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Cognitive impairment in geriatric chronic schizophrenic patients
 — a cross-national study in New York and London
Author(s)Philip D Harvey, Julian Leff, Noam Trieman
Journal titleInternational Journal of Geriatric Psychiatry, vol 12, no 10, October 1997
Pages pp 995-1000
KeywordsSchizophrenia ; Cognitive impairment ; Patients ; Evaluation ; Cross national surveys ; United States of America ; London.
AnnotationSevere cognitive impairment has been reported in large numbers of geriatric schizophrenic patients in the US, with this impairment also being related to severe negative symptoms and adaptive deficits. In this study, a sample of 137 geriatric (aged over 70) chronic schizophrenics in London who were assessed by the Team for Assessment of Psychiatric Services (TAPS), and a similar group of 86 patients in a New York psychiatric centre were compared for the severity of cognitive impairment, and on measures of adaptive functioning. Patients received essentially identical Mini-Mental State Examination (MMSE) scores, but differed on 3 out of 4 measures of adaptive functioning. The correlations among all four aspects of adaptive deficit and MMSE scores were very similar in the two samples, suggesting that cognitive deficits and their relationship with adaptive impairments are relatively invariant across different psychiatric systems of care, while adaptive functioning deficits are more variable and possibly more influenced by environmental factors. These data add to previous results, suggesting that cognitive impairment is a common feature in poor outcome geriatric patients with schizophrenia. (RH).
Accession NumberCPA-981001206 A
ClassmarkELK: E4: LF: 4C: 3K: 7T: 82L

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