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
[11]  
Green MF, 1996, AM J PSYCHIAT, V153, P321
[12]  
Heaton R.K., 1993, Wisconsin Card Sorting Test manual: Revised and expanded
[13]   A comparison of neuropsychological dysfunction in first-episode psychosis patients with unipolar depression, bipolar disorder, and schizophrenia [J].
Hill, S. Kristian ;
Reilly, James L. ;
Harris, Margret S. H. ;
Rosen, Cherise ;
Marvin, Robert W. ;
DeLeon, Ovidio ;
Sweeney, John A. .
SCHIZOPHRENIA RESEARCH, 2009, 113 (2-3) :167-175
[14]  
Hobart MP, 1999, AM J PSYCHIAT, V156, P1951
[15]   THE POSITIVE AND NEGATIVE SYNDROME SCALE (PANSS) - RATIONALE AND STANDARDIZATION [J].
KAY, SR ;
OPLER, LA ;
LINDENMAYER, JP .
BRITISH JOURNAL OF PSYCHIATRY, VOL 155, SUPP NO. 7: NEGATIVE SYMPTOMS IN SCHIZOPHRENIA, 1989, :59-65
[16]   Executive functioning correctly classified diagnoses in patients with first-episode psychosis: Evidence from a 2-year longitudinal study [J].
Pena, Javier ;
Ojeda, Natalia ;
Segarra, Rafael ;
Ignacio Eguiluz, Jose ;
Garcia, Jon ;
Gutierrez, Miguel .
SCHIZOPHRENIA RESEARCH, 2011, 126 (1-3) :77-80
[17]   The repeatable battery for the assessment of neuropsychological status (RBANS): Preliminary clinical validity [J].
Randolph, C ;
Tierney, MC ;
Mohr, E ;
Chase, TN .
JOURNAL OF CLINICAL AND EXPERIMENTAL NEUROPSYCHOLOGY, 1998, 20 (03) :310-319
[18]   Neuropsychological Function and Dysfunction in Schizophrenia and Psychotic Affective Disorders [J].
Reichenberg, Abraham ;
Harvey, Philip D. ;
Bowie, Christopher R. ;
Mojtabai, Ramin ;
Rabinowitz, Jonathan ;
Heaton, Robert K. ;
Bromet, Evelyn .
SCHIZOPHRENIA BULLETIN, 2009, 35 (05) :1022-1029
[19]   Cognitive function in euthymic bipolar patients, stabilized schizophrenic patients, and healthy controls [J].
Rossi, A ;
Arduini, L ;
Daneluzzo, E ;
Bustini, M ;
Prosperini, P ;
Stratta, P .
JOURNAL OF PSYCHIATRIC RESEARCH, 2000, 34 (4-5) :333-339
[20]   Neuropsychological functioning in bipolar disorder and schizophrenia [J].
Schretlen, David J. ;
Cascella, Nicola G. ;
Meyer, Stephen M. ;
Kingery, Lisle R. ;
Testa, S. Marc ;
Munro, Cynthia A. ;
Pulver, Ann E. ;
Rivkin, Paul ;
Rao, Vani A. ;
Diaz-Asper, Catherine M. ;
Dickerson, Faith B. ;
Yolken, Robert H. ;
Pearlson, Godfrey D. .
BIOLOGICAL PSYCHIATRY, 2007, 62 (02) :179-186