The screen for cognitive impairment in psychiatry: diagnostic-specific standardization in psychiatric ill patients

Abstract

BackgroundThe Screen for Cognitive Impairment in Psychiatry (SCIP) is a simple and easy to administer scale developed for screening cognitive deficits. This study presents the diagnostic-specific standardization data for this scale in a sample of schizophrenia and bipolar I disorder patients.MethodsPatients between 18 and 55 years who are in a stable phase of the disease, diagnosed with schizophrenia, schizoaffective disorder, schizophreniform disorder, or bipolar I disorder were enrolled in this study.ResultsThe SCIP-S was administered to 514 patients (57.9% male), divided into two age groups (18–39 and 40–55 years) and two educational level groups (less than and secondary or higher education). The performance of the patients on the SCIP-S is described and the transformed scores for each SCIP-S subtest, as well as the total score on the instrument, are presented as a percentile, z-score, T-scores, and IQ quotient.ConclusionsWe present the first jointly developed benchmarks for a cognitive screening test exploring functional psychosis (schizophrenia and bipolar disorder), which provide increased information about patient’s cognitive abilities. Having guidelines for interpreting SCIP-S scores represents a step forward in the clinical utility of this instrument and adds valuable information for its use.

Global functioning among middle-aged patients with chronic schizophrenia: the role of medication, working memory and verbal comprehension

“…Assessing cognitive deterioration using the SCIP, the scores in our sample were below the cut-offs proposed by Gómez-Benito et al (2013). Participants performed worse than the scale's standardization sample.…”

A clinical staging model for bipolar disorder: longitudinal approach

“…Assessments were identical at baseline and at 3-year follow-up and included: (1) demographic and clinical information obtained from the clinical records of the patients (clinical course and specific characteristics of BD, psychiatric and physical comorbidities, officially recognized disability, and psychopharmacological treatments); (2) psychometric assessment: (2a) clinician-rated outcome measures (CROMs): Spanish versions of Hamilton Depression Rating Scale (HDRS) 23 , Hamilton Anxiety Rating Scale (HARS) 24 , Young Mania Rating Scale (YMRS) 25 , Clinical Global Impression (CGI) 26 , Oviedo Sleep Questionnaire (OSQ) 27 , Changes in Sexual Functioning Questionnaire (CSFQ) 28 , Scale for Cognitive Impairment in Psychiatry (SCIP) 29 , Global Assessment of Functioning (GAF) 30 , lipid profile (cholesterol, LDL cholesterol, HDL cholesterol, triglycerides), glucose, hepatic function (GPT, GOT, GGT, bilirubin), renal function (creatinine, BUN), hormones (PRL, TSH), and inflammatory and oxidative biomarkers (CRP, homocysteine)] were collected (for further detail, see Fuente-Tomas et al 21 ).…”

Effects and mechanisms of ginseng and ginsenosides on cognition

“…While many sources identify memory, executive function, psychomotor function, attention, and intelligence as high‐level cognitive components, no consensus on a single model of the components of human cognition has been reached. Thus, cognitive test batteries and assessments used by different studies draw on different models and target multiple cognitive elements . This review does not attempt to examine models for categorizing cognition in detail, but some contextual definition of the cognitive foci relevant to ginseng effects is warranted.…”

“…Thus, cognitive test batteries and assessments used by different studies draw on different models and target multiple cognitive elements. [45][46][47] This review does not attempt to examine models for categorizing cognition in detail, but some contextual definition of the cognitive foci relevant to ginseng effects is warranted. Here, the following key terms are used: memory -the storage of information that can be categorized on the basis of the duration (short or long term) or the type of process involved; working memory -the system for temporarily holding and manipulating sensory information, requiring control through executive functions; and attention -the processes of selective focusing on task(s) or aspects of the environment.…”