J 2016

Cognitive impairment and cortisol levels in first-episode schizophrenia patients

HAVELKA, David, Hana PŘIKRYLOVÁ KUČEROVÁ, Radovan PŘIKRYL a Eva ČEŠKOVÁ

Základní údaje

Originální název

Cognitive impairment and cortisol levels in first-episode schizophrenia patients

Autoři

HAVELKA, David (203 Česká republika, garant, domácí), Hana PŘIKRYLOVÁ KUČEROVÁ (203 Česká republika, domácí), Radovan PŘIKRYL (203 Česká republika, domácí) a Eva ČEŠKOVÁ (203 Česká republika, domácí)

Vydání

Stress : The International Journal on the Biology of Stress, Taylor&Francis, 2016, 1025-3890

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

50100 5.1 Psychology and cognitive sciences

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 2.590

Kód RIV

RIV/00216224:14210/16:00090364

Organizační jednotka

Filozofická fakulta

UT WoS

000382518400006

Klíčová slova anglicky

Cognitive impairment; dexamethasone suppression test; first-episode schizophrenia; memory functions; plasma afternoon cortisol levels; plasma post-dexamethasone cortisol levels

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 20. 1. 2019 20:49, Mgr. Vojtěch Juřík, Ph.D.

Anotace

V originále

Many modalities of cognition are affected in schizophrenia. The most common findings include dysfunctions of episodic and working memory and of executive functions. Although an inverse correlation between cortisol level and memory function has been proven, few studies have focused on the relationship between cortisol level and cognitive impairment in patients with schizophrenia. In an open, naturalistic, prospectivestudy, consecutively hospitalized males diagnosed with first-episode schizophrenia, hypothalamic–pituitary–adrenal axis activity (afternoon cortisol levels, post-dexamethasone cortisol levels) was evaluated before and at the end of acute treatment. Psychopathology was assessed using the positive and negative syndrome scale (PANSS). Cognitive functions (memory, attention, psychomotor, verbal fluency, and executive functions) were tested after symptom alleviation using a neurocognitive test battery. In the total sample (n=23), significant decreases in total PANSS score (including all subscales), afternoon cortisol levels, and post-dexamethasone cortisol levels occurred during the course of treatment. It was found that higher afternoon cortisol levels at the beginning of treatment were significantly related to impaired performance in memory functions. Afternoon cortisol levels were not significantly associated with other measured cognitive functions. No correlation was discovered between cognitive functions and post-dexamethasone cortisol levels. The determination of afternoon cortisol levels may serve to detect potential candidates for specific cognitive intervention immediately after the first psychotic breakthrough.

Návaznosti

ED1.1.00/02.0068, projekt VaV
Název: CEITEC - central european institute of technology