Cognitive profile difference between Allen Cognitive Levels 4 and 5 in schizophrenia

Am J Occup Ther. 2011 Jul-Aug;65(4):453-61. doi: 10.5014/ajot.2011.000711.

Abstract

Objective: We compared the pattern of cognitive deficits exhibited by people with schizophrenia at Allen Cognitive Level (ACL) 4 with that of people at Level 5.

Method: Participants were classified into two groups on the basis of their ACL Screen scores: ACL 4 (n = 35) and ACL 5 (n = 41). We assessed cognitive functions and psychotic symptoms in all participants.

Results: Multivariate analysis of covariance controlling for gender and negative symptoms revealed that people at ACL 4 performed significantly worse than those at ACL 5 on processing speed, verbal memory, and working memory. The discriminant analysis with all cognitive variables produced a classification accuracy of 78% in differentiation of cognitive levels.

Conclusion: We verified the validity of the hierarchy of cognitive disability for ACLs 4 and 5 in people with schizophrenia.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Cognition Disorders / complications*
  • Cross-Sectional Studies
  • Discriminant Analysis
  • Female
  • Humans
  • Male
  • Middle Aged
  • Occupational Therapy / methods*
  • Psychiatric Status Rating Scales
  • Schizophrenia / complications*
  • Schizophrenia / rehabilitation*
  • Young Adult