PMID- 23510596 OWN - NLM STAT- MEDLINE DCOM- 20131025 LR - 20160526 IS - 1573-2509 (Electronic) IS - 0920-9964 (Linking) VI - 146 IP - 1-3 DP - 2013 May TI - Interview-based assessment of cognition in schizophrenia: applicability of the Schizophrenia Cognition Rating Scale (SCoRS) in different phases of illness and settings of care. PG - 217-23 LID - S0920-9964(13)00127-8 [pii] LID - 10.1016/j.schres.2013.02.035 [doi] AB - INTRODUCTION: The Schizophrenia Cognition Rating Scale (SCoRS), an interview-based assessment of cognition, has proved to be a valid measure of cognitive performance in patients with schizophrenia. OBJECTIVE: The aims of this study were to analyze the validity of this scale in a naturalistic setting representative of the Italian system of psychiatric care, and to test whether the SCoRS could be appropriately used in different phases of illness and contexts of care. METHODS: Eighty-six patients with schizophrenia (DSM-IV-TR criteria) (N = 59 clinically stabilized patients; N = 27 recently hospitalized patients) were administered the SCoRS. The reliability of SCoRS was assessed and global ratings were correlated with neurocognitive, clinical, and psychosocial functioning measures. RESULTS: SCoRS inter-rater and test-retest reliability were high. In clinically stabilized patients, SCoRS global ratings were significantly correlated with composite scores of cognitive performance (global cognitive index: r = -0.570, P<0.001), symptoms (Positive and Negative Syndrome Scale (PANSS) total score: r = 0.602, P < 0.001), and psychosocial functioning (Global Assessment of Functioning (GAF): r = -0.532, P<0.001; Health of the Nation Outcome Scale (HoNOS): r = 0.433, P < 0.001). On the other hand, no such correlations were found in recently hospitalized patients. Correlations with neuropsychological and functional measures were less significant as the severity of the patients' symptoms, especially positive symptoms, increased. CONCLUSION: The SCoRS is a valid measure of cognitive performance and is related to psychosocial functioning, especially in clinically stable patients with schizophrenia. The usefulness of the SCoRS in patients recently admitted to hospital for an acute phase of illness is uncertain. CI - Copyright (c) 2013 Elsevier B.V. All rights reserved. FAU - Vita, Antonio AU - Vita A AD - University of Brescia, School of Medicine, Brescia, Italy; Department of Mental Health, Spedali Civili Hospital, Brescia, Italy. vita.dsm@libero.it FAU - Deste, Giacomo AU - Deste G FAU - Barlati, Stefano AU - Barlati S FAU - De Peri, Luca AU - De Peri L FAU - Giambra, Agnese AU - Giambra A FAU - Poli, Roberto AU - Poli R FAU - Keefe, Richard S E AU - Keefe RS FAU - Sacchetti, Emilio AU - Sacchetti E LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130317 PL - Netherlands TA - Schizophr Res JT - Schizophrenia research JID - 8804207 SB - IM MH - Adult MH - Cognition Disorders/*diagnosis/*etiology MH - Disease Progression MH - Female MH - Humans MH - Interview, Psychological/*methods MH - Male MH - Middle Aged MH - Neuropsychological Tests MH - Psychiatric Status Rating Scales MH - Psychometrics MH - Reproducibility of Results MH - Schizophrenia/*complications MH - *Schizophrenic Psychology MH - Statistics as Topic MH - Statistics, Nonparametric EDAT- 2013/03/21 06:00 MHDA- 2013/10/26 06:00 CRDT- 2013/03/21 06:00 PHST- 2012/10/15 00:00 [received] PHST- 2013/02/17 00:00 [revised] PHST- 2013/02/24 00:00 [accepted] PHST- 2013/03/21 06:00 [entrez] PHST- 2013/03/21 06:00 [pubmed] PHST- 2013/10/26 06:00 [medline] AID - S0920-9964(13)00127-8 [pii] AID - 10.1016/j.schres.2013.02.035 [doi] PST - ppublish SO - Schizophr Res. 2013 May;146(1-3):217-23. doi: 10.1016/j.schres.2013.02.035. Epub 2013 Mar 17.