![]() It was also observed that executive functions are impaired in psychotic patients. A meta-analysis of patients with psychotic disorders showed deficits in all cognitive areas, especially in the domains of verbal memory and processing speed. Neuropsychological deficits have been reported in psychosis since Kraepelin and are still of high interest. Trial registrationÄRKS00019825 (retrospectively registered on ). The greatest benefit was observed in chronically ill patients with many previous stays. The SCIP appears to have value in routine diagnostic assessments, and in the quantification of improvements in cognitive performance during an inpatient stay. The cluster with chronic patients showed poorer results at admission, but greater improvement and reached the level of the others at discharge. At discharge, improvements were observed, especially on tests with attention and speed components. More than 70% of the SCIP results on admission were pathological. We conducted cluster analysis to identify cognitive subgroups within the clinical sample. After standardization of the test results against a normative sample, we examined the normalized test values in terms of percentages of pathological cognitive performance based on the total SCIP score, and each of the SCIP subscale scores. A total of 529 assessments were completed on admission, and 227 returned for SCIP at the time of discharge. ![]() Shortly after admission, and prior to discharge, patients were routinely referred for examination with the SCIP. ![]() We recently integrated the SCIP into our routine admission and discharge assessments on two inpatient wards, and we examined the cognitive profiles of patients with psychotic and affective disorders over the course of their admission. The SCIP is a well-evaluated screening instrument for the examination of cognitive performance in psychiatric patients. The detection of cognitive deficits is crucial both for clinical treatment and for predicting the psychosocial functional level in the further course of the disease. Cognitive dysfunction has been reported in acute psychiatric patients for a long time.
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