The screen for cognitive impairment in psychiatry: diagnostic-specific standardization in psychiatric ill patients

BMC Psychiatry. 2013 May 6:13:127. doi: 10.1186/1471-244X-13-127.

Abstract

Background: The Screen for Cognitive Impairment in Psychiatry (SCIP) is a simple and easy to administer scale developed for screening cognitive deficits. This study presents the diagnostic-specific standardization data for this scale in a sample of schizophrenia and bipolar I disorder patients.

Methods: Patients between 18 and 55 years who are in a stable phase of the disease, diagnosed with schizophrenia, schizoaffective disorder, schizophreniform disorder, or bipolar I disorder were enrolled in this study.

Results: The SCIP-S was administered to 514 patients (57.9% male), divided into two age groups (18-39 and 40-55 years) and two educational level groups (less than and secondary or higher education). The performance of the patients on the SCIP-S is described and the transformed scores for each SCIP-S subtest, as well as the total score on the instrument, are presented as a percentile, z-score, T-scores, and IQ quotient.

Conclusions: We present the first jointly developed benchmarks for a cognitive screening test exploring functional psychosis (schizophrenia and bipolar disorder), which provide increased information about patient's cognitive abilities. Having guidelines for interpreting SCIP-S scores represents a step forward in the clinical utility of this instrument and adds valuable information for its use.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Bipolar Disorder / complications*
  • Cognition Disorders / complications
  • Cognition Disorders / diagnosis*
  • Cognition*
  • Female
  • Humans
  • Language
  • Male
  • Middle Aged
  • Neuropsychological Tests
  • Psychiatric Status Rating Scales*
  • Psychiatry
  • Psychotic Disorders / complications*
  • Reproducibility of Results
  • Schizophrenia / complications*
  • Young Adult