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Neurocognition in first-episode schizophrenia: A meta-analytic review.

Mesholam-Gately, Raquelle I., Giuliano, Anthony J., Goff, Kirsten P., Faraone, Stephen V., Seidman, Larry J.·2009·Neuropsychology

DOI 10.1037/a0014708

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Abstract

Compromised neurocognition is a core feature of schizophrenia. Following Heinrichs and Zakzanis's (1998) seminal meta-analysis of middle-aged and predominantly chronic schizophrenia samples, the aim of this study is to provide a meta-analysis of neurocognitive findings from 47 studies of first-episode (FE) schizophrenia published through October 2007. The meta-analysis uses 43 separate samples of 2,204 FE patients with a mean age of 25.5 and 2,775 largely age- and gender-matched control participants. FE samples demonstrated medium-to-large impairments across 10 neurocognitive domains (mean effect sizes from -0.64 to -1.20). Findings indicate that impairments are reliably and broadly present by the FE, approach or match the degree of deficit shown in well-established illness, and are maximal in immediate verbal memory and processing speed. Larger IQ impairments in the FE compared to the premorbid period, but comparable to later phases of illness suggests deterioration between premorbid and FE phases followed by deficit stability at the group level. Considerable heterogeneity of effect sizes across studies, however, underscores variability in manifestations of the illness and a need for improved reporting of sample characteristics to support moderator variable analyses.

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Authors: Mesholam-Gately, R. I., Giuliano, A. J., Goff, K. P., Faraone, S. V., & Seidman, L. J.
Affiliations: Beth Israel Deaconess Medical Center (US)
SUNY Upstate Medical University (US)
ORCID: Faraone, Stephen V.
Seidman, Larry J.
Venue: Neuropsychology
Publisher: American Psychological Association (APA)
Published: 2009
Volume: 23
Issue: 3
Pages: 315-336
ISSN: 0894-4105 (ISSN-L)
1931-1559
DOI: 10.1037/a0014708
OpenAlex: W1987834520
Semantic Scholar: 1f5bc4062ee07501c7114895394d11f0b51016c3
Cited by: 1,130
References: 133
Citations by year: 2026: 29 · 2025: 43 · 2024: 52 · 2023: 54 · 2022: 56 · 2021: 73 · 2020: 74 · 2019: 103 · 2018: 88 · 2017: 79 · 2016: 66 · 2015: 88 · 2014: 74 · 2013: 84 · 2012: 66
FWCI: 34.11
Type: journal article
Language: en
Open access: closed
Locations: Neuropsychology (publishedVersion)
PubMed (publishedVersion)
Funders: National Alliance for Research on Schizophrenia and Depression
National Institute of Mental Health (P50MH080272, MH 43518; MH 63951; MH 65562)
Department of Mental Health Research
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
Keywords: first-episode schizophrenia, neurocognitive function, cognitive impairment, verbal memory, processing speed, IQ decline, premorbid intelligence, effect size heterogeneity
MeSH terms: Adult, Cognition Disorders, Humans, Intelligence, Memory, Neuropsychological Tests, Schizophrenia, Schizophrenic Psychology, Time Factors, Verbal Learning

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Neurocognition in first-episode schizophrenia: A meta-analytic review.

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