Neurobiology of Disease (Nov 2019)

Neural correlates of cognitive deficits across developmental phases of schizophrenia

  • Sinead Kelly,
  • Synthia Guimond,
  • Amanda Lyall,
  • William S. Stone,
  • Martha E. Shenton,
  • Matcheri Keshavan,
  • Larry J. Seidman

Journal volume & issue
Vol. 131

Abstract

Read online

Schizophrenia is associated with cognitive deficits across all stages of the illness (i.e., high risk, first episode, early and chronic phases). Identifying the underlying neurobiological mechanisms of these deficits is an important area of scientific inquiry. Here, we selectively review evidence regarding the pattern of deficits across the developmental trajectory of schizophrenia using the five cognitive domains identified by the Research Domain Criteria (RDoC) initiative. We also report associated findings from neuroimaging studies. We suggest that most cognitive domains are affected across the developmental trajectory, with corresponding brain structural and/or functional differences. The idea of a common mechanism driving these deficits is discussed, along with implications for cognitive treatment in schizophrenia.