Longitudinal studies of cognition and functional outcome in schizophrenia: implications for MATRICS

被引:1097
作者
Green, MF
Kern, RS
Heaton, RK
机构
[1] Univ Calif Los Angeles, Geffen Sch Med, Dept Psychiat & Biobehav Sci, Los Angeles, CA 90024 USA
[2] VA Greater Los Angeles Healthcare Syst, Los Angeles, CA USA
[3] Univ Calif San Diego, Dept Psychiat, San Diego, CA 92103 USA
关键词
cognition; schizophrenia; MATRICS;
D O I
10.1016/j.schres.2004.09.009
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
It is generally accepted that cognitive deficits in schizophrenia are related to functional outcome. However, support for longitudinal relationships between cognition and functional outcome has not been as well documented. The current paper presents a review of 18 recently published longitudinal studies (minimum 6-month follow up) of the relationships between cognition and community outcome in schizophrenia. Results from these studies reveal considerable support for longitudinal associations between cognition and community outcome in schizophrenia. These studies demonstrate that cognitive assessment predict later functional outcome and provide a rationale for psychopharmacological interventions for cognitive deficits in schizophrenia. Although the relationships between cognition and community outcome are well-supported, it is clear that community functioning is also affected by a host of factors apart from cognition that are usually not considered in clinical trial studies (e.g., psychosocial rehabilitation and educational/vocational opportunities). In the second part of the paper, we consider intervening steps between cognitive performance measures and community outcome. These steps are apt to have important implications for clinical trials of cognition-enhancing agents in schizophrenia. (C) 2004 Elsevier B.V. All rights reserved.
引用
收藏
页码:41 / 51
页数:11
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