Correlation analysis and gender differences of cognitive function based on mini-mental state examination (MMSE) and suicidal tendency in patients with schizophrenia

Abstract Background The aim of this study was to investigate the correlation and gender differences between cognition and suicidal tendency in patients with schizophrenia. Methods A total of 554 patients with schizophrenia were recruited. The Mini-Mental State Examination (MMSE), Positive and Negati...

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Main Authors: Quanfeng Zhu, Xiang-Yang Zhang
Format: Article
Language:English
Published: BMC 2024-01-01
Series:BMC Psychiatry
Subjects:
Online Access:https://doi.org/10.1186/s12888-023-05462-9
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author Quanfeng Zhu
Xiang-Yang Zhang
author_facet Quanfeng Zhu
Xiang-Yang Zhang
author_sort Quanfeng Zhu
collection DOAJ
description Abstract Background The aim of this study was to investigate the correlation and gender differences between cognition and suicidal tendency in patients with schizophrenia. Methods A total of 554 patients with schizophrenia were recruited. The Mini-Mental State Examination (MMSE), Positive and Negative Syndrome Scale (PANSS), Interpersonal Reactivity Index (IRI), Toronto Alexithymia Scale (TAS), and Insomnia Severity Index (ISI) were used to assess clinical symptoms. Results In male patients, MMSE score and the incidence of suicidal tendency were correlated (P = 0.04, OR = 1.06, 95%CI: 1.00–1.12). Among patients with cognitive dysfunction, IRI score (P = 0.01, OR = 1.04, 95%CI: 1.01–1.06), and types of antipsychotic drugs (P < 0.01, OR = 3.97, 95%CI: 1.76–8.97) in male patients were associated risk factors for suicidal ideation. Among patients without cognitive dysfunction, PANSS positive subscale score (P = 0.03, OR = 1.06, 95%CI: 1.01–1.11), and PANSS general psychopathology score (P = 0.02, OR = 1.05, 95%CI: 1.01–1.08) were associated risk factors for suicidal ideation in male patients and PANSS positive subscale score (P < 0.01, OR = 1.15, 95%CI: 1.05–1.26) were associated risk factors for suicidal ideation in female patients. Conclusions There were significant gender differences in the correlation between cognitive functioning and suicidal ideation in patients with schizophrenia. Cognitive function may play an important mediating role in other factors on suicide.
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spelling doaj.art-f73d0856bfda45a6b35a27bd34cfb9532024-01-07T12:38:30ZengBMCBMC Psychiatry1471-244X2024-01-012411810.1186/s12888-023-05462-9Correlation analysis and gender differences of cognitive function based on mini-mental state examination (MMSE) and suicidal tendency in patients with schizophreniaQuanfeng Zhu0Xiang-Yang Zhang1Affiliated Xiaoshan Hospital, Hangzhou Normal UniversityCAS Key Laboratory of Mental Health, Institute of PsychologyAbstract Background The aim of this study was to investigate the correlation and gender differences between cognition and suicidal tendency in patients with schizophrenia. Methods A total of 554 patients with schizophrenia were recruited. The Mini-Mental State Examination (MMSE), Positive and Negative Syndrome Scale (PANSS), Interpersonal Reactivity Index (IRI), Toronto Alexithymia Scale (TAS), and Insomnia Severity Index (ISI) were used to assess clinical symptoms. Results In male patients, MMSE score and the incidence of suicidal tendency were correlated (P = 0.04, OR = 1.06, 95%CI: 1.00–1.12). Among patients with cognitive dysfunction, IRI score (P = 0.01, OR = 1.04, 95%CI: 1.01–1.06), and types of antipsychotic drugs (P < 0.01, OR = 3.97, 95%CI: 1.76–8.97) in male patients were associated risk factors for suicidal ideation. Among patients without cognitive dysfunction, PANSS positive subscale score (P = 0.03, OR = 1.06, 95%CI: 1.01–1.11), and PANSS general psychopathology score (P = 0.02, OR = 1.05, 95%CI: 1.01–1.08) were associated risk factors for suicidal ideation in male patients and PANSS positive subscale score (P < 0.01, OR = 1.15, 95%CI: 1.05–1.26) were associated risk factors for suicidal ideation in female patients. Conclusions There were significant gender differences in the correlation between cognitive functioning and suicidal ideation in patients with schizophrenia. Cognitive function may play an important mediating role in other factors on suicide.https://doi.org/10.1186/s12888-023-05462-9Gender differencesSchizophreniaCognitive dysfunctionSuicidal tendencyMini-mental state examination
spellingShingle Quanfeng Zhu
Xiang-Yang Zhang
Correlation analysis and gender differences of cognitive function based on mini-mental state examination (MMSE) and suicidal tendency in patients with schizophrenia
BMC Psychiatry
Gender differences
Schizophrenia
Cognitive dysfunction
Suicidal tendency
Mini-mental state examination
title Correlation analysis and gender differences of cognitive function based on mini-mental state examination (MMSE) and suicidal tendency in patients with schizophrenia
title_full Correlation analysis and gender differences of cognitive function based on mini-mental state examination (MMSE) and suicidal tendency in patients with schizophrenia
title_fullStr Correlation analysis and gender differences of cognitive function based on mini-mental state examination (MMSE) and suicidal tendency in patients with schizophrenia
title_full_unstemmed Correlation analysis and gender differences of cognitive function based on mini-mental state examination (MMSE) and suicidal tendency in patients with schizophrenia
title_short Correlation analysis and gender differences of cognitive function based on mini-mental state examination (MMSE) and suicidal tendency in patients with schizophrenia
title_sort correlation analysis and gender differences of cognitive function based on mini mental state examination mmse and suicidal tendency in patients with schizophrenia
topic Gender differences
Schizophrenia
Cognitive dysfunction
Suicidal tendency
Mini-mental state examination
url https://doi.org/10.1186/s12888-023-05462-9
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