Cognitive Functioning in Recent Onset Psychosis

被引:13
作者
Dickerson, Faith [1 ]
Stallings, Cassie [1 ]
Vaughan, Crystal [1 ]
Origoni, Andrea [1 ]
Khushalani, Sunil [1 ]
Dickinson, Dwight [2 ]
Medoff, Deborah [3 ]
机构
[1] Sheppard Pratt, Baltimore, MD 21204 USA
[2] NIMH, Genes Cognit & Psychosis Program, Bethesda, MD 20892 USA
[3] Univ Maryland, Sch Med, Baltimore, MD 21201 USA
关键词
Cognitive functioning; recent onset psychosis; schizophrenia; bipolar disorder; BIPOLAR DISORDER; NEUROPSYCHOLOGICAL DEFICITS; REPEATABLE BATTERY; SCHIZOPHRENIA; DYSFUNCTION;
D O I
10.1097/NMD.0b013e31821cd0ff
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The purpose of the study was to compare the cognitive functioning of persons with a recent onset of psychosis with schizophrenia-spectrum disorders and bipolar disorder and nonpsychiatric controls. A total of 56 persons with a schizophrenia-spectrum disorder and 60 with bipolar disorder, all with a recent onset psychosis, and 312 nonpsychiatric controls were evaluated using the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) and the Wisconsin Card Sorting Test (WCST). Comparison of the three groups through analysis of covariance indicated a significant difference among the groups for all of the cognitive variables. Pairwise contrasts of the two recent onset groups showed a significant difference favoring the bipolar disorder group on RBANS Language (p = 0.020) and Total (p = 0.050) and a marginally significant difference on RBANS Immediate Memory (p = 0.053) but not on the other RBANS variables or on the WCST. Cognitive performance is broadly impaired in recent onset psychosis, with a cognitive advantage to bipolar disorder patients compared with schizophrenia-spectrum patients.
引用
收藏
页码:367 / 371
页数:5
相关论文
共 24 条
[1]   ASSESSING DEPRESSION IN SCHIZOPHRENIA - THE CALGARY DEPRESSION SCALE [J].
ADDINGTON, D ;
ADDINGTON, J ;
MATICKATYNDALE, E .
BRITISH JOURNAL OF PSYCHIATRY, 1993, 163 :39-44
[2]  
Addington J, 2002, J PSYCHIATR NEUROSCI, V27, P188
[3]   Neuropsychological Abnormalities in Schizophrenia and Major Mood Disorders: Similarities and Differences [J].
Barch, Deanna M. .
CURRENT PSYCHIATRY REPORTS, 2009, 11 (04) :313-319
[4]   Patterns of neurocognitive impairment in first-episode bipolar disorder and schizophrenia [J].
Barrett, Suzanne L. ;
Mulholland, Ciaran C. ;
Cooper, Stephen J. ;
Rushe, Teresa M. .
BRITISH JOURNAL OF PSYCHIATRY, 2009, 195 (01) :67-72
[5]   Cognitive endophenotypes of bipolar disorder: A meta-analysis of neuropsychological deficits in euthymic patients and their first-degree relatives [J].
Bora, Emre ;
Yucel, Murat ;
Pantelis, Christos .
JOURNAL OF AFFECTIVE DISORDERS, 2009, 113 (1-2) :1-20
[6]   Cognitive functioning in schizophrenia and bipolar disorder: comparison of performance on the Repeatable Battery for the Assessment of Neuropsychological Status [J].
Dickerson, F ;
Boronow, JJ ;
Stallings, C ;
Origoni, AE ;
Cole, SK ;
Yolken, RH .
PSYCHIATRY RESEARCH, 2004, 129 (01) :45-53
[7]   Overlooking the obvious - A meta-analytic comparison of digit symbol coding tasks and other cognitive measures in schizophrenia [J].
Dickinson, Dwight ;
Ramsey, Mary E. ;
Gold, James M. .
ARCHIVES OF GENERAL PSYCHIATRY, 2007, 64 (05) :532-542
[8]  
First M., 1996, USERS GUIDE SCID 1 S
[9]  
First M. B., 2016, SCID 5 CV STRUCTURED
[10]   Fronto-temporal function may distinguish bipolar disorder from schizophrenia [J].
Frangou, S ;
Dakhil, N ;
Landau, S ;
Kumari, V .
BIPOLAR DISORDERS, 2006, 8 (01) :47-55