17/3929
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