Unitary construct of generalized cognitive ability underlying BACS performance across psychotic disorders and in their first-degree relatives.

Abstract:

:Despite robust evidence of neurocognitive dysfunction in psychotic patients, the degree of similarity in cognitive architecture across psychotic disorders and among their respective first-degree relatives is not well delineated. The present study examined the latent factor structure of the Brief Assessment of Cognition in Schizophrenia (BACS) neuropsychological battery. Analyses were conducted on 783 psychosis spectrum probands (schizophrenia, schizoaffective, psychotic bipolar), 887 of their first-degree relatives, and 396 non-psychiatric controls from the Bipolar-Schizophrenia Network on Intermediate Phenotypes (B-SNIP) consortium. Exploratory factor analysis of BACS subtest scores indicated a single-factor solution that was similar across all groups and provided the best overall data fit in confirmatory analyses. Correlations between the standard BACS composite score and the sum of subscale scores weighted by their loadings on this unitary factor were very high in all groups (r≥.99). Thus, the BACS assesses a similar unitary cognitive construct in probands with different psychotic disorders, in their first-degree relatives, and in healthy controls, and this factor is well measured by the test's standard composite score.

journal_name

Schizophr Res

journal_title

Schizophrenia research

authors

Hochberger WC,Hill SK,Nelson CL,Reilly JL,Keefe RS,Pearlson GD,Keshavan MS,Tamminga CA,Clementz BA,Sweeney JA

doi

10.1016/j.schres.2015.11.022

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

156-61

issue

1

eissn

0920-9964

issn

1573-2509

pii

S0920-9964(15)30065-7

journal_volume

170

pub_type

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