open access

Vol 15, No 3 (2018)
Research paper
Published online: 2018-09-24
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Cognitive Screening Scale for Schizophrenia (CSSS): diagnostic efficacy in group of subjects with special rehabilitational needs

Anna Mosiołek, Jacek Gierus, Mateusz Margański, Sylwia Dudziak, Agata Szulc
Psychiatria 2018;15(3):121-126.

open access

Vol 15, No 3 (2018)
Prace oryginalne - nadesłane
Published online: 2018-09-24

Abstract

Introduction: The aim of the presented paper is to examine the CSSS scale in terms of criterion validity of the adjusted
score, in relation to various rehabilitationally important aspects of Patients’ functioning.

Material and methods: In the three stages of the study, a total of N = 199 subjects with schizophrenia were examined.
In the first stage of the study N = 89 people were divided into groups: better (HF, high functioning) and worse
(LF, low functioning) functioning and differences were examined between these subgroups. In the second part of the
study N = 60 people were examined, where the relationship between the CSS score and the employment status was
analyzed. In the third stage of the study, N = 50 people were examined, among whom the relationships of the adjusted
score with the subjective assessment of cognitive functions were analyzed.

Results: The HF and LF groups significantly (U Mann-Whitney < 0.001) differed in terms of the CSSS-adjusted score.
The adjusted result 15 points with sensitivity of 81% and specificity of 60% differentiated the mentioned groups. The
adjusted score significantly differentiated people differing in the employment status, with the result of ca. 16 points
and higher, best characterized persons who were employed. There were no statistically significant relationship shown
between the adjusted score with subjective assessment of cognitive functions.

Conclusions: The CSSS adjusted score shows numerous connections with the functioning of Patients, giving hope for
high utility in detecting people with special rehabilitation needs.

Abstract

Introduction: The aim of the presented paper is to examine the CSSS scale in terms of criterion validity of the adjusted
score, in relation to various rehabilitationally important aspects of Patients’ functioning.

Material and methods: In the three stages of the study, a total of N = 199 subjects with schizophrenia were examined.
In the first stage of the study N = 89 people were divided into groups: better (HF, high functioning) and worse
(LF, low functioning) functioning and differences were examined between these subgroups. In the second part of the
study N = 60 people were examined, where the relationship between the CSS score and the employment status was
analyzed. In the third stage of the study, N = 50 people were examined, among whom the relationships of the adjusted
score with the subjective assessment of cognitive functions were analyzed.

Results: The HF and LF groups significantly (U Mann-Whitney < 0.001) differed in terms of the CSSS-adjusted score.
The adjusted result 15 points with sensitivity of 81% and specificity of 60% differentiated the mentioned groups. The
adjusted score significantly differentiated people differing in the employment status, with the result of ca. 16 points
and higher, best characterized persons who were employed. There were no statistically significant relationship shown
between the adjusted score with subjective assessment of cognitive functions.

Conclusions: The CSSS adjusted score shows numerous connections with the functioning of Patients, giving hope for
high utility in detecting people with special rehabilitation needs.

Get Citation

Keywords

schizophrenia, screening scale, CSSS

Supp./Additional Files (3)
CSSS-arkusz roboczy skali
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CSSS - arkusz obliczania wyników
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235KB
Tabela do szybkiego naliczania poprawek na wiek i wykształcenie
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About this article
Title

Cognitive Screening Scale for Schizophrenia (CSSS): diagnostic efficacy in group of subjects with special rehabilitational needs

Journal

Psychiatria (Psychiatry)

Issue

Vol 15, No 3 (2018)

Article type

Research paper

Pages

121-126

Published online

2018-09-24

Bibliographic record

Psychiatria 2018;15(3):121-126.

Keywords

schizophrenia
screening scale
CSSS

Authors

Anna Mosiołek
Jacek Gierus
Mateusz Margański
Sylwia Dudziak
Agata Szulc

References (9)
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  2. Mosiołek A, Gierus J, Koweszko T, et al. Przesiewowa Skala Funkcji Poznawczych w Schizofrenii (CSSS). Część 2. Trafność diagnostyczna metody. Psychiatr. Pol. 2017; 72: 1–10.
  3. Kay SR, Fiszbein A, Opler LA. The Positive and Negative Syndrome Scale (PANSS) for Schizophrenia. Schizophrenia Bulletin. 1987; 13(2): 261–276.
  4. Hall RC, Parks J, Hall RC. Global assessment of functioning. A modified scale. Psychosomatics. 1995; 36(3): 267–275.
  5. Musso MW, Cohen AS, Auster TL, et al. Investigation of the Montreal Cognitive Assessment (MoCA) as a cognitive screener in severe mental illness. Psychiatry Res. 2014; 220(1-2): 664–668.
  6. Harvey PD, Koren D, Reichenberg A, et al. Negative symptoms and cognitive deficits: what is the nature of their relationship? Schizophr Bull. 2006; 32(2): 250–258.
  7. Homayoun S, Nadeau-Marcotte F, Luck D, et al. Subjective and Objective Cognitive Dysfunction in Schizophrenia - is there a Link? Front Psychol. 2011; 2: 148.
  8. Sellwood W, Morrison AP, Beck R, et al. Subjective cognitive complaints in schizophrenia: relation to antipsychotic medication dose, actual cognitive performance, insight and symptoms. PLoS One. 2013; 8(12): e83774.
  9. Moritz S, Balzan RP, Bohn F, et al. Subjective versus objective cognition: Evidence for poor metacognitive monitoring in schizophrenia. Schizophr Res. 2016; 178(1-3): 74–79.

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