Buscar en
Revista de Psiquiatría y Salud Mental (English Edition)
Toda la web
Inicio Revista de Psiquiatría y Salud Mental (English Edition) Cognitive Complaints in Schizophrenia: Relationship With Insight and Other Cogni...
Journal Information
Vol. 3. Issue 2.
Pages 55-60 (January 2010)
Share
Share
Download PDF
More article options
Vol. 3. Issue 2.
Pages 55-60 (January 2010)
Original article
Full text access
Cognitive Complaints in Schizophrenia: Relationship With Insight and Other Cognitive Measures
Percepción subjetiva de déficit cognitivos en esquizofrenia: su relación con insight y otras medidas cognitivas
Visits
1157
Rosario Bengochea Seco
Corresponding author
crpsant@mennisant.com

Corresponding author.
, David Gil Sanz, Mar Fernández Modamio, Marta Arrieta Rodríguez, Raúl Sánchez Calleja, Raquel Prat Solís, Alexandra Arce López, Ana Álvarez Soltero
Centro de Rehabilitación Psicosocial, Centro Hospitalario Padre Menni, Santander, Cantabria, Spain
This item has received
Article information
Abstract
Introduction

Individuals diagnosed with schizophrenia have significant cognitive deficits. However, the subjective perception of these deficits do not always coincide with the neuropsychological test and clinical ratings.

Methodology

This study evaluates the cognitive performance of 46 outpatients with schizophrenia, in a Psychosocial Rehabilitation Program, by three different measures: neuropsychological tests (objective assessment), cognitive factor of PANSS (clinical ratings), and subjective scale of cognition, SSTICS (patient self-report). It also studies the possible relationship between subjective assessment of cognitive symptoms and insight of the mental disorder (SUMD).

Results

SSTICS total score correlated only with some neuropsychological subtest, but not with cognitive factor of PANSS. The clinical ratings is more consistent with neuropsychological test than the cognitive complaints. No relationship between SUMD and SSTICS.

Conclusions

Because of the lack of correspondence among several measures, it is possible to think that different cognitive areas have been evaluated. It is therefore important to consider all assessment options in order to create cognitive rehabilitation programs. Cognitive complaints seems to be an independent variable of insight.

Keywords:
Cognitive impairment
Cognitive complaints
Insight
Schizophrenia
Resumen
Introducción

La mayoría de las personas diagnosticadas de esquizofrenia presentan déficit cognitivos. No obstante, la percepción subjetiva de esos déficit no siempre coincide con la evaluación neuropsicológica ni con la evaluación clínica de aquéllos.

Metodología

En este trabajo se evaluó el rendimiento cognitivo de 46 pacientes con esquizofrenia que acuden a un centro de rehabilitación psicosocial, mediante tres pruebas diferentes: una batería neuropsicológica, el test Barcelona (evaluación objetiva), una escala de síntomas cognitivos, el factor cognitivo de la PANSS (evaluación clínica) y una escala subjetiva de cognición, la SSTICS (autoevaluación del paciente). También se estudiaron las relaciones entre la percepción subjetiva de síntomas cognitivos y el insight de la enfermedad, evaluado mediante la SUMD.

Resultados

La puntuación total de la SSTICS se correlacionó sólo con algunos de los subtests del Barcelona, pero no con el factor cognitivo de la PANSS. La evaluación clínica se corresponde con los tests neuropsicológicos en mayor medida que con la percepción subjetiva. No hay relaciones entre la percepción sujetiva de los déficit cognitivos y el insight.

Conclusiones

Dada la falta de correspondencia entre las diferentes medidas, se plantea si podrían estar evaluando ámbitos diferentes del deterioro cognitivo. Se valora la importancia de considerar todas las opciones de evaluación con vistas a elaborar programas de rehabilitación cognitiva. La percepción de déficit cognitivos parece ser independiente del insight.

Palabras clave:
Deterioro cognitivo
Percepción subjetiva
Insight
Esquizofrenia
Full text is only aviable in PDF
References
[1.]
K.H. Nuechterlein, D.M. Barch, J.M. Gold, T.E. Goldberg, M.F. Green, R.K. Heaton.
Identification of separable cognitive factors in schizophrenia.
Schizophr Res, 72 (2004), pp. 29-39
[2.]
R.S.E. Keefe, C.E. Eesley, M.P. Poe.
Defining a cognitive function decrement in schizophrenia.
Biol Psychiatry, 57 (2005), pp. 688-691
[3.]
R.S.E. Keefe.
Should cognitive impairment be included in the diagnostic criteria for schizophrenia?.
World Psychiatry, 7 (2008), pp. 22-28
[4.]
S. Galderisi.
The added value of including cognitive impairment in the diagnostic criteria for schizophrenia.
World Psychiatry, 7 (2008), pp. 36-37
[5.]
M.F. Green.
What are the functional consequences of neurocognitive deficits in schizophrenia?.
Am J Psychiatry, 153 (1996), pp. 321-330
[6.]
D.I. Velligan, C.C. Bow-Thomas, R.K. Mahurin, A.L. Miller, L.C. Halgunseth.
Do specific neurocognitive deficits predict specific domains of community function in schizophrenia?.
J Nerv Ment Dis, 188 (2000), pp. 518-524
[7.]
P.F. Liddle.
Cognitive impairment in schizophrenia: its impact on social functioning.
Acta Psychiatr Scand (Suppl), 400 (2000), pp. 11-16
[8.]
S.L. Rossell, J. Coakes, J. Shapleske, P.W.R. Woodruff, A.S. David.
Insight: Its relationship with cognitive function, brain volume and symptoms in schizophrenia.
Psychol Med, 33 (2003), pp. 111-119
[9.]
K.E. Wilder-Willis, P.K. Shear, J.J. Steffen, J. Borkin.
The relationship between cognitive dysfunction and coping abilities in schizophrenia.
Schizophr Res, 55 (2002), pp. 259-267
[10.]
M.D. Bell, P.H. Lysaker, R.M. Milstein, J.L. Beam-Goulet.
Concurrent validity of the cognitive component of schizophrenia: the relationship of PANSS scores to neuropsychological assessments.
Psychiatry Res, 54 (1994), pp. 51-58
[11.]
S.R. Kay, A. Fiszbein, L.A. Opler.
The Positive and Negative Syndrome Scale (PANSS) for schizophrenia.
Schiz Bull, 13 (1987), pp. 261-276
[12.]
P.D. Harvey, M.R. Serper, L. White, M.J. Parrella, S.R. McGurk, P.J. Moriarty, et al.
The convergence of neuropsychological testing and clinical ratings of cognitive impairment in patients with schizophrenia.
Compr Psychiatry, 42 (2001), pp. 306-313
[13.]
A. Hofer, B. Niedermayer, G. Kemmler, M.A. Rettenbacher, E. Trebo, C.G. Windschwendter, et al.
Cognitive impairment in schizophrenia: clinical ratings are not a suitable alternative to neuropsychological testing.
Schizopr Res, 92 (2007), pp. 126-131
[14.]
S. Moritz, S. Ferahli, D. Naber.
Memory and attention performance in psychiatric patients: Lack of correspondence between clinician-rated and patient-rated functioning with neuropsychological test results.
J Int Neuropsychol Soc, 10 (2004), pp. 623-633
[15.]
W.B. Barr.
Neurobehavioral disorders of awareness and their relevance to schizophrenia.
Insight and psychosis,
[16.]
S. Moritz, M. Krausz, E. Gottwaiz, M. Lambert, C. Perro, S. Ganzer, et al.
Cognitive dysfunction at baseline predicts 1 year outcome in first episode schizophrenia.
Psychopathology, 33 (2000), pp. 48-51
[17.]
A. Medalia, R.W. Lim.
Self-awareness of cognitive functioning in schizophrenia.
Schizophr Res, 71 (2004), pp. 331-338
[18.]
I.S. Marková.
Insight in psychiatry.
Cambidge University Press, (2005),
[19.]
R. Chan, Y. Wang, Z. Ma, X. Hong, Y. Yuan, Z. Yu, et al.
Objective measures of prospective memory do not correlate with subjective complaints in schizophrenia.
Schizophr Res, 103 (2008), pp. 229-239
[20.]
A. Zanello, P. Huguelet.
Relationship between cognitive subjective symptoms and frontal executive abilities in chronic schizophrenic outpatients.
Psychopathology, 34 (2001), pp. 153-158
[21.]
R.J. Van den Bosch, R.P. Rombouts.
Causal mechanisms of subjective cognitive dysfunction in schizophrenic and depressed patients.
J Nerv Ment Dis, 186 (1998), pp. 364-368
[22.]
A. Prouteau, H. Verdoux, C. Briand, A. Lesage, P. Lalonde, L. Nicole, et al.
Self-assessed cognitive dysfunction and objective performance in outpatients with schizophrenia participating in a rehabilitation program.
Schizophr Res, 69 (2004), pp. 85-91
[23.]
F. Schultze-Lutter, J. Klosterkotter, E.M. Steinmeyer.
Application of the “rough set” model for the evaluation of self experienced nueropsychological deficits as predictors for schizophrenia. Results of an 8-year follow-up prospective study.
Schizophr Res, 29 (1998), pp. 61-62
[24.]
L. Lecardeur, C. Briand, A. Prouteau, P. Lalonde, L. Nicole, A. Lesage, et al.
Preserved awareness of their cognitive deficits in patients with schizophrenia: Convergent validity of the SSTICS.
Schizophr Res, 107 (2009), pp. 303-306
[25.]
E. Stip, J. Caron, S. Renaud, T. Pampoulova, Y. Lecomte.
Exploring cognitive complaints in schizophrenia: the subjective scale to investigate cognition in schizophrenia.
Compr Psychiatry, 44 (2003), pp. 331-340
[26.]
S. Bayard, D. Capdevielle, J.P. Boulenger, S. Raffard.
Dissociating self reported cognitive complaint from clinical insight in schizophrenia.
Eur Psychiatr, 24 (2009), pp. 251-258
[27.]
Lee SW. Subjective cognitive impairments in Schizophrenia and related disorders. Theses Online. University of Hong Kong; 2005. Available online: http://hub.hku.hk/handle/123456789/39980.
[28.]
J. Sanjuan, E.J. Aguilar, J.M. Olivares, S. Ros, A.L. Montejo, F. Mayoral, et al.
Subjective perception of cognitive deficit in psychotic patients.
J Nerv Ment Dis, 194 (2006), pp. 58-60
[29.]
X.F. Amador, D.H. Strauss, S.A. Yale, M.M. Flaunm, J. Endicott, J.M. Gorman.
Assessment of insight in psychosis.
Am J Psychiatry, 150 (1993), pp. 873-879
[30.]
Soriano MF, Jiménez JF. Escala Subjetiva para investigar la Cognición en la Esquizofrenia. Portal de Salud Mental [citado 19 Mar 2010]. Available online: http://portalsaludmental.com/pdf/Evaluacion/Escala cognitiva subjetiva.pdf.
[31.]
V. Peralta, M.J. Cuesta.
Validación de la Escala de los Síndromes Positivo y Negativo (PANSS) en una muestra de esquizofrénicos españoles.
Actas Luso Esp Neurol Psiquiatr Cienc Afines, 222 (1994), pp. 171-177
[32.]
D. Gil, D. Bengochea, M. Arrieta, M. Fernández, A. Álvarez, R. Sánchez, et al.
Validez del factor cognitivo de la PANSS como medida del rendimiento cognitivo en esquizofrenia.
Rev Psiquiatr Salud Ment, 2 (2009), pp. 160-168
[33.]
J. Peña-Casanova.
Programa integrado de exploración neuropsicológica.
Masson, (1990),
[34.]
X.F. Amador, D.H. Strauss.
The scale to assess unawareness of mental disorder.
Columbia University and New York State, Psychiatric Institute, (1990),
[35.]
A.I. Ruiz, E. Pousa, R. Duñó, J.M. Crosas, S. Cupp, C. García-Ribera.
Adaptación al español de la escala de valoración de la no conciencia de trastorno mental (SUMD).
Actas Esp Psiquiatr, 36 (2008), pp. 111-119
[36.]
SPSS for Windows. Release 13.0. Chicago: SPSS; 2004.
[37.]
R.S. Keefe, M. Poe, T.M. Walker, J.W. Kang, P.D. Harvey.
The Schizophrenia Cognition Rating Scale: an interview-based assessment and its relationship to cognition, real-world functioning, and functional capacity.
Am J Psychiatry, 163 (2006), pp. 426-432
Copyright © 2010. SEP y SEPB
Article options
Tools
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos