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BMC Psychiatry

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01-12-2021 | Schizophrenia | Research

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

Authors: Chadia Haddad, Pascale Salameh, Hala Sacre, Clément Polin, Jean-Pierre Clément, Benjamin Calvet

Published in: BMC Psychiatry | Issue 1/2021

Abstract

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.

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Title: Subjective cognitive complaints and relations to objective cognitive performance among Lebanese patients with schizophrenia
Authors: Chadia Haddad
Pascale Salameh
Hala Sacre
Clément Polin
Jean-Pierre Clément
Benjamin Calvet
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Schizophrenia
Mood Disorders
Affective Disorder
Published in: BMC Psychiatry / Issue 1/2021
Electronic ISSN: 1471-244X
DOI: https://doi.org/10.1186/s12888-021-03564-w

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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