Long-term trajectories of cognitive deficits in schizophrenia: A critical overview

European Psychiatry - Tập 30 - Trang 1002-1010 - 2015
A.B. Shmukler1, I.Y. Gurovich1, M. Agius2,3,4, Y. Zaytseva1,5,6,7
1Moscow Research Institute of Psychiatry, Moscow, Russian Federation
2Clare College Cambridge, Cambridge, UK
3Department of Psychiatry, University of Cambridge, Cambridge, UK
4East London NHS Foundation Trust, London, UK
5National Institute of Mental Health, Klecany, Charles University in Prague, Prague, Czech Republic
6Department of Psychiatry and Medical Psychology, 3rd Faculty of Medicine, Charles University in Prague, Prague, Czech Republic
7Human Science Centre and Institute of Medical Psychology, Ludwig-Maximilians Universität, Munich, Germany

Tóm tắt

AbstractBackgroundCognitive disturbances are widely pronounced in schizophrenia and schizophrenia spectrum disorders. Whilst cognitive deficits are well established in the prodromal phase and are known to deteriorate at the onset of schizophrenia, there is a certain discrepancy of findings regarding the cognitive alterations over the course of the illness.MethodsWe bring together the results of the longitudinal studies identified through PubMed which have covered more than 3 years follow-up and to reflect on the potential factors, such as sample characteristics and stage of the illness which may contribute to the various trajectories of cognitive changes.ResultsA summary of recent findings comprising the changes of the cognitive functioning in schizophrenia patients along the longitudinal course of the illness is provided. The potential approaches for addressing cognition in the course of schizophrenia are discussed.ConclusionsGiven the existing controversies on the course of cognitive changes in schizophrenia, differentiated approaches specifically focusing on the peculiarities of the clinical features and changes in specific cognitive domains could shed light on the trajectories of cognitive deficits in schizophrenia and spectrum disorders.

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