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A seven-year longitudinal study of the association between neurocognitive function and basic self-disorders in schizophrenia.

Elisabeth Haug, Merete G Øie, Ingrid H Svendsen, Paul Møller, Barnaby Nelson, Ingrid S. Melle

Frontiers in Psychology February 27, 2023 DOI: 10.3389/fpsyg.2023.1124859 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Longitudinal follow-up study Peer reviewed
Sample size 35
Population Patients with schizophrenia assessed during their first treatment and about seven years later
Duration 7-year follow-up (mean 7.1 years, SD 0.42)
Measures Examination of Anomalous Self-Experience (EASE)
Topics Philosophy of mind
Keywords Psychoses Executive function Verbal memory Self disturbance
Key findings Poorer executive function at baseline was associated with more basic self-disorders seven years later and with smaller reductions in self-disorders over time. No significant associations were found between self-disorders and other neurocognitive functions such as psychomotor speed or memory. The authors propose that executive impairments in everyday life may affect the development or persistence of self-disorders.

Abstract

Introduction: Basic self-disorders (SDs) and neurocognitive impairments are fundamental trait-like aspects of schizophrenia spectrum disorders. There has been little research on the association between SDs and neurocognitive impairments in schizophrenia, and no longitudinal studies have investigated if they are related. The aim of this study was to investigate the association between SDs and neurocognitive function in a follow-up study of patients with schizophrenia.

Methods: SDs and neurocognition were examined in 35 patients with schizophrenia during their first treatment and 7 years later (mean 7.1, SD 0.42). SDs were examined with the Examination of Anomalous Self-Experience (EASE) instrument. The neurocognitive examination included assessments of psychomotor speed, executive- and memory functions.

Results: Poorer executive functions at baseline were significantly associated with more SDs 7 years later and smaller reductions in SDs over time. There were no significant associations between other neurocognitive functions and SDs.

Discussion: Executive functions are important for self-regulation, and impairments in these functions in everyday life may have an impact on the development and/or persistence of SDs.

Comparable studies

Other observational and cohort studies on philosophy of mind, most cited first.

Study Year Design Participants
The phenomenology of near-death experiences Subjects who reported near-death experiences 1980 Retrospective study n = 78
Visual Phenomenology of the LSD Flashback Persons with a history of LSD use 1983 Observational cohort n = 123
The neurophenomenology of neutral hypnosis. Individuals of high, medium, and low hypnotizability 2013 Observational cohort n = 37
The Phenomenology of Acute Organic Psychosis Patients with acute organic psychosis and acute schizophrenics 1987 Observational cohort n = 148
EEG oscillatory states as neuro-phenomenology of consciousness as revealed from patients in vegetative and minimally conscious states. Brain-damaged patients with disorders of consciousness and healthy-conscious subjects 2012 Observational cohort

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