BBrain3/12/2026

Biosignatures of cognitive basic symptoms mark a distinct neurodevelopmental pathway to schizophrenia

Efforts to predict schizophrenia risk using biological data have been hampered by the heterogeneity of current "clinical-high-risk" (CHR-P) criteria, which pool phenomenologically and biologically distinct syndromes under a single label. In particular, the field has focused almost exclusively on ultra-high-risk (UHR) symptoms, while cognitive basic symptoms (COGDIS)-despite their close alignment with schizophrenia's core features such as formal thought disorder-have remained underutilised. To da