WAIS-IV Performance in Patients With Schizophrenia.

Wechsler Adult Intelligence Scale (WAIS) is one of the most widely used instruments to measure cognitive functioning. The aims of this study were 1) to obtain the cognitive profile of Spanish patients with schizophrenia on the WAIS-IV; 2) to compare their profile to the profile of a healthy control group; and 3) to compare the cognitive profile of patients with schizophrenia to the performance observed in two separate previous studies in Canada and China. A sample of 99 outpatients and 99 healthy control participants, matched on age, sex, and educational level, were measured using the WAIS-IV, including 10 core subtests, 4 indices, and 2 general intelligence scores, to obtain their cognitive profile. Results showed that only the performance on the Verbal Comprehension Index and its subtests was similar in the patient and control groups. This pattern of cognitive impairment was similar to the pattern reported in the Canadian and Chinese studies.

The effect of associative strength on semantic priming in schizophrenia.

The present research was designed to investigate the pattern of semantic priming in schizophrenia as a function of strength of association (or semantic distance between concepts in the semantic network). Thirty schizophrenia patients, without formal thought disorder, and twenty-nine healthy controls participated in a lexical decision task in which prime-target associative strength (strong, weak and not related) and stimulus-onset asynchrony (SOA: 250ms and 750ms) were manipulated. Patients and controls showed the same associative strength effect on RTs. In the short SOA condition priming effects were obtained for both strong and weak prime-target associative conditions. However in the long SOA priming was only significant for strongly associated pairs. This pattern of priming effects was similar in both groups, with higher priming on the short SOA and strong association conditions. Altogether results suggest that automatic semantic spreading activation is unimpaired in schizophrenia patients without formal thought disorder. These results are in line with the general evidence of impaired implicit priming observed only in patients with formal thought disorder. At the same time patients use context as controls to facilitate word processing. Finally, these findings evidence that, prime-target associative strength could moderate results in studies of semantic memory deficits in schizophrenia.

Forma abreviada de la WAIS: IV estudio piloto en pacientes con esquizofrenia / WAIS-IV short form: a pilot study with schizophrenia patients

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The aim of this study is to develop a WAIS-IV short form of the Spanish version for its use with schizophrenia patients, which would allow estimating their intellectual capacity in a short period of time (approximately 30 minutes). The sample was composed by a clinical group consisting of 35 schizophrenia patients and a control group consisting of 35 people with no known history of mental illness. Data demonstrated that the best combination of tests was: Similarities (Verbal comprehension), Visual puzzles (Perceptual reasoning), Arithmetic (Working memory) and Coding (Processing speed). With this short form, it was possible to obtain a linear correlation between the IQ of the full scale and that of the abridged form of 0.941 in the clinical and 0.940 in the control group. For both groups, the differences between the real IQ averages and the estimated ones were not significant. Moreover, the short form is capable of classifying a substantial number of people in the same IQ category than the full scale does (AU)

Effectiveness of the cognitive differentiation program of the integrated psychological therapy: group versus individual treatment.

The aim of the current pilot study was to compare two strategies in the application of the cognitive differentiation program of Integrated Psychological Therapy for people with schizophrenia. Twenty-six outpatients were randomly assigned to the application of the program in group sessions (CDg), or to its application in individualized sessions (CDi). The program provides cognitive exercises to promote better performance in cognition, and both groups of participants completed the same number of exercises following the same number of sessions per week. Outcomes were assessed on neuropsychological measures of attention, executive functioning and everyday memory, and everyday functioning. Effect sizes showed the absence of effects in everyday memory and social functioning, higher improvements in the CDi group in attention, and a higher improvement in the CDg condition in executive functioning. The results suggest that the program application model could be individualized, depending on patient-specific cognitive deficits.

Cognitive Rehabilitation Programs in Schizophrenia: Current Status and Perspectives

This study reviews the main rehabilitation programs that have been developed to improve cognitive functioning in patients diagnosed with schizophrenia: it describes their main components and procedures and highlights the most relevant outcomes of each one. Additionally, it highlights which lead to subsequent improvement in social functioning. Cognitive rehabilitation is now being commonly included in treatment of schizophrenic patients with cognitive impairment or cognitive deficit. Hence, it is very important to have empirical data on the efficacy of these programs, data which is not always readily available in current literature (AU)

Este artículo presenta una revisión de los principales programas que se han desarrollado para la mejora del funcionamiento cognitivo en los pacientes con diagnóstico de esquizofrenia. Se describen sus principales componentes, la manera de proceder de cada uno de ellos y sobre que aspectos muestran efectos positivos. Se indica además cuales presentan una mayor relación con la mejora posterior en el funcionamiento social. El entrenamiento cognitivo está pasando a formar parte, de manera habitual, de las de intervenciones que se llevan a cabo con pacientes que presentan déficit o deterioro cognitivo, que son la mayor parte de ellos. Por ello son muy importante los datos empíricos sobre la eficacia de los programas, y no siempre podemos encontrar en la literatura esta información (AU)

A comparison of implicit memory tests in schizophrenic patients and normal controls.

The objective of the current study was to compare the performance of schizophrenic patients and normal controls on implicit memory tests. Two neuropsychological tasks were administered to 29 patients and normal participant samples. The implicit tests were: Word fragment completion and Word production from semantic categories. The priming score was the variable of interest. Priming effects are obtained in normal subjects and schizophrenia patients, regardless of the implicit test used. However, a dissociation in priming between normal and patient groups was observed, depending on the test used. For word fragment test, priming was identical between the two groups. However, for word production, priming obtained in schizophrenics was lower than priming in normal controls. Results confirm a dissociation effect in implicit memory tests. These results could be explained in the context of the Roediger and Blaxton (1987) distinction between data-driven and conceptually-driven processing. This evidence suggests that a complete neuropsychological assessment of memory in schizophrenia should include different kinds of implicit memory tests (procedural, perceptual, and conceptual tasks).

A comparison of implicit memory tests in schizophrenic patients and normal controls

The objective of the current study was to compare the performance of schizophrenic patients and normal controls on implicit memory tests. Two neuropsychological tasks were administered to 29 patients and normal participant samples. The implicit tests were: Word fragment completion and Word production from semantic categories. The priming score was the variable of interest. Priming effects are obtained in normal subjects and schizophrenia patients, regardless of the implicit test used. However, a dissociation in priming between normal and patient groups was observed, depending on the test used. For word fragment test, priming was identical between the two groups. However, for word production, priming obtained in schizophrenics was lower than priming in normal controls. Results confirm a dissociation effect in implicit memory tests. These results could be explained in the context of the Roediger and Blaxton (1987) distinction between data-driven and conceptually-driven processing. This evidence suggests that a complete neuropsychological assessment of memory in schizophrenia should include different kinds of implicit memory tests (procedural, perceptual, and conceptual tasks) (AU)

El objetivo de este estudio fue comparar la ejecución de pacientes esquizofrénicos y controles no clínicos en tests de memoria implícita. Se administraron dos pruebas neuropsicológicas a una muestra de 29 pacientes y a dos muestras de participantes no clínicos. Los tests implícitos fueron: Completar fragmentos de palabras y Generación de ejemplares de categorías semánticas.La variable de interés fue la facilitación. Los efectos de facilitación se obtienen en sujetos no clínicos y en pacientes esquizofrénicos, independientemente del test implícito que se utilice. Sin embargo, se ha observado una disociación en la facilitación entre grupos de controles y pacientes, dependiendo del test utilizado. En tests de fragmentos de palabras la facilitación es idéntica en los dos grupos. Sin embargo, en producción de palabras, la facilitación obtenida en esquizofrénicos es menor que la facilitación en controles. Los resultados confirman la existencia de un efecto disociativo en tests de memoria implícita. Estos resultados podrían explicarse en el contexto dela distinción de Roediger y Blaxton (1987) entre procesamiento guiado por los datos y procesamiento guiado conceptualmente. Esta evidencia sugiere que la evaluación neuropsicológica de la memoria en la esquizofrenia debería incluir distintos tipos de pruebas de memoria implícita (procedimentales, perceptuales, y conceptuales) (AU)

Intellectual functioning and memory deficits in schizophrenia.

BACKGROUND: There is converging evidence about the existence of different subgroups of patients with schizophrenia in relation to intellectual ability (intelligence quotient [IQ]). Studying cognitive deficits in such patients in relation to IQ, and more specifically to memory, could help determine the patterns of preserved and impaired functioning in cognitive abilities in association with patterns of preserved and compromised intellect. This information could serve to delimit the possibilities of treatment and rehabilitation in those patients. METHODS: A total of 44 patients with schizophrenia completed a cognitive battery that included executive functioning, attention, speed of information processing, working memory, explicit memory, implicit memory, and everyday memory. Their IQ was also measured to identify 2 subgroups with an IQ of 85 as the cutoff point. Then, differences between the groups in the neurocognitive measures were studied. RESULTS: Performance in executive functioning, attention, working memory, and everyday memory, but not that in speed of information processing, explicit memory, and implicit memory, was associated with intellectual functioning. Patients performed at the same level in perceptual implicit memory but at a lower level in conceptual implicit memory as did healthy control subjects. DISCUSSION: Cognitive deficits in schizophrenia are associated with intellectual functioning. Implicit memory should not be considered as a unique entity. It is suggested that conceptual implicit memory deficit may be a core feature of schizophrenia.