The association between adaptive and cognitive deficits in geriatric chronic schizophrenic patients

Schizophrenia Research
P D HarveyM Davidson

Abstract

Cognitive impairments have been shown to predict impairments in adaptive functioning in patients with chronic schizophrenia and to be more predictive of overall outcome than positive or negative symptoms of the illness. Both adaptive and cognitive impairments are multidimensional, and it is possible that correlations between these domains may be limited to certain aspects of these functions. In this study, 208 geriatric patients with chronic schizophrenia were examined with a cognitive battery and assessed with a structured scale to determine the extent of their adaptive functions. Instrumental and social skills deficits were more strongly correlated with cognitive impairments than with the severity of undercontrolled behavior. Each of the cognitive measures was correlated with global social-adaptive deficits, with minimal variation in the magnitude of correlations. These results suggest that interventions should be individually targeted to cognitive-adaptive impairments and undercontrolled behavior.

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Citations

Mar 11, 2004·Archives of Clinical Neuropsychology : the Official Journal of the National Academy of Neuropsychologists·C R BowieK L Davis
Feb 16, 1999·Schizophrenia Research·P D HarveyK L Davis
Feb 18, 2006·Journal of Clinical and Experimental Neuropsychology·Philip D HarveyKenneth L Davis
Jul 27, 2006·Journal of Abnormal Psychology·Tasha M NienowThomas J Dinzeo
Sep 29, 2011·Journal of Psychiatric Research·Maya GuptaChristopher R Bowie
Feb 8, 2005·Progress in Neuro-psychopharmacology & Biological Psychiatry·Emmanuel StipLuc Jean Boulay
Jun 20, 2015·Neuropsychopharmacology : Official Publication of the American College of Neuropsychopharmacology·Richard S E KeefeDana C Hilt
Jan 31, 2006·Schizophrenia Research·Nadine RevheimDaniel C Javitt
Jun 26, 2001·International Journal of Geriatric Psychiatry·M M KurtzR E Gur
Sep 2, 2003·International Journal of Geriatric Psychiatry·Philip D HarveyGeorges Gharabawi
Jul 25, 2006·International Journal of Geriatric Psychiatry·S MohamedD V Jeste
Aug 3, 2007·International Review of Psychiatry·Serge A Mitelman, Monte S Buchsbaum
Jan 22, 2014·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Martin LepageChristopher R Bowie

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