Oral Session 1
Thursday, October 20,
1:00–2:30 p.m., Parini
Adolescence and Anomalous Self-Experiences
Chair: Paolo Fiori Nastro
1
, Co-Chair: Andrea Raballo
2
Speakers: Frauke Schultze-Lutter, Stephen J. Wood, Stefanie
J. Schmidt, Martin Debbané, Nella Lo Cascio, Maya Rothbaum, Nel-
son Barnaby, David C. Cicero
1
Department of Neurology and Psychiatry, Sapienza University of Rome,
Italy,
2
University of Oslo, Norway
Talk 1
Basic Symptoms in the General Population and
their Association with Age
Frauke Schultze-Lutter
1
, Stephan Ruhrmann
2
, Chantal Michel
1
,
Stefanie J. Schmidt
1
, Jochen Kindler
1
, Benno G. Schimmelmann
1
1
University of Bern, Switzerland,
2
University of Cologne, Germany
Recently, limited psychopathological significance of attenuated psy-
chotic symptoms before the turn from early to late adolescence,
i.e., age 15/16, was reported, which emphasizes the potentially
important role of neurodevelopmental aspects in the early detection
of psychoses. Thus, we examined the age effect on prevalence and
clinical significance of 14 cognitive and perceptive basic symptoms
(BS) included in risk criteria of psychosis in a randomly selected rep-
resentative 8- to 40-year-old general population sample (N = 689).
Participants underwent clinical interviews for BS, psychosocial func-
tioning, and current mental disorder on the telephone. BS were
reported by 18% of participants, mainly cognitive BS (15%). Age
seemed to affect perceptive and cognitive BS differently, indicating
an age threshold for perceptive BS in late adolescence (around age
18) and for cognitive BS in young adulthood (early twenties)–with
higher prevalence, but a lesser association with functional deficits
and the presence of mental disorder in the below-threshold groups.
Thereby, effects of the interaction between age and BS on function-
ing and mental disorder were commonly stronger than individual
effects of age and BS. Supporting the proposed substrate-closeness
of BS, differential age effects of perceptual and cognitive BS seem to
follow normal brain maturation processes, in which they might occur
as infrequent and temporary non-pathological disturbances. Their
persistence or occurrence after the conclusion of main brain matura-
tion processes, however, might signify aberrant maturation processes.
Thus, BS might provide important insight into the pathogenesis of
psychosis and into potential neuroprotective targets.
Talk 2
Adolescent Brain Development and the Onset of
Psychosis
Stephen J. Wood
University of Birmingham, UK
Adolescence is a formative period of human development that is
characterized by increases in affective reactivity, greater interest in
and sensitivity towards peer-relationships, and an enhanced capacity
to engage in behaviour directed towards long term goals. The devel-
opmental changes through this period promote the skills necessary
for greater independence and enhance new forms of peer attach-
ment, but they also create greater vulnerability to emotional and
behavioural dysregulation. Indeed, the peak age of onset for psy-
chotic illnesses is between 15 and 25, roughly equating to late ado-
lescence. To demonstrate the importance of the adolescent
developmental period for psychosis onset, epidemiological, cognitive,
and brain imaging studies will be reviewed. Own as well as other
studies provide significant evidence that adolescent onset of psycho-
sis is associated with greater genetic loading, premorbid social impair-
ments, more severe premorbid neurodevelopmental abnormalities,
longer duration of untreated psychosis, a more severe clinical course
and more severe negative symptoms. Furthermore, higher cognitive
functions fail to show age appropriate gains during adolescence in
those who later develop psychosis, while brain imaging data indicates
faster maturation of grey matter regions. In conclusion, understanding
the link between adolescence and the onset of psychosis, including
the relationship with abnormal developmental trajectories of func-
tional and structural brain networks, will assist in the search for bio-
markers for the development of such illnesses.
DOI 10.1111/eip.12396
62 © 2016 The Authors
Early Intervention in Psychiatry © 2016 Wiley Publishing Asia Pty Ltd
Early Intervention in Psychiatry 2016; 10 (Suppl. 1): 62–117
wileyonlinelibrary.com/journal/eip Early Intervention in Psychiatry October 2016; 10 (Suppl. 1): 62–117