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Discrepancy between subjective and objective assessments of cognitive function in patients with schizophrenia
https://doi.org/10.69202/0002000283
https://doi.org/10.69202/00020002838a0c0623-0380-488e-a81d-5dcd638c821f
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
p16-21_Tatsuhiko MASUZAWA.pdf (607 KB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||||
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| 公開日 | 2025-12-09 | |||||||
| タイトル | ||||||||
| タイトル | Discrepancy between subjective and objective assessments of cognitive function in patients with schizophrenia | |||||||
| 言語 | en | |||||||
| キーワード | ||||||||
| 主題Scheme | Other | |||||||
| 主題 | Schizophrenia | |||||||
| キーワード | ||||||||
| 主題Scheme | Other | |||||||
| 主題 | cognitive function | |||||||
| キーワード | ||||||||
| 主題Scheme | Other | |||||||
| 主題 | insight | |||||||
| 資源タイプ | ||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||
| 資源タイプ | article | |||||||
| ID登録 | ||||||||
| ID登録 | 10.69202/0002000283 | |||||||
| ID登録タイプ | JaLC | |||||||
| 内容種別 | ||||||||
| 内容記述タイプ | Other | |||||||
| 内容記述 | Original Article | |||||||
| 著者 |
MASUZAWA, Tatsuhiko
× MASUZAWA, Tatsuhiko
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| 抄録 | ||||||||
| 内容記述タイプ | Abstract | |||||||
| 内容記述 | Background: Cognitive impairments in patients with schizophrenia can negatively impact upon their functional prognosis and create difficulties in daily life. However, the patients’ subjective perceptions of their cognitive impairments do not always align with their objectively measured performance. Understanding this discrepancy is thought to be important in the development of effective rehabilitation strategies. In this study, we aimed to clarify the characteristics of this discrepancy from a neurocognitive perspective. Methods: We examined the discrepancy between subjective and objective ratings of cognition in 47 inpatients with schizophrenia. Cognitive complaints were assessed using the Schizophrenia Cognition Rating Scale (SCoRS), which was completed by both patients and interviewers. Neurocognitive performance was measured with the Brief Assessment of Cognition in Schizophrenia (BACS). Discrepancy scores were calculated as the difference between self- and interviewer-ratings, and participants were classified into three groups: ‘overestimate’, ‘accurate’, and ‘underestimate’ (± 0.5 SD). We analyzed group differences in BACS composite and domain scores. Results: Data were obtained from 47 inpatients with schizophrenia (20 men, 27 women; median age 47 [33-64] years). BACS scores did not significantly differ among the three discrepancy groups, which indicates that patients’ subjective complaints of cognitive difficulties do not sufficiently reflect the level of objective cognitive impairment. Conclusions: Patients’ self-reported difficulties related to cognitive function do not evidently correlate enough with the degree of neurocognitive impairment measured by the BACS. Our subjects were patients with severe cognitive impairment and psychotic symptoms. Factors other than cognitive function may influence the behaviors measured by SCoRS in patients with severe psychotic symptoms. Subjective difficulties reported by patients with schizophrenia hold clinical significance independent of objectively assessed cognitive impairment. This supports the importance of support based on the patient’s own omplaints as well as on test scores when developing rehabilitation strategies. |
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| 言語 | en | |||||||
| 書誌情報 |
en : COGNITION & REHABILITATION 巻 6, 号 1, p. 16-21, ページ数 6, 発行日 2025-12-31 |
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| 出版者 | ||||||||
| 出版者 | Osaka Kawasaki Rehabilitation University | |||||||
| 言語 | en | |||||||
| ISSN | ||||||||
| 収録物識別子タイプ | PISSN | |||||||
| 収録物識別子 | 2436-1097 | |||||||
