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Comparison of Progressive Cortical Gray Matter Loss in Childhood-OnsetSchizophrenia With That in Childhood-Onset Atypical Psychoses
Author(s) -
Nitin Gogtay,
Alexandra Sporn,
Liv Clasen,
Tom Nugent,
Deanna Greenstein,
Rob Nicolson,
Jay N. Giedd,
Marge Lenane,
Peter Gochman,
Alan C. Evans,
Judith L. Rapoport
Publication year - 2004
Publication title -
archives of general psychiatry
Language(s) - English
Resource type - Journals
eISSN - 1538-3636
pISSN - 0003-990X
DOI - 10.1001/archpsyc.61.1.17
Subject(s) - psychosis , psychology , magnetic resonance imaging , analysis of variance , neuroimaging , audiology , post hoc analysis , schizophrenia (object oriented programming) , age of onset , pediatrics , medicine , psychiatry , radiology , disease
Recent anatomical brain magnetic resonance imaging (MRI) studies show a striking postpsychotic progressive loss of cortical gray matter (GM) in patients with childhood-onset schizophrenia (COS), which appears greater than that seen for adult patients. However, the diagnostic specificity and the relationship of these changes to drug treatment and cognitive functioning remain unclear. We performed a comparative prospective brain MRI study in patients with COS and pediatric patients with transient psychosis with behavior problems (psychosis not otherwise specified) provisionally considered multidimensionally impaired (MDI). We hypothesized that cortical GM loss would occur in patients with COS but not in adolescents with atypical psychoses.

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