Scientific article
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English

The association of neurocognitive impairment with diminished expression and apathy in schizophrenia

Published inSchizophrenia Research, vol. 169, no. 1-3, p. 427-432
Publication date2015
Abstract

Negative symptoms can be grouped into the two dimensions of diminished expression and apathy, which have been shown to be dissociable regarding external validators, such as functional outcome. Here, we investigated whether these two dimensions differentially relate to neurocognitive impairment in schizophrenia. 47 patients with schizophrenia or schizoaffective disorder and 33 healthy control participants were subjected to a neurocognitive test battery assessing multiple cognitive domains (processing speed, working memory, verbal fluency, verbal learning and memory, mental planning), which are integrated into a composite cognition score. Negative symptoms in patients were assessed using the Brief Negative Symptom Scale. We found that diminished expression significantly related to neurocognitive impairment, while severity of apathy symptoms was not directly associated with neurocognition. Other assessed clinical variables include chlorpromazine equivalents, positive symptoms, and depressive symptoms and did not influence the results. Our results are in line with a cognitive resource limitation model of diminished expression in schizophrenia and indicate that cognitive remediation therapy might be helpful to ameliorate expressive deficits.

Keywords
  • Adult
  • Apathy/physiology
  • Cognition Disorders/etiology
  • Female
  • Humans
  • Male
  • Mood Disorders/etiology
  • Neuropsychological Tests
  • Psychiatric Status Rating Scales
  • Regression Analysis
  • Schizophrenia/complications
  • Schizophrenic Psychology
  • Statistics
  • Nonparametric
  • Young Adult
Affiliation entities Not a UNIGE publication
Citation (ISO format)
HARTMANN-RIEMER, Matthias N et al. The association of neurocognitive impairment with diminished expression and apathy in schizophrenia. In: Schizophrenia Research, 2015, vol. 169, n° 1-3, p. 427–432. doi: 10.1016/j.schres.2015.10.032
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Article (Published version)
accessLevelPublic
Identifiers
Journal ISSN0920-9964
548views
710downloads

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