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Cognitive changes with aging in schizophrenia.

J S Chaikelson, A E Schwartzman

    Journal of Clinical Psychology
    |January 1, 1983
    PubMed
    Summary
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    Older male chronic schizophrenia patients performed similarly to younger patients on cognitive tests. This challenges the view of schizophrenia as a progressive disorder, supporting evidence of symptom stabilization in chronic cases.

    Area of Science:

    • Geriatric Psychiatry
    • Neuropsychology
    • Clinical Psychology

    Background:

    • Schizophrenia is often viewed as a deteriorative disorder.
    • Aging's impact on chronic schizophrenia symptoms requires further investigation.

    Purpose of the Study:

    • To compare cognitive performance in elderly versus younger male chronic schizophrenia patients.
    • To evaluate the Kraepelinian hypothesis of schizophrenia's progressive nature.

    Main Methods:

    • Assessed hospitalized male patients (N=21) aged in their late sixties and early forties.
    • Utilized measures including verbal fluency, picture anomaly recognition, tapping speed, and maze learning.

    Main Results:

    • No significant performance differences were observed between the older and younger patient groups.

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  • Cognitive functioning remained stable across age groups, controlling for normal aging effects.

    • Conclusions:

    • Findings contradict the Kraepelinian view of schizophrenia as a continuously declining condition.
    • Results align with evidence suggesting clinical stabilization and symptom amelioration in chronic schizophrenia.