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Schizophrenia Bulletin 1999 25(1):173-182;
© 1999 by Oxford University Press and the Maryland Psychiatric Research Center (MPRC)
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© Oxford University Press

Neurocognitive and Social Functioning in Schizophrenia

Jean Addington, Ph.D. and Donald Addington, M.D.
Associate Professor Department of Psychiatry, University of Calgary Calgary, Alberta, Canada
Professor, Department of Psychiatry, University of Calgary Calgary, Alberta, Canada

Reprint requests should be sent to Dr. J. Addington, Dept. of Psychiatry, Foothills Hospital, 1403 29th St., NW, Calgary, Alberta, Canada T2N 2T9

This cross-sectional study examined the relationships between neurocognitive and social functioning in a sample of 80 outpatients with DSM-III-R schizophrenia. The neurocogrntive battery included measures of verbal ability, verbal memory, visual memory, executive functioning, visual-spatial organization, vigilance, and early information processing. Positive and negative symptoms were assessed with the Positive and Negative Syndrome Scale. A range of social behaviors were assessed using the Social Functioning Scale (SFS), the Quality of Life Scale (QLS), and a video-based test, the Assessment of Interpersonal Problem-Solving Skills (AIPSS). Social functioning as assessed by the SFS was unrelated to neurocognitive functioning. Poor cognitive flexibility was associated with low scores on the QLS and the AIPSS. Verbal ability and verbal memory were also significantly associated with the AIPSS. Visual-spatial ability and vigilance were associated with the sending skills subscale of the ALPSS. In this study, which used a wide range of neurocognitive tests and measures of community functioning and social problem solving, results support earlier research that suggests an association between certain aspects of neurocognitive functioning and social functioning.

Keywords: Neurocognition / social functioning / social problem solving


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