Subjective cognitive complaints and its relation to objective cognitive performance, clinical profile, clinical insight, and social functioning in patients of schizophrenia: A cross-sectional study

Baliga, Sachin; Kamath, Ravindra; Kedare, Jahnavi

doi:10.4103/psychiatry.indianjpsychiatry_639_19

Cited by 12 publications

(18 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The results of our studies have shown that people living with schizophrenia complain about their cognition in the broad sense and can estimate their cognitive impairment, regardless of their level of insight in agreement with previous findings [ 4 , 7 , 15 , 43 , 44 ]. The explanation could be that patients with schizophrenia might experience and report difficulties with their cognitive processing on one side, and on the other side, healthy controls are aware they do not exhibit deficits in their cognitive performance.…”

Section: Discussionsupporting

confidence: 92%

“…Stip et al had found similar results among 114 patients with schizophrenia, showing negative correlations between subjective scores and objective cognitive assessment in several domains [ 7 ]. In a more recent study among 100 people living with schizophrenia, Baliga et al showed that of all cognitive domains, only working memory test scores correlated positively with SCC [ 15 ]. Other studies revealed conflicting results, where objective and subjective cognition scores did not correlate [ 4 , 11 , 45 , 46 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Subjective cognitive complaints and relations to objective cognitive performance among Lebanese patients with schizophrenia

Haddad

Salameh

Sacre³

et al. 2021

BMC Psychiatry

View full text Add to dashboard Cite

Background Patients with schizophrenia have a particularly low level of insight into their illness compared to people with other mental health disorders. The objectives of the study were to evaluate: 1) subjective cognitive complaints in individuals with schizophrenia in comparison with health controls, 2) the relation between subjective cognitive complaint (SCC) and objective cognitive performance in the patients group, and 3) factors related to cognitive complaint, such as depression, insight, autonomy, and psychological symptoms. Methods Cross-sectional study was conducted between July 2019 and March 2020 enrolled 120 patients with schizophrenia disorders, selected from the Psychiatric Hospital of the Cross (HPC) – Lebanon and 60 healthy controls. The Self-Assessment Scale of Cognitive Complaints in Schizophrenia (SASCCS) was used to measure people living with schizophrenia perception of their cognitive impairment, while the Brief Assessment of Cognition in Schizophrenia (BACS) was used to evaluate their cognitive functioning. Results A significant difference was found between schizophrenia patients and healthy controls in all neurocognition and SASCCS tests. The hierarchical regression analysis showed that the BACS total score (Beta = −.06, p = .04), the PANSS general psychopathology (Beta = .29, p = .003), higher depression (Beta = .75, p = .003) were significantly associated with higher SCC. However, higher autonomy (Beta = − 6.35, p = .001) was significantly associated with lower SCC. A Structural equation model showed that the two most contributing variables were general psychopathology (Standardized Beta (SB): .33, p < 0.001) and autonomy (SB: −.29, p < 0.001). Conclusion A significant proportion of patients with schizophrenia could estimate their cognitive impairment. It also showed a positive correlation between depression and activity of daily living with SCC, suggesting that this aspect should be investigated alongside the clinical symptoms when a patient with schizophrenia presents with SCC.

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Subjective cognitive complaints and relations to objective cognitive performance among Lebanese patients with schizophrenia

Haddad

Salameh

Sacre³

et al. 2021

BMC Psychiatry

View full text Add to dashboard Cite

show abstract

“…The mechanism is not known, but perhaps disorganized symptoms interfere with attention so that subjective experiences of problems with inhibition to a greater degree go unnoticed. Disorganized symptoms appear to be fairly unexplored as a predictor of the subjective-objective cognition discrepancy, although one study found an association between a single item for disorientation and lower subjective cognitive complaints ( Baliga et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

Executive dysfunction in schizophrenia: Predictors of the discrepancy between subjective and objective measures

Haugen

Stubberud

Ueland

et al. 2021

Schizophrenia Research: Cognition

View full text Add to dashboard Cite

This study aimed to investigate what characterizes individuals with schizophrenia who experience more or less subjective executive dysfunction in everyday life compared to objective executive performance on neuropsychological tests. Sixty-six participants with broad schizophrenia spectrum disorders completed a comprehensive assessment of executive function. Discrepancies between performance on neuropsychological tests (objective) and an extensive self-report questionnaire (subjective) of central executive functions (inhibition, shifting and working memory) were calculated. Higher level of self-efficacy was the best predictor of experiencing fewer subjective cognitive complaints compared to objective performance, followed by higher levels of disorganized symptoms. Depressive symptoms did not predict discrepancy between subjective and objective executive function. Higher estimated IQ predicted greater subjective working memory difficulties in everyday life despite better objective performance. Results may aid clinicians in the assessment and remediation of cognitive impairment. Low self-efficacy may identify individuals who are not able to utilize their potential executive functions in daily life. Interventions aimed at fostering self-efficacy ought to be included in cognitive remediation for these individuals. Disorganized symptoms could prove useful in identifying individuals who are in need of cognitive remediation for executive dysfunction, despite that they overestimate their skills. These individuals may benefit from efforts to increase insight into cognitive dysfunction.

show abstract

“…A meta-analysis found a weak association between subjective complaints and insight into illness ( Potvin et al, 2014 ). Also, previous studies showed that patients with schizophrenia might be aware of their cognitive deficits despite having no insight into their condition or symptoms ( Bayard et al, 2009 ; Seco et al, 2010 ; Zhornitsky et al, 2011 ; Baliga et al, 2020 ). Moreover, our results showed that all social cognitive complaints correlated with disorganized symptoms but not negative symptoms.…”

Section: Discussionmentioning

confidence: 99%

Self-assessment of social cognition in a sample of Lebanese in-patients with schizophrenia

Haddad

Salameh²,

Hallit³

et al. 2021

Schizophrenia Research: Cognition

View full text Add to dashboard Cite

Objective The primary objective was to evaluate social cognitive complaints in a sample of chronic in-patients with schizophrenia and compare it to healthy controls. The secondary objective was to explore factors related to social cognitive complaints in these patients, such as neurocognition, clinical symptoms, depression, and insight. Methods A cross-sectional study conducted between July 2019 and March 2020 at the Psychiatric Hospital of the Cross (HPC)-Lebanon enrolled 120 chronic in-patients diagnosed with schizophrenia and schizoaffective disorders and 60 healthy controls. The Self-Assessment of Social Cognition Impairments (ACSo) scale was used to assess social cognitive complaints. Results A significant difference was found between schizophrenia patients and healthy controls in all social cognitive complaints: theory of mind complaint, attributional biases complaint, emotional processes complaint, and social perception and knowledge complaint (p < 0.001 for all). All objective cognitive disorders were significantly associated with social cognitive complaints except for attention and speed of information processing. Higher verbal memory and verbal fluency were significantly associated with lower emotional processes complaint scores. The results of the multivariate analysis showed that a higher cognition (Beta = −0.08, p = 0.001) was significantly associated with a lower social cognitive complaint, contrary a higher depression (Beta = 0.38, p = 0.04) was significantly associated with a higher social cognitive complaint, in particular attributional biases complaints. Conclusion This study showed that patients with schizophrenia have complaints about their social cognition. It could also demonstrate that subjective social cognitive complaints are correlated with depressive symptoms and objective cognitive deficits among these patients.

show abstract

Subjective cognitive complaints and its relation to objective cognitive performance, clinical profile, clinical insight, and social functioning in patients of schizophrenia: A cross-sectional study

Cited by 12 publications

References 30 publications

Subjective cognitive complaints and relations to objective cognitive performance among Lebanese patients with schizophrenia

Subjective cognitive complaints and relations to objective cognitive performance among Lebanese patients with schizophrenia

Executive dysfunction in schizophrenia: Predictors of the discrepancy between subjective and objective measures

Self-assessment of social cognition in a sample of Lebanese in-patients with schizophrenia

Contact Info

Product

Resources

About