Evidence map›Paper›PMID 38834873›Full record

ArticleEuropean child & adolescent psychiatry2024

The clinical course of individuals with 22q11.2 deletion syndrome converting to psychotic disorders: a long-term retrospective follow-up.

Katerina Kulikova, Maude Schneider, Donna M McDonald McGinn, Shira Dar, Michal Taler, Maya Schwartz-Lifshitz, Stephan Eliez, Raquel E Gur, Doron Gothelf

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Article in European child & adolescent psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Katerina KulikovaSagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel.
Maude SchneiderClinical Psychology Unit for Intellectual and Developmental Disabilities, Faculty of Psychology and Educational Sciences, University of Geneva, Geneva, Switzerland.
Donna M McDonald McGinnDivision of Human Genetics, Department of Pediatrics, Perelman School of Medicine, Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, USA.
Shira DarThe Pediatric Molecular Psychiatry Laboratory Sheba, Tel Hashomer, Israel.
Michal TalerSagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel.
Maya Schwartz-LifshitzThe Behavioural Neurogenetics Center, The Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Ramat Gan, Israel.
Stephan EliezDevelopmental Imaging and Psychopathology lab, Department of Psychiatry, School of Medicine, University of Geneva, Geneva, Switzerland.
Raquel E GurDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Doron GothelfSagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel. gothelf@tauex.tau.ac.il.

Funding

1/2-Brain-Behavior and Genetic Studies of the 22q11DSU01MH087626 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI GUR, RAQUEL E · 2010 to 2014
$6.5M
Binational Science Foundation 2017369National Center of Competence in Research (NCCR) "Synapsy-The Synaptic Bases of Mental Diseases" 51NF40-185897NIMH NIH HHS MH087626, MH087636, MH119737, MH119738Swiss National Science Foundation 320030_179404
6 · The paper itself

Abstract

objectivesThis retrospective study aims to investigate the evolution and clinical course of psychotic disorders from three large international cohorts of individuals with 22q11.2 deletion syndrome (22q11.2DS) (Tel Aviv, Philadelphia, and Geneva).

methodsWe followed 118 individuals with 22q11.2DS from several years before the onset to several years after the onset of psychotic disorders. Data from structured baseline assessment of psychiatric disorders, symptoms of prodrome, indicators and types of psychotic disorders were collected. Additionally, cognitive evaluation was conducted using the age-appropriate Wechsler Intelligence Scale. Electronic medical records were reviewed for medication usage, occupational status, living situation, and psychiatric hospitalizations.

resultsAt baseline evaluation, the most common psychiatric disorders were anxiety disorder (80%) and attention/deficit hyperactivity disorder (50%). The age of onset of prodromal symptoms and conversion to psychotic disorders were 18.6 ± 6.8 and 20.3 ± 7.2, respectively. The most common prodromal symptoms were exacerbation of anxiety symptoms and social isolation. Of the psychotic disorders, schizophrenia was the most common, occurring in 49% of cases. History of at least one psychiatric hospitalization was present in 43% of participants, and the number of psychiatric hospitalizations was 2.1 ± 1.4. Compared to the normalized chart, IQ scores in our cohort were lower after vs. before conversion to psychosis. Following conversion there was a decrease in the use of stimulants and antidepressants and an increase in antipsychotics use, and most individuals with 22q11.2DS were unemployed and lived with their parents.

conclusionsOur results indicate that 22q11.2DS psychosis is like non-22q11.2DS in its course, symptoms, and cognitive and functional impairments.

Indexed as

DiGeorge SyndromePsychotic DisordersAdolescentAdultChildDisease ProgressionFemaleFollow-Up StudiesHumansMaleProdromal SymptomsRetrospective StudiesYoung AdultCourseOnsetProdromePsychiatric medicationsPsychosis

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.