Haddad Chadia, Salameh Pascale, Sacre Hala, Clément Jean-Pierre, Calvet Benjamin
INSERM, Univ. Limoges, IRD, U1094 Tropical Neuroepidemiology, Institute of Epidemiology and Tropical Neurology, GEIST, Limoges, France.
Pôle Universitaire de Psychiatrie de l'Adulte, de l'Agée et d'Addictologie, Centre Hospitalier Esquirol, 87000 Limoges, France.
Schizophr Res Cogn. 2021 May 21;25:100199. doi: 10.1016/j.scog.2021.100199. eCollection 2021 Sep.
Many cognitive functions are affected in schizophrenia patients, particularly memory, attention, motor skills, executive function, and social cognition. Cognitive assessment is one of the best indicators of the functional and social prognosis of schizophrenic patients. In Lebanon, no study has yet examined the assessment of cognitive functions in patients with neurological or psychiatric diseases. This review aims to provide an overview of the cognitive profiles of schizophrenia and describe the different cognitive tests used in Lebanon. The MEDLINE/PubMed database was used to conduct a literature review covering all studies related to cognition in psychosis patients from 1990 until March 2021. This screening resulted in 97 articles focused on cognition in psychiatric patients or cognitive tests in schizophrenia and required an in-depth analysis. The majority of measures developed to evaluate cognition in patients with schizophrenia were from Western countries, most of which are long and complex and may require several hours to administer. The number of neuropsychological tests available in Arab countries is unknown, although it is likely to be limited compared to what is available in Western countries. In Lebanon, some neuropsychological batteries have been locally used to assess cognition without being translated and validated to be adapted to the Lebanese sociocultural context. Clinicians in Lebanon underestimate the extent of cognitive impairment in schizophrenia patients as they have limited options, using untranslated tests or using translations that have not been validated. Future studies should target the development and adaptation of instruments that predict and measure cognition and functional ability.
许多认知功能在精神分裂症患者中受到影响，尤其是记忆、注意力、运动技能、执行功能和社会认知。认知评估是精神分裂症患者功能和社会预后的最佳指标之一。在黎巴嫩，尚未有研究考察神经或精神疾病患者的认知功能评估。本综述旨在概述精神分裂症的认知概况，并描述黎巴嫩使用的不同认知测试。利用MEDLINE/PubMed数据库进行文献综述，涵盖1990年至2021年3月期间所有与精神病患者认知相关的研究。此次筛选得到97篇关注精神病患者认知或精神分裂症认知测试的文章，需要深入分析。为评估精神分裂症患者认知而开发的大多数测量方法来自西方国家，其中大多数冗长复杂，可能需要几个小时来实施。阿拉伯国家可用的神经心理学测试数量不详，不过与西方国家相比可能有限。在黎巴嫩，一些神经心理成套测验已在当地用于评估认知，但未进行翻译和验证以适应黎巴嫩的社会文化背景。黎巴嫩的临床医生低估了精神分裂症患者认知障碍的程度，因为他们选择有限，使用未经翻译的测试或未经验证的翻译版本。未来的研究应致力于开发和改编能够预测和测量认知及功能能力的工具。
