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Are Deficits in Social Cognition Differentiating between Schizophrenia and Affective Disorders

Published online by Cambridge University Press:  23 March 2020

G. Sachs ,
E. Maihofer  and
A. Erfurth
G. Sachs
Affiliation:
Medical University of Vienna, Department of Psychiatry and Psychotherapy, Vienna, Austria
E. Maihofer
Affiliation:
Otto Wagner Spital, 6th Psychiatric Department, Vienna, Austria
A. Erfurth
Affiliation:
Otto Wagner Spital, 6th Psychiatric Department, Vienna, Austria

Abstract

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Over the last decades, in matters of the assessment of psychopathology and its clinical consequences, there has been an increased interest in neurocognitive function including non-social and social cognition.

Classic psychopathology -as represented e.g. by the standardized AMDP system- focuses on pathognomonic signs for the categorization of syndromes [1] and differentiates between disturbances of perception, concentration, memory retention and long-term memory. A recent short screen for cognitive impairment in psychiatry (SCIP) has addressed five domains of cognitive function: verbal learning–immediate, working memory, verbal fluency, verbal learning–delayed and processing speed [2].

Using the SCIP in admissions from a defined catchment area in the southwest of Vienna we confirm the presence of cognitive deficits in schizophrenic patients and to a lesser degree in bipolar patients. The deficits were present in all five domains and no discriminatory pathognomonic signs could be found between schizophrenia and bipolar disorder.

Recently, possibly selective deficits in social cognition have been described in schizophrenic patients [3]. We review the evidence on the specificity of social impairment to schizophrenia.

Disclosure of interest

The authors declare that they have no competing interest.

Type
Symposium: Schizophrenia and clinical psychopathology: From research to clinical practice
Information
European Psychiatry , Volume 41 , Issue S1: Abstract of the 25th European Congress of Psychiatry , April 2017 , pp. S44 - S45
Copyright
Copyright © European Psychiatric Association 2017

References

Guy, W.Ban, TA (Eds.) The AMDP-System. Manual for the Assessment and Documentation of Psychopathology. New York: Springer, Berlin Heidelberg: 1982 10.1007/978-3-642-68405-0CrossRefGoogle Scholar
Purdon, S.E.The Screen for Cognitive Impairment in Psychiatry (SCIP): Instructions and three alternate forms. Edmonton, Alberta: PNL Inc: 2005Google Scholar
Lee, J.Altshuler, L.Glahn, D.C.Miklowitz, D.J.Ochsner, K.Green, M.F.Social and nonsocial cognition in bipolar disorder and schizophrenia: relative levels of impairment. Am J Psychiatry 2013 Mar;170(3):33434110.1176/appi.ajp.2012.12040490CrossRefGoogle Scholar
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