California Verbal Learning Test-II performance in schizophrenia as a function of ascertainment strategy: comparing the first and second phases of the Consortium on the Genetics of Schizophrenia (COGS).

Abstract:

:The first phase of the Consortium on the Genetics of Schizophrenia (COGS-1) showed performance deficits in learning and memory on the California Verbal Learning Test, Second Edition (CVLT-II) in individuals with schizophrenia (SZ), compared to healthy comparison subjects (HCS). A question is whether the COGS-1 study, which used a family study design (i.e. studying relatively intact families), yielded "milder" SZ phenotypes than those acquired subsequently in the COGS-2 case-control design that did not recruit unaffected family members. CVLT-II performance was compared for the COGS-1 and COGS-2 samples. Analyses focused on learning, recall and recognition variables, with age, gender and education as covariates. Analyses of COGS-2 data explored effects of additional covariates and moderating factors in CVLT-II performance. 324 SZ subjects and 510 HCS had complete CVLT-II and covariate data in COGS-1, while 1356 SZ and 1036 HCS had complete data in COGS-2. Except for recognition memory, analysis of covariance showed significantly worse performance in COGS-2 on all CVLT-II variables for SZ and HCS, and remained significant in the presence of the covariates. Performance in each of the 5 learning trials differed significantly. However, effect sizes comparing cases and controls were comparable across the two studies. COGS-2 analyses confirmed SZ performance deficits despite effects of multiple significant covariates and moderating factors. CVLT-II performance was worse in COGS-2 than in COGS-1 for both the SZ and the HCS in this large cohort, likely due to cohort effects. Demographically corrected data yield a consistent pattern of performance across the two studies in SZ.

journal_name

Schizophr Res

journal_title

Schizophrenia research

authors

Stone WS,Mesholam-Gately RI,Braff DL,Calkins ME,Freedman R,Green MF,Greenwood TA,Gur RE,Gur RC,Lazzeroni LC,Light GA,Nuechterlein KH,Olincy A,Radant AD,Siever LJ,Silverman JM,Sprock J,Sugar CA,Swerdlow NR,Tsuang DW

doi

10.1016/j.schres.2014.10.029

subject

Has Abstract

pub_date

2015-04-01 00:00:00

pages

32-7

issue

1-3

eissn

0920-9964

issn

1573-2509

pii

S0920-9964(14)00598-2

journal_volume

163

pub_type

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