open access

Vol 2, No 2 (2005)
Research paper
Published online: 2005-05-13
Get Citation

Sustained attention, mental flexibility and motor-visual coordination disorders in patients with first-episode schizophrenia as a predictor of long-term objectives and treatment strategy

Paweł Urbaś, Stanisław Oziemski
Psychiatria 2005;2(2):77-86.

open access

Vol 2, No 2 (2005)
Prace oryginalne - nadesłane
Published online: 2005-05-13

Abstract

Introduction. Cognitive dysfunction has been described as a hallmark feature of schizophrenia, nevertheless clinical symptoms and cognitive impairments seem to be independent. A large number of studies indicate the importance of cognitive processes in the course of schizophrenia. Additionally, contemporary studies suggest that the level of cognitive impairment, just like the type of impairment, might be specific to some group of patients.
Material and method. The Polish version of the Stroop Test and TMT have been used for neuropsychological evaluation of sustained attention, mental flexibility and motor and visual coordination in a group of 30 patients (average age 23) with first episode of schizophrenia. The reference group consisted of healthy individuals with the same sex and age. Additionally, a statistical analysis of results of the neuropsychological evaluation and the PANSS scale has been made.
Results. It has been found that there are differences (on the level p < 0,01) in the scope of cognitive functioning between the group of healthy individuals and the first-episode patients. A lack of connection between clinical symptoms measured with the PANSS scale and worse results of neuropsychological tests has been observed. In case of several tested variables we can only speak of existence of a certain tendency towards dependencies, e.g. between negative symptoms and tests results.
Conclusions. Cognitive impairments seem to be an independent and more basic feature to be taken into consideration during the long-term treatment of patients with first-episode schizophrenia then positive and negative symptoms. Our results indicate existence of dysfunction in the scope of sustained attention, mental flexibility and motor-visual coordination in patients with first-episode schizophrenia, which confirms a necessity to conduct neuropsychological diagnosis when planning long-term treatment.

Abstract

Introduction. Cognitive dysfunction has been described as a hallmark feature of schizophrenia, nevertheless clinical symptoms and cognitive impairments seem to be independent. A large number of studies indicate the importance of cognitive processes in the course of schizophrenia. Additionally, contemporary studies suggest that the level of cognitive impairment, just like the type of impairment, might be specific to some group of patients.
Material and method. The Polish version of the Stroop Test and TMT have been used for neuropsychological evaluation of sustained attention, mental flexibility and motor and visual coordination in a group of 30 patients (average age 23) with first episode of schizophrenia. The reference group consisted of healthy individuals with the same sex and age. Additionally, a statistical analysis of results of the neuropsychological evaluation and the PANSS scale has been made.
Results. It has been found that there are differences (on the level p < 0,01) in the scope of cognitive functioning between the group of healthy individuals and the first-episode patients. A lack of connection between clinical symptoms measured with the PANSS scale and worse results of neuropsychological tests has been observed. In case of several tested variables we can only speak of existence of a certain tendency towards dependencies, e.g. between negative symptoms and tests results.
Conclusions. Cognitive impairments seem to be an independent and more basic feature to be taken into consideration during the long-term treatment of patients with first-episode schizophrenia then positive and negative symptoms. Our results indicate existence of dysfunction in the scope of sustained attention, mental flexibility and motor-visual coordination in patients with first-episode schizophrenia, which confirms a necessity to conduct neuropsychological diagnosis when planning long-term treatment.
Get Citation

Keywords

first-episode of schizophrenia; sustained attention; mental flexibility; motor-visual coordination

About this article
Title

Sustained attention, mental flexibility and motor-visual coordination disorders in patients with first-episode schizophrenia as a predictor of long-term objectives and treatment strategy

Journal

Psychiatria (Psychiatry)

Issue

Vol 2, No 2 (2005)

Article type

Research paper

Pages

77-86

Published online

2005-05-13

Bibliographic record

Psychiatria 2005;2(2):77-86.

Keywords

first-episode of schizophrenia
sustained attention
mental flexibility
motor-visual coordination

Authors

Paweł Urbaś
Stanisław Oziemski

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

Wydawcą serwisu jest Via Medica sp. z o.o. sp. komandytowa, ul. Świętokrzyska 73, 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl