首页> 外文OA文献 >Brief cognitive assessment instruments in schizophrenia and bipolar patients, and healthy control subjects: A comparison study between the Brief Cognitive Assessment Tool for Schizophrenia (B-CATS) and the Screen for Cognitive Impairment in Psychiatry (SCIP)
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Brief cognitive assessment instruments in schizophrenia and bipolar patients, and healthy control subjects: A comparison study between the Brief Cognitive Assessment Tool for Schizophrenia (B-CATS) and the Screen for Cognitive Impairment in Psychiatry (SCIP)

机译:精神分裂症和双相情感障碍患者以及健康对照者的简要认知评估工具:精神分裂症简要认知评估工具(B-CATS)与精神病学认知障碍筛查(SCIP)的比较研究

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摘要

Cognitive impairment in schizophrenia and psychosis is ubiquitous and acknowledged as a core feature of clinical expression, pathophysiology, and prediction of functioning. However, assessment of cognitive functioning is excessively time-consuming in routine practice, and brief cognitive instruments specific to psychosis would be of value. Two screening tools have recently been created to address this issue, i.e., the Brief Cognitive Assessment Tool for Schizophrenia (B-CATS) and the Screen for Cognitive Impairment in Psychiatry (SCIP). The aim of this research was to examine the comparative validity of these two brief instruments in relation to a global cognitive score. 161 patients with psychosis (96 patients diagnosed with schizophrenia and 65 patients diagnosed with bipolar disorder) and 76 healthy control subjects were tested with both instruments to examine their concurrent validity relative to a more comprehensive neuropsychological assessment battery. Scores from the B-CATS and the SCIP were highly correlated in the three diagnostic groups, and both scales showed good to excellent concurrent validity relative to a Global Cognitive Composite Score (GCCS) derived from the more comprehensive examination. The SCIP-S showed better predictive value of global cognitive impairment than the B-CATS. Partial and semi-partial correlations showed slightly higher percentages of both shared and unique variance between the SCIP-S and the GCCS than between the B-CATS and the GCCS. Brief instruments for assessing cognition in schizophrenia and bipolar disorders, such as the SCIP-S and B-CATS, seem to be reliable and promising tools for use in routine clinical practice.
机译:精神分裂症和精神病患者的认知障碍无处不在,被认为是临床表达,病理生理学和功能预测的核心特征。然而,在常规实践中,对认知功能的评估非常耗时,因此,针对精神病的简短认知工具将很有价值。最近已经创建了两种筛查工具来解决这个问题,即,精神分裂症的简要认知评估工具(B-CATS)和精神病学的认知障碍筛查(SCIP)。这项研究的目的是要检查这两个简短的工具相对于全球认知分数的比较有效性。 161例精神病患者(96例被诊断为精神分裂症患者和65例被诊断为躁郁症患者)和76例健康对照受试者均接受了这两种仪器的测试,以相对于更全面的神经心理学评估来检验其并发有效性。在三个诊断组中,B-CATS和SCIP的得分高度相关,相对于从更全面的检查得出的全球认知综合得分(GCCS),这两个量表均显示出良好的一致性。与B-CATS相比,SCIP-S显示出更好的整体认知障碍预测价值。偏相关和半偏相关显示,SCIP-S和GCCS之间共享方差和唯一方差的百分比略高于B-CATS和GCCS之间。评估精神分裂症和双相情感障碍认知的简要工具,例如SCIP-S和B-CATS,似乎是常规临床实践中可靠且有前途的工具。

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