{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T06:08:03Z","timestamp":1788761283221,"version":"build-2803163510"},"reference-count":74,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T00:00:00Z","timestamp":1788652800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T00:00:00Z","timestamp":1788652800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100007606","name":"Aarhus Universitetshospital","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007606","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004836","name":"Danmarks Frie Forskningsfond","doi-asserted-by":"publisher","award":["2096\u201000065B"],"award-info":[{"award-number":["2096\u201000065B"]}],"id":[{"id":"10.13039\/501100004836","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012774","name":"Innovationsfonden","doi-asserted-by":"publisher","award":["6152\u201000002B"],"award-info":[{"award-number":["6152\u201000002B"]}],"id":[{"id":"10.13039\/100012774","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005275","name":"Region Hovedstaden","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005275","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acamh.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child Psychology Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Widespread neurocognitive impairments exist in children at familial high\u2010risk of schizophrenia (FHR\u2010SZ), whereas evidence is mixed in children at FHR of bipolar disorder (FHR\u2010BP). Neurocognitive heterogeneity is well\u2010established, but associations with longitudinal clinical and functional outcomes remain unexplored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      In this prospective cohort study, 274 children (FHR\u2010SZ,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009170, FHR\u2010BP,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009104, 46.7% female, mean age 12.0\u2009years,\n                      <jats:italic>SD<\/jats:italic>\n                      0.25) provided neurocognitive data at baseline and clinical data at 4\u2010year follow\u2010up. The assessed neurocognitive functions included intelligence, processing speed, attention, memory, and executive functions. Axis I mental disorders, psychotic experiences, and functioning were ascertained through child and caregiver interviews. Dimensional psychopathology was reported by the caregiver. Three baseline neurocognitive subgroups (mildly impaired, typical, and above\u2010average) derived from hierarchical cluster analysis across FHR\u2010groups constituted categorical predictors with clinical and functional measures at follow\u2010up as outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Compared with children in the typical subgroup and after accounting for sex, outcome of interest and Any Axis I disorder at baseline, and FHR\u2010group, children in the mildly impaired subgroup at baseline had a threefold increased risk of any externalizing mental disorder (OR 2.9, 95% CI 1.3\u20136.5,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.007) and a twofold increased risk of psychotic experiences (OR 2.0, 95% CI 1.0\u20133.8,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.04) during middle childhood. Additionally, they had significantly higher dimensional symptom severity (Cohen's\n                      <jats:italic>d<\/jats:italic>\n                      range 0.27\u20130.43,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.05) and poorer global functioning (Cohen's\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20090.48,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001) at follow\u2010up. Neurocognitive subgroup membership was non\u2010differentially associated with clinical and functional outcomes across FHR\u2010groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A significantly impaired neurocognitive profile in early childhood confers risk for\u00a0detrimental clinical and functional outcomes in middle childhood\u00a0beyond that which can be attributed to pre\u2010existing clinical and functional states and constitutes a cross\u2010diagnostic, neurodevelopmental risk marker in these FHR\u2010groups. Early neurocognitive profiling is warranted, and future studies should investigate long\u2010term associations with mental disorders.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jcpp.70224","type":"journal-article","created":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T05:28:44Z","timestamp":1788758924000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Neurocognitive profiles in early childhood in relation to clinical and functional outcomes in middle childhood in offspring at familial high\u2010risk of schizophrenia or bipolar disorder: The Danish High\u2010Risk and Resilience Study"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1339-9981","authenticated-orcid":false,"given":"Nicoline","family":"Hemager","sequence":"first","affiliation":[{"name":"Copenhagen Research Center for Mental Health Copenhagen University Hospital, Capital Region of Denmark  Copenhagen 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Research and Center for Clinical Intervention and Neuropsychiatric Schizophrenia Research, Mental Health Services, Capital Region of Denmark  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1369-6639","authenticated-orcid":false,"given":"Aja Neergaard","family":"Greve","sequence":"additional","affiliation":[{"name":"The Lundbeck Foundation Initiative for Integrative Psychiatric Research  Aarhus Denmark"},{"name":"Psychosis Research Unit Aarhus University Hospital  Aarhus Denmark"},{"name":"Department of Clinical Medicine, Faculty of Health and Medical Sciences Aarhus University  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5235-2345","authenticated-orcid":false,"given":"Lotte","family":"Veddum","sequence":"additional","affiliation":[{"name":"The Lundbeck Foundation Initiative for Integrative Psychiatric Research  Aarhus Denmark"},{"name":"Psychosis Research Unit Aarhus University Hospital  Aarhus Denmark"},{"name":"Department of Clinical Medicine, Faculty of Health and Medical Sciences Aarhus University  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5636-3869","authenticated-orcid":false,"given":"Anne","family":"S\u00f8ndergaard","sequence":"additional","affiliation":[{"name":"Copenhagen Research Center for Mental Health Copenhagen University Hospital, Capital Region of Denmark  Copenhagen Denmark"},{"name":"The Lundbeck Foundation Initiative for Integrative Psychiatric Research  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1352-0649","authenticated-orcid":false,"given":"Mette Falkenberg","family":"Krantz","sequence":"additional","affiliation":[{"name":"Copenhagen Research Center for Mental Health Copenhagen University Hospital, Capital Region of Denmark  Copenhagen Denmark"},{"name":"Child and Adolescent Mental Health Center Copenhagen University Hospital, Capital Region of Denmark  Copenhagen Denmark"},{"name":"The Lundbeck Foundation Initiative for Integrative Psychiatric Research  Aarhus Denmark"},{"name":"Department of Clinical Medicine, Faculty of Health and Medical Sciences University of Copenhagen  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5660-0393","authenticated-orcid":false,"given":"Ole","family":"Mors","sequence":"additional","affiliation":[{"name":"The Lundbeck Foundation Initiative for Integrative Psychiatric Research  Aarhus Denmark"},{"name":"Psychosis Research Unit Aarhus University Hospital  Aarhus Denmark"},{"name":"Department of Clinical Medicine, Faculty of Health and Medical Sciences Aarhus University  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2653-1849","authenticated-orcid":false,"given":"Anne Amalie Elgaard","family":"Thorup","sequence":"additional","affiliation":[{"name":"Copenhagen Research Center for Mental Health Copenhagen University Hospital, Capital Region of Denmark  Copenhagen Denmark"},{"name":"Child and Adolescent Mental Health Center Copenhagen University Hospital, Capital Region of Denmark  Copenhagen Denmark"},{"name":"The Lundbeck Foundation Initiative for Integrative Psychiatric Research  Aarhus Denmark"},{"name":"Department of Clinical Medicine, Faculty of Health and Medical Sciences University of Copenhagen  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4895-7023","authenticated-orcid":false,"given":"Merete","family":"Nordentoft","sequence":"additional","affiliation":[{"name":"Copenhagen Research Center for Mental Health Copenhagen University Hospital, Capital Region of Denmark  Copenhagen Denmark"},{"name":"The Lundbeck Foundation Initiative for Integrative Psychiatric Research  Aarhus 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