1-year follow-up study of cognitive function in first-episode non-affective psychosis.

Abstract:

:The longitudinal course of primary cognitive dysfunction seen in schizophrenia has yet to be fully clarified. Whereas some studies in chronic patients have revealed a progressive decline in cognitive abilities, those studies with first-episode patients have indicated that initial cognitive deficits might remain stable over time. The aim of this study was to examine the longitudinal course of cognitive functioning in patients with a first episode of schizophrenia. 112 patients with a first episode of schizophrenia-spectrum disorders and 22 healthy controls completed clinical and cognitive evaluations at baseline and again after 1 year. An extensive neuropsychological battery that comprised seven cognitive domains was used. Patients and controls improved their cognitive performance in virtually all the cognitive domains after one year. However, patients continued to show marked cognitive deficits after one year, unlike healthy volunteers. The longitudinal cognitive changes were similar in patients and controls in all domains except Verbal Memory (F = 11.67; df = 1; P = 0.001). The increase in cognitive scores found during early phases of the illness seems to be associated to practice-related changes and would not reflect a real cognitive enhancement but rather stability of deficit. Patients' deficits remained stable over time in all cognitive domains except Verbal Memory, in which less performance improvement was found. Further investigations are warranted to discern the variability in patterns of specific cognitive deficits over time.

journal_name

Schizophr Res

journal_title

Schizophrenia research

authors

Rodríguez-Sánchez JM,Pérez-Iglesias R,González-Blanch C,Pelayo-Terán JM,Mata I,Martínez O,Sánchez-Cubillo I,Vázquez-Barquero JL,Crespo-Facorro B

doi

10.1016/j.schres.2008.05.020

subject

Has Abstract

pub_date

2008-09-01 00:00:00

pages

165-74

issue

1-3

eissn

0920-9964

issn

1573-2509

pii

S0920-9964(08)00268-5

journal_volume

104

pub_type

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