Jumping to Conclusions and Its Associations With Psychotic Experiences in Preadolescent Children at Familial High Risk of Schizophrenia or Bipolar Disorder-The Danish High Risk and Resilience Study, VIA 11

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  • Maja Gregersen
  • Sinnika Birkehoj Rohd
  • Jens Richardt Møllegaard Jepsen
  • Julie Marie Brandt
  • Anne Sondergaard
  • Hjorthøj, Carsten
  • Christina Bruun Knudsen
  • Anna Krogh Andreassen
  • Lotte Veddum
  • Jessica Ohland
  • Martin Wilms
  • Mette Falkenberg Krantz
  • Birgitte Klee Burton
  • Aja Greve
  • Vibeke Bliksted
  • Ole Mors
  • Lars Clemmensen
  • Nordentoft, Merete
  • Thorup, Anne Amalie Elgaard
  • Nicoline Hemager

Background The jumping to conclusions (JTC) bias, ie, making decisions based on inadequate evidence, is associated with psychosis in adults and is believed to underlie the formation of delusions. Knowledge on the early manifestations of JTC and its associations with psychotic experiences (PE) in children and adolescents is lacking. Design Preadolescent children (mean age 11.9 y, SD 0.2) at familial high risk of schizophrenia (FHR-SZ, n = 169) or bipolar disorder (FHR-BP, n = 101), and controls (n = 173) were assessed with the Beads Task to examine JTC. The number of beads drawn before making a decision, "draws to decision" (DTD) was used as a primary outcome. PE were ascertained in face-to-face interviews. General intelligence was measured with Reynolds Intellectual Screening Test. Results Children at FHR-SZ took fewer DTD than controls (4.9 vs 5.9, Cohen's d = 0.31, P = .004). Differences were attenuated when adjusting for IQ (Cohen's d = 0.24, P = .02). Higher IQ was associated with a higher number of DTD (B = 0.073, P < .001). Current subclinical delusions compared with no PE were associated with fewer DTD in children at FHR-SZ (P = .04) and controls (P < .05). Associations between delusions and DTD were nullified when accounting for IQ. Conclusions JTC marks familial risk of psychosis in preadolescence, not reducible to general intelligence. JTC is associated with subclinical delusions, but this may be an expression of intellectual impairment. Future studies should establish temporality between JTC and delusion formation and examine JTC as a target for early intervention.

Original languageEnglish
JournalSchizophrenia Bulletin
Volume48
Issue number6
Pages (from-to)1363–1372
Number of pages10
ISSN0586-7614
DOIs
Publication statusPublished - 2022

    Research areas

  • childhood, adolescence, cognitive bias, delusions, subclinical psychosis, METACOGNITIVE TRAINING MCT, DELUSIONAL IDEATION, POSITIVE SYMPTOMS, COGNITIVE MODEL, BIASES, METAANALYSIS, CONVICTION, EFFICACY, BELIEFS, PEOPLE

ID: 314623750