Parsing Schizophrenia with Neurocognitive Tests: Evidence of Stability and Validity

作者: R.Walter Heinrichs , Lesley Ruttan , Konstantine K. Zakzanis , Danielle Case

DOI: 10.1006/BRCG.1997.0938

关键词:

摘要: The stability and validity of a neurocognitive typology for schizophrenia were studied in 55 chronic patients who met DSMIII-R criteria the illness. Subtypes based on an earlier cluster analytic study by Heinrichs Awad (1993) that utilized following variables: IQ (WAIS-R), categories (Wisconsin Card Sorting Test), free recall intrusions (California Verbal Learning bilateral motor performance (Purdue Pegboard). Stability was examined analyzing subtype assignment at original assessment 3 years later follow-up. over this interval variable with overall kappa .45 individual kappas from .12 to .66. Adjunct cognitive clinical data gathered follow-up provide evidence several subtypes, especially terms their functional differences. There no symptom differences relatively asymptomatic medicated sample patients. results are discussed possibility patterns dysfunction may underlie schizophrenia, implications understanding heterogeneity illness its outcomes.

参考文章(53)
A.Roland Holt, Controversies in schizophrenia Comprehensive Psychiatry. ,vol. 27, pp. 559- 560 ,(1986) , 10.1016/0010-440X(86)90060-X
Robert K. Heaton, Wisconsin Card Sorting Test manual Psychological Assessment Resources. ,(1993)
Donald F. Morrison, Multivariate statistical methods Published in <b>1976</b> in New York NY) by McGraw-Hill. ,(1976)
Laird S. Cermak, Human memory and amnesia UT Back-in-Print Service. ,(1982)
Christopher Donald Frith, The Cognitive Neuropsychology of Schizophrenia ,(1992)
R.M. Bilder, L. Kipschultz-Broch, G. Reiter, D. Mayerhoff, A. Loebel, G. Degreef, M. Ashtari, J.A. Lieberman, Neuropsychological studies of first episode schizophrenia Schizophrenia Research. ,vol. 4, pp. 381- 382 ,(1991) , 10.1016/0920-9964(91)90315-I
William E. Pollard, Ruth A. Bobbitt, Marilyn Bergner, Dlane P. MARTIN, Betty S. Gilson, The Sickness Impact Profile: reliability of a health status measure. Medical Care. ,vol. 14, pp. 146- 155 ,(1976) , 10.1097/00005650-197602000-00004
Marilyn Bergner, Ruth A. Bobbitt, William B. Carter, Betty S. Gilson, The Sickness Impact Profile: development and final revision of a health status measure. Medical Care. ,vol. 19, pp. 787- 805 ,(1981) , 10.1097/00005650-198108000-00001
Campbell M. Clark, Lili Kopala, Gerald James, Trevor Hurwitz, David Li, Metabolic subtypes in patients with schizophrenia Biological Psychiatry. ,vol. 33, pp. 86- 92 ,(1993) , 10.1016/0006-3223(93)90306-X
William T Carpenter, Robert W Buchanan, Brian Kirkpatrick, Carol Tamminga, Frank Wood, Strong Inference, Theory Testing, and the Neuroanatomy of Schizophrenia Archives of General Psychiatry. ,vol. 50, pp. 825- 831 ,(1993) , 10.1001/ARCHPSYC.1993.01820220081009