Volume 26, Issue 127, September 2022

Comparison of cognitive dysfunctions in individuals with Schizophrenia and Mood Disorders: A cross-sectional observational study from Central Rural India

Swaroopa Lunge Patil^1♦, Pradeep Shriram Patil², Tushar Subhash Talhan³, Ajinkya Sureshrao Ghogare⁴

¹Junior Resident, Department of Psychiatry, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi, Wardha, Maharashtra, India
²Professor and Head, Department of Psychiatry, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi, Wardha, Maharashtra, India
³Assistant Professor, Department of Psychiatry, Chhindwara Institute of Medical Sciences, Chhindwara, Madhya Pradesh, India
⁴Former Assistant Professor, Department of Psychiatry, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi, Wardha, Maharashtra, India; and current Assistant Professor, Department of Psychiatry, Government Medical College, Akola, Maharashtra, India

^♦Corresponding author
Junior Resident, Department of Psychiatry, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi, Wardha, Maharashtra, India

ABSTRACT

Introduction: Schizophrenia and mood disorders are the chronic debilitating psychiatric disorders having profound personal, social, occupational, and cognitive impairments. Cognitive impairments can hinder treatment seeking behavior leading to chronic and relapsing course of schizophrenia as well as mood disorders. Aim: To assess and compare the profiles of cognitive impairment among individuals with schizophrenia and mood disorders. Material and methods: Present study was conducted at tertiary care teaching hospital from central rural India over a period of two years as a part of postgraduate dissertation in Psychiatry. Cognitive impairment was assessed by using PGI brain dysfunction battery which consisted of five tests such as Bhatia’s short battery of performance intelligence, Verbal adult intelligence test, PGI memory scale, Bender visual-motor gestalt test, and the Nahor-Benson test for perceptual acuity. Results: On comparing Group A (schizophrenia) and Group B (mood disorders), we found that Bender Gestalt and Nahor-Benson tests had statistically significant difference between Group A and Group B (p <0.05) and such difference was found to be higher in Group B (mood disorders). While comparing Group A and Group B, we found that total dysfunctional rating score (DRS) had statistically non-significant difference between Group A and Group B (p <0.05). Conclusion: Some cognitive domains appear to be more affected than others with diverse presentation among the individuals suffering from schizophrenia and mood disorders. Early diagnosis of and effective coping with the cognitive impairments may reduce the burden of both disorders and prevent further complications such as treatment dropouts or treatment denial.

Keywords: Cognitive dysfunctions, Schizophrenia, Bipolar disorder, Depression, Comparison

Medical Science, 2022, 26, ms352e2242

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DOI: https://doi.org/10.54905/disssi/v26i127/ms352e2242

Published: 05 September 2022