A Bayesian model comparison approach to test the specificity of visual integration impairment in schizophrenia or psychosis.

Abstract:

:Impaired visual integration is well documented in schizophrenia and related to functional outcomes. However, it is unclear if this deficit is specific to schizophrenia, or characteristic of psychosis more broadly. To address this question, this study used a Bayesian model comparison approach to examine the evidence of three grouping models of visual integration performance in 116 individuals with schizophrenia (SZ), schizoaffective disorder (SA), bipolar disorder (BD) with or without a history of prominent psychosis (BDP+ and BDP-, respectively), or no psychiatric diagnosis (healthy controls; HC). We compared: (1) Psychosis Model (psychosis, non-psychosis), where the psychosis group included SZ, SA, and BDP+, and the non-psychosis group included BDP- and HC; (2) Schizophrenia Model (SZ, non-SZ); and (3) DSM Model (SZ, SA, BD, HC). The relationship between visual integration and general cognition was also explored. The Psychosis Model showed the strongest evidence, and visual integration was associated with general cognition in participants with psychosis. The results were consistent with the Research Domain Criteria (RDoC) framework, indicating that visual integration impairment is characteristic of psychosis and not specific to SZ or DSM categories, and may share similar disease pathways with observed neurocognitive deficits in psychotic disorders.

journal_name

Psychiatry Res

journal_title

Psychiatry research

authors

Grove TB,Yao B,Mueller SA,McLaughlin M,Ellingrod VL,McInnis MG,Taylor SF,Deldin PJ,Tso IF

doi

10.1016/j.psychres.2018.04.061

subject

Has Abstract

pub_date

2018-07-01 00:00:00

pages

271-278

eissn

0165-1781

issn

1872-7123

pii

S0165-1781(17)31164-2

journal_volume

265

pub_type

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