PMID- 16472360 OWN - NLM STAT- MEDLINE DCOM- 20060530 LR - 20071115 IS - 1323-1316 (Print) IS - 1323-1316 (Linking) VI - 60 IP - 1 DP - 2006 Feb TI - Relation between social functioning and neurocognitive test results using the Optional Thinking Test in schizophrenia. PG - 63-9 AB - The current study investigated the relationship between clinical evaluations of social functioning and neurocognitive test results, including various fluency tests for assessing divergent thinking, in patients with schizophrenia. The Optional Thinking Test (OTT) was used to measure the ability of individuals to conceive of alternatives. This test assesses alternative thinking, or the capacity to generate solutions to problems. The current study examined 36 schizophrenia patients and 25 normal subjects using the Mini-Mental State Examination (MMSE), the Rey Auditory Verbal Learning Test (RAVLT), the Letter Cancellation Test (LCT), the Letter and Category Fluency Tests, and the OTT for neurocognitive assessment, as well as the Positive and Negative Syndrome Scale (PANSS), the Global Assessment of Functioning (GAF), the Social Functioning Scale (SFS), and the Life Assessment Scale for the Mentally Ill - Interpersonal Relations (LASMI-I) for clinical measures. The schizophrenia patients had significantly poorer performances on the MMSE, RAVLT, LCT (time), fluency tests, and OTT than the controls. In the OTT, the proportions of classified strategies were indistinguishable between the schizophrenia patients and the controls. Alternative thinking, as measured by the OTT, was correlated with verbal fluency and attention but was not correlated with the social functioning scores (GAF, SFS, LASMI-I), whereas the Means-Ends Problem-Solving was correlated with the GAF in schizophrenia. Patients with schizophrenia could conceive of the same categories of alternatives as healthy people, but could not conceive as many alternatives. FAU - Chino, Bun AU - Chino B AD - Department of Neuropsychiatry, School of Medicine, Keio University, Tokyo, Japan. FAU - Mizuno, Masafumi AU - Mizuno M FAU - Nemoto, Takahiro AU - Nemoto T FAU - Yamashita, Chiyo AU - Yamashita C FAU - Kashima, Haruo AU - Kashima H LA - eng PT - Journal Article PL - Australia TA - Psychiatry Clin Neurosci JT - Psychiatry and clinical neurosciences JID - 9513551 SB - IM MH - Adult MH - Attention MH - Female MH - Humans MH - Interpersonal Relations MH - Male MH - Mental Status Schedule/statistics & numerical data MH - Neuropsychological Tests/*statistics & numerical data MH - Problem Solving MH - Psychiatric Status Rating Scales/statistics & numerical data MH - Psychometrics/statistics & numerical data MH - Reference Values MH - Reproducibility of Results MH - Schizophrenia/*diagnosis/rehabilitation MH - *Schizophrenic Psychology MH - *Social Adjustment MH - Social Behavior MH - Statistics as Topic MH - *Thinking MH - Verbal Behavior EDAT- 2006/02/14 09:00 MHDA- 2006/05/31 09:00 CRDT- 2006/02/14 09:00 PHST- 2006/02/14 09:00 [pubmed] PHST- 2006/05/31 09:00 [medline] PHST- 2006/02/14 09:00 [entrez] AID - PCN [pii] AID - 10.1111/j.1440-1819.2006.01461.x [doi] PST - ppublish SO - Psychiatry Clin Neurosci. 2006 Feb;60(1):63-9. doi: 10.1111/j.1440-1819.2006.01461.x.