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Thought disorder in childhood

R Caplan1

  • 1Division of Child Psychiatry, University of California at Los Angeles.

Journal of the American Academy of Child and Adolescent Psychiatry
|June 1, 1994
PubMed
Summary

Formal thought disorder in childhood-onset schizophrenia has evolved. Recent studies define its components and correlates, moving beyond earlier, less specific descriptions.

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Area of Science:

  • Child and Adolescent Psychiatry
  • Neurodevelopmental Disorders
  • Psychopathology

Background:

  • The concept of thought disorder in childhood-onset schizophrenia has historically lacked clear definition.
  • Early research often conflated childhood schizophrenia with infantile autism, leading to heterogeneous presentations.

Purpose of the Study:

  • To delineate the evolution of the concept of formal thought disorder.
  • To present a developmental/neurobehavioral theory for its core components in childhood-onset schizophrenia.

Main Methods:

  • A comprehensive review of clinical, cognitive, and linguistic studies on thought disorder in childhood-onset schizophrenia.
  • Analysis of historical and recent literature to identify changes in the conceptualization of thought disorder.

Main Results:

  • Past conceptualizations were broad due to diagnostic ambiguity.
  • Recent research (last 15 years) has identified distinct clinical components of thought disorder.
  • These components show clear cognitive, linguistic, and biological correlates.

Conclusions:

  • A refined, functional conceptualization of formal thought disorder in childhood-onset schizophrenia is proposed.
  • This conceptualization is informed by theoretical and clinical insights from reviewed studies.

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