The moderating effect of cognitive impairment on the relationship between inner speech and auditory verbal hallucinations among chronic patients with schizophrenia

Clinical features and comorbidity in very early-onset schizophrenia: a systematic review

Background

Very early-onset schizophrenia (VEOS) is a form of schizophrenia that manifests before the age of 13 years and is characterized by the presence of positive, negative, and disorganized symptoms. The condition is exceptionally rare and, to date, limited studies have been conducted, resulting in incomplete information about its clinical features.

Methods

The present study involves a systematic review of the existing literature regarding the clinical features and comorbidities of VEOS.

Results

The first search retrieved 384 studies. Of these, 366 were removed following the application of exclusion criteria, resulting in 18 studies for the final set.

Conclusion

The results highlight that VEOS shares similarities with early-onset and adult-onset schizophrenia but also exhibits distinct and recognizable characteristics, including a more severe clinical profile (particularly in females), increased visual hallucinations, and high comorbidities with neurodevelopmental disorders. These findings may support clinicians in formulating early diagnoses and developing effective treatment strategies for pediatric and adolescent patients with psychosis.

Inner speech as language process and cognitive tool

Many people report a form of internal language known as inner speech (IS). This review examines recent growth of research interest in the phenomenon, which has broadly supported a theoretical model in which IS is a functional language process that can confer benefits for cognition in a range of domains. A key insight to have emerged in recent years is that IS is an embodied experience characterized by varied subjective qualities, which can be usefully modeled in artificial systems and whose neural signals have the potential to be decoded through advancing brain-computer interface technologies. Challenges for future research include understanding individual differences in IS and mapping form to function across IS subtypes.