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

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 hea...

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Autores principales:	Chadia Haddad, Pascale Salameh, Hala Sacre, Clément Polin, Jean-Pierre Clément, Benjamin Calvet
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Insight Schizophrenia Subjective Cognition Complaint Psychiatry RC435-571
Acceso en línea:	https://doaj.org/article/111d7a426ca341d8bdeea4283e8b2626
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spelling	oai:doaj.org-article:111d7a426ca341d8bdeea4283e8b26262021-11-14T12:08:41ZSubjective cognitive complaints and relations to objective cognitive performance among Lebanese patients with schizophrenia10.1186/s12888-021-03564-w1471-244Xhttps://doaj.org/article/111d7a426ca341d8bdeea4283e8b26262021-11-01T00:00:00Zhttps://doi.org/10.1186/s12888-021-03564-whttps://doaj.org/toc/1471-244XAbstract 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.Chadia HaddadPascale SalamehHala SacreClément PolinJean-Pierre ClémentBenjamin CalvetBMCarticleInsightSchizophreniaSubjectiveCognitionComplaintPsychiatryRC435-571ENBMC Psychiatry, Vol 21, Iss 1, Pp 1-14 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Insight Schizophrenia Subjective Cognition Complaint Psychiatry RC435-571
spellingShingle	Insight Schizophrenia Subjective Cognition Complaint Psychiatry RC435-571 Chadia Haddad Pascale Salameh Hala Sacre Clément Polin Jean-Pierre Clément Benjamin Calvet Subjective cognitive complaints and relations to objective cognitive performance among Lebanese patients with schizophrenia
description	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.
format	article
author	Chadia Haddad Pascale Salameh Hala Sacre Clément Polin Jean-Pierre Clément Benjamin Calvet
author_facet	Chadia Haddad Pascale Salameh Hala Sacre Clément Polin Jean-Pierre Clément Benjamin Calvet
author_sort	Chadia Haddad
title	Subjective cognitive complaints and relations to objective cognitive performance among Lebanese patients with schizophrenia
title_short	Subjective cognitive complaints and relations to objective cognitive performance among Lebanese patients with schizophrenia
title_full	Subjective cognitive complaints and relations to objective cognitive performance among Lebanese patients with schizophrenia
title_fullStr	Subjective cognitive complaints and relations to objective cognitive performance among Lebanese patients with schizophrenia
title_full_unstemmed	Subjective cognitive complaints and relations to objective cognitive performance among Lebanese patients with schizophrenia
title_sort	subjective cognitive complaints and relations to objective cognitive performance among lebanese patients with schizophrenia
publisher	BMC
publishDate	2021
url	https://doaj.org/article/111d7a426ca341d8bdeea4283e8b2626
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Subjective cognitive complaints and relations to objective cognitive performance among Lebanese patients with schizophrenia

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