The study of the association of impairment of cognition and performance-based skills with clinical symp- toms in drug-na?ve first-episode schizophrenia patients
10.3936/j.issn.1002-0152.2015.01.006
- VernacularTitle:首发未用药精神分裂症认知功能及生活技能与临床特征的关系
- Author:
Dachun CHEN
;
Kebing YANG
;
Yanli LI
;
Ning WANG
;
Ying NIE
;
Jiefeng CUI
;
Xiangyang ZHANG
- Publication Type:Journal Article
- Keywords:
First-episode schizophrenia patients;
Cognition;
Psychopathology;
Living skill;
Psychometrics
- From:
Chinese Journal of Nervous and Mental Diseases
2015;(1):26-31
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate cognitive impairment and performance-based skills and to explore their rela?tionships with clinical phenotypes in drug-na?ve first-episode patients with schizophrenia. Methods One hundred and forty-five inpatients and 65 healthy controls matched for age, gender and education were recruited. The MATRICS Con?sensus Cognitive Battery (MCCB), Stroop, digit span test, emotional recognition test, University of California, San Diego, Performance-based Skill Assessment (UPSA) and Positive Negative Syndrome Scale scale (PANSS) were used to evaluate cognitive function, life skill and symptoms, respectively. Results Compared with the controls, total score of MCCB and scores of 10 subscales, scores of digit span, emotional recognition and Stroop were significantly lower in patients (all P<0.05). The UPSA total score and scores of financial skill and communication skill were lower in patients than in controls (all P<0.05). Verbal memory, visual memory , Stroop, communication skill scores and total UPSA standard score were sig?nificantly higher in patients with paranoid subtype of schizophrenia than in patients with non-paranoid subtype of schizo? phrenia (all P<0.05). The score of MCCB associated with education years (OR=1.29, 95%CI: 1.13~1.47) and PANSS (OR=0.95, 95%CI:0.92~0.97). Conclusions First-episode, drug-naive patients with schizophrenia have markedly cog?nitive and performance-based skills deficits, which are associated with clinical symptoms. These deficits are differences between paranoid subtype and non-paranoid subtype of schizophrenia.
