Neurocognitive disorders in schizophrenia patients with alcohol dependence syndrome

Full Text:   Subscribers Only

Suggested citation:

Galkin SA, Kornetova EG, Kornetov AN, et al. [Neurocognitive disorders in schizophrenia patients with alcohol dependence syndrome]. Rossiiskii psikhiatricheskii zhurnal [Russian Journal of Psychiatry]. 2025;(2):48-54. Russian

Abstract

In this empirical study looking at the indicators of cognitive functioning in patients with schizophrenia with alcohol dependence syndrome and without comorbid alcohol pathology, 274 patients were examined. The scale of brief assessment of cognitive functions in patients with schizophrenia (BACS) was used to identify neurocognitive deficits. About a quarter (25.2%) of the cases were represented by patients with schizophrenia with a clinical picture of formed alcoholism. Patients with comorbid pathology coped significantly worse with tasks such as “Digit sequencing”, “Verbal fluency”, “Symbol coding” and “Tower of London” (p<0.05). Also, the analysis using the criterion χ2 showed statistically significant differences in the frequency of occurrence of the degree of severity of neurocognitive deficiency between groups of patients with schizophrenia with and without comorbid pathology (p=0.016).

Keywords schizophrenia; comorbidity; alcohol dependence; neurocognitive deficit; working memory; semantic fluency; attention; executive functions

References

1. Bosia M, Buonocore M, Bechi M, et al. Improving Cognition to Increase Treatment Efficacy in Schizophrenia: Effects of Metabolic Syndrome on Cognitive Remediation's Outcome. Front Psychiatry. 2018;9:647. DOI: 10.3389/fpsyt.2018.00647 2. Karyakina MV. [Cognitive impairment in schizophrenia: the opinion of a group of experts on the current state of the problem]. Social'naya i klinicheskaya psihiatriya [Social and Clinical Psychiatry]. 2022;32(3):83–90. (In Russ.) 3. Kornetova EG, Goncharova AA, Dmitrieva EG, et al. [The influence of clinical and therapeutic parameters on the severity of neurocognitive deficiency in patients with schizophrenia]. Byulleten' sibirskoj mediciny [Bulletin of Siberian Medicine]. 2020;19(3):36–43. (In Russ.) DOI: 10.20538/1682-0363-2020-3-36-43 4. McCutcheon RA, Keefe RSE, McGuire PK. Cognitive impairment in schizophrenia: aetiology, pathophysiology, and treatment. Mol Psychiatry. 2023;28(5):1902–18. DOI: 10.1038/s41380-023-01949-9 5. Kornetova EG, Galkin SA, Mednova IA, et al. [Connections between components of metabolic syndrome and cognitive impairment in patients with schizophrenia]. Zh Nevrol Psikhiatr Im SS Korsakova. 2024;124(3):82–7. (In Russ.) DOI: 10.17116/jnevro202412403182 6. Goughari AS, Mazhari S, Pourrahimi AM, et al. Associations between components of metabolic syndrome and cognition in patients with schizophrenia. J Psychiatr Pract. 2015;21(3):190–7. DOI: 10.1097/PRA.0000000000000065 7. Kornetova EG, Galkin SA, Kornetov AN, et al. [The influence of constitutional and morphological features of patients with schizophrenia on the severity of neurocognitive deficit]. Social'naya i klinicheskaya psihiatriya [Social and Clinical Psychiatry]. 2024;34(1):26–34. (In Russ.) 8. Saglam Y, Ermis C, Tanyolac D, et al. The association between plasma thyroxine levels and neurocognitive impairment in early-onset schizophrenia and other psychosis spectrum disorders. Prog Neuropsychopharmacol Biol Psychiatry. 2024;131:110940. DOI: 10.1016/j.pnpbp.2024.110940 9. Barbero JD, Gutiérrez-Zotes A, Montalvo I, et al. Free thyroxine levels are associated with cognitive abilities in subjects with early psychosis. Schizophr Res. 2015;166(1–3):37–42. DOI: 10.1016/j.schres.2015.04.030 10. Galkin SA, Kornetova EG, Tiguntsev VV, et al. [Spectral parameters of the electroencephalogram in patients with paranoid schizophrenia with varying degrees of neurocognitive deficiency]. Rossiiskii psikhiatricheskii zhurnal [Russian Journal of Psychiatry]. 2023;(4):31–8. (In Russ.) DOI: 10.34757/1560-957X.2023.27.4.003 11. Bochkarev VK, Solntseva SV, Kirenskaya AV, Tkachenko AA. [Comparative study of the characteristics of the P300 wave and induced theta rhythm in schizophrenia and personality disorders]. Zh Nevrol Psikhiatr Im SS Korsakova. 2020;120(3):41–7. (In Russ.) DOI: 10.17116/jnevro202012003141 12. Buleyko AA, Ruban DA, Nikonova NV, et al. [Schizophrenia and alcohol dependence: the problem of mutual influence]. Narkologiya. 2019;18(2):75–86. (In Russ.) DOI: 10.25557/1682-8313.2019.02.75-86 13. Archibald L, Brunette MF, Wallin DJ, Green AI. Alcohol Use Disorder and Schizophrenia or Schizoaffective Disorder. Alcohol Res. 2019;40(1):arcr.v40.1.06. DOI: 10.35946/arcr.v40.1.06 14. Leposavić L, Dimitrijević D, Đorđević S, et al. Comorbidity of harmful use of alcohol in population of schizophrenic patients. Psychiatr Danub. 2015;27(1):84–9. PMID: 25751441 15. Hunt GE, Large MM, Cleary M, et al. Prevalence of comorbid substance use in schizophrenia spectrum disorders in community and clinical settings, 1990–2017: Systematic review and meta-analysis. Drug Alcohol Depend. 2018;191:234–58. DOI: 10.1016/j.drugalcdep.2018.07.011 16. Tolmacheva VA, Kiseleva MG, Chernov NV, Kostyuk GP. [Features of cognitive impairment in persons with paranoid schizophrenia in combination with alcohol dependence syndrome]. Zh Nevrol Psikhiatr Im SS Korsakova. 2021;121(11):73–6. (In Russ.) DOI: 10.17116/jnevro202112111173 17. Litvintsev SV, Kolchev SA, Ershov BB. [Neurocognitive disorders in patients with schizophrenia in combination with alcohol dependence syndrome]. Social'naya i klinicheskaya psihiatriya [Social and Clinical Psychiatry]. 2012;22(1):28–32. (In Russ.) 18. Angerville B, Vaucher N, Gierski F, et al. Alcohol related cognitive impairments in schizophrenia patients: A case-control study. Eur Psychiatry. 2023;66:335. DOI: 10.1192/j.eurpsy.2023.734 19. Potvin S, Stavro K, Pelletier J. Paradoxical Cognitive Capacities in Dual Diagnosis Schizophrenia: The Quest for Explanatory Factors. J Dual Diagn. 2012;8:35–47. DOI: 10.1080/15504263.2012.648549 20. Thoma P, Daum I. Comorbid substance use disorder in schizophrenia: A selective overview of neurobiological and cognitive underpinnings. Psychiatry Clin Neurosci. 2013;67(6):367–83. DOI: 10.1111/pcn.12072 21. Buleyko AA, Soldatkin VA, Murina IV, et al. [Does alcoholism affect the cognitive functions of patients with schizophrenia?]. Zh Nevrol Psikhiatr Im SS Korsakova. 2019;119(7):14–9. (In Russ.) DOI: 10.17116/jnevro201911907114 22. Mazumder AH, Barnett J, Lindberg N, et al. Reaction Time and Visual Memory in Connection with Alcohol Use in Schizophrenia and Schizoaffective Disorder. Brain Sci. 2021;11(6):688. DOI: 10.3390/brainsci11060688 23. Mosolov SN. Scales of psychometric assessment of schizophrenia symptoms and the concept of positive and negative disorders. Moscow; 2001. 238 p. (In Russ.) 24. Kornetov AN, Yazykov KG, Kornetova EG, et al. [Normative assessment of cognitive functions on the scale “Brief assessment of cognitive functions in patients with schizophrenia” (BACS) in Tomsk population: constitutional factors of variability]. Sibirskij psihologicheskij zhurnal [Siberian Psychological Journal]. 2021;(82):137–52. (In Russ.) DOI: 10.17223/17267080/82/8 25. Sarkisyan GR, Gurovich IYa, Kif RS. [Normative data for the Russian population and standardization of the scale “Brief assessment of cognitive functions in patients with schizophrenia” (BACS)]. Social'naya i klinicheskaya psihiatriya [Social and Clinical Psychiatry]. 2010;20(3):13–9. (In Russ.) 26. Tumova MA, Shoshina II, Stanovaya VV, et al. [Indicators of cognitive functioning and characteristics of the visual system in schizophrenia: a cross-sectional study]. Psihiatriya [Psychiatry (Moscow)]. 2023;21(3):36–44. (In Russ.) DOI: 10.30629/2618-6667-2023-21-3-36-44 27. Friedman NP, Robbins TW. The role of prefrontal cortex in cognitive control and executive function. Neuropsychopharmacology. 2022;47(1):72–89. DOI: 10.1038/s41386-021-01132-0

Article Metrics

Metrics Loading ...

Metrics powered by PLOS ALM