European Psychiatric Association guidance on assessment of cognitive impairment in schizophrenia
Abstract Background Impairment in a wide range of cognitive abilities has been consistently reported in individuals with schizophrenia. Both neurocognitive and social cognitive deficits are thought to underlie severe functional disabilities associated with schizophrenia. Despite the key role in sc...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-01-01
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| Series: | European Psychiatry |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933822023161/type/journal_article |
| _version_ | 1811156296358952960 |
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| author | Antonio Vita Wolfgang Gaebel Armida Mucci Gabriele Sachs Andreas Erfurth Stefano Barlati Federico Zanca Giulia Maria Giordano Louise Birkedal Glenthøj Merete Nordentoft Silvana Galderisi |
| author_facet | Antonio Vita Wolfgang Gaebel Armida Mucci Gabriele Sachs Andreas Erfurth Stefano Barlati Federico Zanca Giulia Maria Giordano Louise Birkedal Glenthøj Merete Nordentoft Silvana Galderisi |
| author_sort | Antonio Vita |
| collection | DOAJ |
| description |
Abstract
Background
Impairment in a wide range of cognitive abilities has been consistently reported in individuals with schizophrenia. Both neurocognitive and social cognitive deficits are thought to underlie severe functional disabilities associated with schizophrenia. Despite the key role in schizophrenia outcome, cognition is still poorly assessed in both research and clinical settings.
Methods
In this guidance paper, we provide a systematic review of the scientific literature and elaborate several recommendations for the assessment of cognitive functions in schizophrenia both in research settings and in real-world clinical practice.
Results
Expert consensus and systematic reviews provided guidance for the optimal assessment of cognitive functions in schizophrenia. Based on the reviewed evidence, we recommend a comprehensive and systematic assessment of neurocognitive and social cognitive domains in schizophrenia, in all phases of the disorder, as well as in subjects at risk to develop psychosis. This European Psychiatric Association guidance recommends not only the use of observer reports but also self-reports and interview-based cognitive assessment tools. The guidance also provides a systematic review of the state of the art of assessment in the first episode of psychosis patients and in individuals at risk for psychosis.
Conclusion
The comprehensive review of the evidence and the recommendations might contribute to advance the field, allowing a better cognitive assessment, and avoiding overlaps with other psychopathological dimensions. The dissemination of this guidance paper may promote the development of shared guidelines concerning the assessment of cognitive functions in schizophrenia, with the purpose to improve the quality of care and to obtain recovery.
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| first_indexed | 2024-04-10T04:49:12Z |
| format | Article |
| id | doaj.art-4058aa9f033740eb8e49dc4b2a92142b |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-04-10T04:49:12Z |
| publishDate | 2022-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-4058aa9f033740eb8e49dc4b2a92142b2023-03-09T12:33:56ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-01-016510.1192/j.eurpsy.2022.2316European Psychiatric Association guidance on assessment of cognitive impairment in schizophreniaAntonio Vita0Wolfgang Gaebel1Armida Mucci2https://orcid.org/0000-0002-6195-9456Gabriele Sachs3https://orcid.org/0000-0002-8359-9877Andreas Erfurth4https://orcid.org/0000-0003-3870-3521Stefano Barlati5https://orcid.org/0000-0002-1784-3915Federico Zanca6Giulia Maria Giordano7Louise Birkedal Glenthøj8Merete Nordentoft9Silvana Galderisi10https://orcid.org/0000-0002-1592-7656Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy Department of Mental Health and Addiction Services, Spedali Civili Hospital, Brescia, ItalyWHO Collaborating Centre on Quality Assurance and Empowerment in Mental Health DEU-131, LVR-Klinikum Düsseldorf, Düsseldorf, Germany Department of Psychiatry and Psychotherapy, Heinrich-Heine-University, Düsseldorf, GermanyUniversity of Campania “Luigi Vanvitelli”, Naples, ItalyMedical University of Vienna, Wien, AustriaMedical University of Vienna, Wien, AustriaDepartment of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy Department of Mental Health and Addiction Services, Spedali Civili Hospital, Brescia, ItalyUniversity of Campania “Luigi Vanvitelli”, Naples, ItalyUniversity of Campania “Luigi Vanvitelli”, Naples, ItalyCORE – Copenhagen Research Centre for Mental Health, Copenhagen University Hospital, Copenhagen, Denmark Department of Psychology, Copenhagen University, Copenhagen, DenmarkCORE – Copenhagen Research Centre for Mental Health, Copenhagen University Hospital, Copenhagen, Denmark Department of Clinical Medicine, University of Copenhagen, Copenhagen, DenmarkUniversity of Campania “Luigi Vanvitelli”, Naples, Italy Abstract Background Impairment in a wide range of cognitive abilities has been consistently reported in individuals with schizophrenia. Both neurocognitive and social cognitive deficits are thought to underlie severe functional disabilities associated with schizophrenia. Despite the key role in schizophrenia outcome, cognition is still poorly assessed in both research and clinical settings. Methods In this guidance paper, we provide a systematic review of the scientific literature and elaborate several recommendations for the assessment of cognitive functions in schizophrenia both in research settings and in real-world clinical practice. Results Expert consensus and systematic reviews provided guidance for the optimal assessment of cognitive functions in schizophrenia. Based on the reviewed evidence, we recommend a comprehensive and systematic assessment of neurocognitive and social cognitive domains in schizophrenia, in all phases of the disorder, as well as in subjects at risk to develop psychosis. This European Psychiatric Association guidance recommends not only the use of observer reports but also self-reports and interview-based cognitive assessment tools. The guidance also provides a systematic review of the state of the art of assessment in the first episode of psychosis patients and in individuals at risk for psychosis. Conclusion The comprehensive review of the evidence and the recommendations might contribute to advance the field, allowing a better cognitive assessment, and avoiding overlaps with other psychopathological dimensions. The dissemination of this guidance paper may promote the development of shared guidelines concerning the assessment of cognitive functions in schizophrenia, with the purpose to improve the quality of care and to obtain recovery. https://www.cambridge.org/core/product/identifier/S0924933822023161/type/journal_articleAssessment instrumentscognitive functioningevidence-basedpsychosocial functioningsystematic review |
| spellingShingle | Antonio Vita Wolfgang Gaebel Armida Mucci Gabriele Sachs Andreas Erfurth Stefano Barlati Federico Zanca Giulia Maria Giordano Louise Birkedal Glenthøj Merete Nordentoft Silvana Galderisi European Psychiatric Association guidance on assessment of cognitive impairment in schizophrenia European Psychiatry Assessment instruments cognitive functioning evidence-based psychosocial functioning systematic review |
| title | European Psychiatric Association guidance on assessment of cognitive impairment in schizophrenia |
| title_full | European Psychiatric Association guidance on assessment of cognitive impairment in schizophrenia |
| title_fullStr | European Psychiatric Association guidance on assessment of cognitive impairment in schizophrenia |
| title_full_unstemmed | European Psychiatric Association guidance on assessment of cognitive impairment in schizophrenia |
| title_short | European Psychiatric Association guidance on assessment of cognitive impairment in schizophrenia |
| title_sort | european psychiatric association guidance on assessment of cognitive impairment in schizophrenia |
| topic | Assessment instruments cognitive functioning evidence-based psychosocial functioning systematic review |
| url | https://www.cambridge.org/core/product/identifier/S0924933822023161/type/journal_article |
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