Original article
Cognitive Complaints in Schizophrenia: Relationship With Insight and Other Cognitive Measures
Percepción subjetiva de déficit cognitivos en esquizofrenia: su relación con insight y otras medidas cognitivas
Rosario Bengochea Seco
, David Gil Sanz, Mar Fernández Modamio, Marta Arrieta Rodríguez, Raúl Sánchez Calleja, Raquel Prat Solís, Alexandra Arce López, Ana Álvarez Soltero
Corresponding author
Centro de Rehabilitación Psicosocial, Centro Hospitalario Padre Menni, Santander, Cantabria, Spain
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Bengochea" "apellidos" => "Seco" "email" => array:1 [ 0 => "crpsant@mennisant.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "David Gil" "apellidos" => "Sanz" ] 2 => array:2 [ "nombre" => "Mar Fernández" "apellidos" => "Modamio" ] 3 => array:2 [ "nombre" => "Marta Arrieta" "apellidos" => "Rodríguez" ] 4 => array:2 [ "nombre" => "Raúl Sánchez" "apellidos" => "Calleja" ] 5 => array:2 [ "nombre" => "Raquel Prat" "apellidos" => "Solís" ] 6 => array:2 [ "nombre" => "Alexandra Arce" "apellidos" => "López" ] 7 => array:2 [ "nombre" => "Ana Álvarez" "apellidos" => "Soltero" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Centro de Rehabilitación Psicosocial, Centro Hospitalario Padre Menni, Santander, Cantabria, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Percepción subjetiva de déficit cognitivos en esquizofrenia: su relación con <span class="elsevierStyleItalic">insight</span> y otras medidas cognitivas" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2010-01-27" "fechaAceptado" => "2010-03-23" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec102120" "palabras" => array:4 [ 0 => "Cognitive impairment" 1 => "Cognitive complaints" 2 => "Insight" 3 => "Schizophrenia" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec102119" "palabras" => array:4 [ 0 => "Deterioro cognitivo" 1 => "Percepción subjetiva" 2 => "Insight" 3 => "Esquizofrenia" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Individuals diagnosed with schizophrenia have significant cognitive deficits. However, the subjective perception of these deficits do not always coincide with the neuropsychological test and clinical ratings.</p> <span class="elsevierStyleSectionTitle">Methodology</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">This study evaluates the cognitive performance of 46 outpatients with schizophrenia, in a Psychosocial Rehabilitation Program, by three different measures: neuropsychological tests (objective assessment), cognitive factor of PANSS (clinical ratings), and subjective scale of cognition, SSTICS (patient self-report). It also studies the possible relationship between subjective assessment of cognitive symptoms and insight of the mental disorder (SUMD).</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">SSTICS total score correlated only with some neuropsychological subtest, but not with cognitive factor of PANSS. The clinical ratings is more consistent with neuropsychological test than the cognitive complaints. No relationship between SUMD and SSTICS.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Because of the lack of correspondence among several measures, it is possible to think that different cognitive areas have been evaluated. It is therefore important to consider all assessment options in order to create cognitive rehabilitation programs. Cognitive complaints seems to be an independent variable of insight.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">La mayoría de las personas diagnosticadas de esquizofrenia presentan déficit cognitivos. No obstante, la percepción subjetiva de esos déficit no siempre coincide con la evaluación neuropsicológica ni con la evaluación clínica de aquéllos.</p> <span class="elsevierStyleSectionTitle">Metodología</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">En este trabajo se evaluó el rendimiento cognitivo de 46 pacientes con esquizofrenia que acuden a un centro de rehabilitación psicosocial, mediante tres pruebas diferentes: una batería neuropsicológica, el test Barcelona (evaluación objetiva), una escala de síntomas cognitivos, el factor cognitivo de la PANSS (evaluación clínica) y una escala subjetiva de cognición, la SSTICS (autoevaluación del paciente). También se estudiaron las relaciones entre la percepción subjetiva de síntomas cognitivos y el insight de la enfermedad, evaluado mediante la SUMD.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">La puntuación total de la SSTICS se correlacionó sólo con algunos de los subtests del Barcelona, pero no con el factor cognitivo de la PANSS. La evaluación clínica se corresponde con los tests neuropsicológicos en mayor medida que con la percepción subjetiva. No hay relaciones entre la percepción sujetiva de los déficit cognitivos y el insight.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Dada la falta de correspondencia entre las diferentes medidas, se plantea si podrían estar evaluando ámbitos diferentes del deterioro cognitivo. Se valora la importancia de considerar todas las opciones de evaluación con vistas a elaborar programas de rehabilitación cognitiva. La percepción de déficit cognitivos parece ser independiente del insight.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:37 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Identification of separable cognitive factors in schizophrenia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "K.H. Nuechterlein" 1 => "D.M. Barch" 2 => "J.M. Gold" 3 => "T.E. Goldberg" 4 => "M.F. Green" 5 => "R.K. 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| Year/Month | Html | Total | |
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| 2024 October | 3 | 4 | 7 |
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| 2024 August | 19 | 3 | 22 |
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| 2024 June | 20 | 6 | 26 |
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| 2024 March | 11 | 8 | 19 |
| 2024 February | 4 | 1 | 5 |
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| 2023 December | 7 | 4 | 11 |
| 2023 November | 6 | 6 | 12 |
| 2023 October | 7 | 7 | 14 |
| 2023 September | 5 | 2 | 7 |
| 2023 August | 5 | 0 | 5 |
| 2023 July | 1 | 6 | 7 |
| 2023 June | 3 | 1 | 4 |
| 2023 May | 4 | 6 | 10 |
| 2023 April | 7 | 5 | 12 |
| 2023 March | 1 | 1 | 2 |
| 2023 February | 6 | 2 | 8 |
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| 2022 May | 12 | 7 | 19 |
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| 2021 November | 6 | 21 | 27 |
| 2021 October | 8 | 9 | 17 |
| 2021 September | 3 | 10 | 13 |
| 2021 August | 6 | 14 | 20 |
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| 2021 June | 9 | 9 | 18 |
| 2021 May | 6 | 8 | 14 |
| 2021 April | 7 | 9 | 16 |
| 2021 March | 4 | 5 | 9 |
| 2021 February | 11 | 7 | 18 |
| 2021 January | 6 | 14 | 20 |
| 2020 December | 6 | 7 | 13 |
| 2020 November | 7 | 5 | 12 |
| 2020 October | 3 | 2 | 5 |
| 2020 September | 4 | 25 | 29 |
| 2020 August | 4 | 35 | 39 |
| 2020 July | 5 | 8 | 13 |
| 2020 June | 3 | 4 | 7 |
| 2020 May | 7 | 6 | 13 |
| 2020 April | 2 | 4 | 6 |
| 2020 March | 4 | 1 | 5 |
| 2020 February | 3 | 6 | 9 |
| 2020 January | 5 | 7 | 12 |
| 2019 December | 9 | 12 | 21 |
| 2019 November | 1 | 7 | 8 |
| 2019 October | 1 | 3 | 4 |
| 2019 September | 2 | 2 | 4 |
| 2019 August | 4 | 0 | 4 |
| 2019 July | 8 | 13 | 21 |
| 2019 June | 0 | 24 | 24 |
| 2019 May | 11 | 31 | 42 |
| 2019 April | 3 | 24 | 27 |
| 2019 March | 5 | 6 | 11 |
| 2019 February | 3 | 5 | 8 |
| 2019 January | 10 | 4 | 14 |
| 2018 December | 5 | 6 | 11 |
| 2018 November | 2 | 4 | 6 |
| 2018 October | 10 | 9 | 19 |
| 2018 September | 3 | 5 | 8 |
| 2018 August | 1 | 2 | 3 |
| 2018 July | 1 | 4 | 5 |
| 2018 June | 0 | 1 | 1 |
| 2018 May | 4 | 6 | 10 |
| 2018 April | 5 | 9 | 14 |
| 2018 March | 3 | 0 | 3 |
| 2018 February | 1 | 0 | 1 |
| 2018 January | 0 | 2 | 2 |
| 2017 December | 3 | 1 | 4 |
| 2017 November | 1 | 4 | 5 |
| 2017 October | 3 | 3 | 6 |
| 2017 September | 2 | 6 | 8 |
| 2017 August | 4 | 1 | 5 |
| 2017 July | 5 | 3 | 8 |
| 2017 June | 10 | 1 | 11 |
| 2017 May | 5 | 0 | 5 |
| 2017 April | 7 | 2 | 9 |
| 2017 March | 12 | 1 | 13 |
| 2017 February | 3 | 0 | 3 |
| 2017 January | 4 | 1 | 5 |
| 2016 December | 12 | 2 | 14 |
| 2016 November | 16 | 3 | 19 |
| 2016 October | 13 | 2 | 15 |
| 2016 September | 12 | 1 | 13 |
| 2016 August | 11 | 3 | 14 |
| 2016 July | 4 | 0 | 4 |
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