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Is it possible to be schizophrenic yet neuropsychologically normal?
Authors:Palmer  Barton W; Heaton  Robert K; Paulsen  Jane S; Kuck  Julie; Braff  David; Harris  M Jackuelyn; Zisook  Sidney; Jeste  Dilip V
Abstract:This study identified and characterized a group of schizophrenic patients without neuropsychological (NP) impairment. A comprehensive NP battery was administered to 171 schizophrenic outpatients and 63 normal comparison participants. Each participant's NP status was classified through blind clinical ratings by 2 experienced neuropsychologists; 27% of the schizophrenics were classified as NP normal. The NP-normal and NP-impaired schizophrenics were similar in terms of most demographic, psychiatric, and functional characteristics, except that NP-normal patients had less negative and extrapyramidal symptoms, were on less anticholinergic medication, socialized more frequently, and were less likely to have had a recent psychiatric hospitalization. The existence of NP-normal schizophrenics suggests that the pathophysiology underlying the cognitive deficits often associated with schizophrenia may be distinct from that causing some of its core psychiatric features. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
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