Comparing neurocognition in severe chronic schizophrenia and frontotemporal dementia
Abstract
Objective Previous research has suggested cognitive similarities between schizophrenia and frontotemporal dementia. In the current study, we compared neurocognition in a group of hospitalised patients with chronic schizophrenia, who may have a more severe form of schizophrenia resembling Emil Kraepelin's dementia praecox, with patients with frontotemporal dementia. We hypothesised minimal group differences in cognitive performance, and a large overlap in between-group score distributions in each cognitive domain. Methods Retrospective neuropsychological data for 26 patients with severe chronic schizophrenia and 34 patients with frontotemporal dementia (behavioural variant) was collated. Neuropsychological measures were categorised into 16 cognitive domains. Raw scores were converted into standardised z-scores for each measure, which were then averaged across measures within each domain. In addition to difference analysis, equivalence testing was utilised, whereby overlap percentages were computed to reflect the amount of score distribution overlap in each domain between groups. Results A statistically significant difference was observed only in the executive function sub-domain of Switching. Small-to-moderate and moderate effect sizes were noted in four other domains. Equivalence testing showed more than 85% of overlap in score distribution in most domains. Conclusions Our findings suggest that some patients with severe chronic schizophrenia have cognitive deficits similar in…
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Executive functions are significantly affected in PPD.
“While executive functions are also significantly affected in PPD (Ziauddeen et al. , 2011; Chan et al. , 2014; Vijverberg et al. , 2017 c ), persistent and progressive executive dysfunction over time despite improvement in psychiatric symptoms should raise suspicion for bvFTD.”
From Recommendations to distinguish behavioural variant frontotemporal dementia from psychiatric disorders (2020) · cites this paper as Chan et al. , 2014
Cites
Statistical Power Analysis for the Behavioral Sciences
Muller, K. E., & Cohen, J. (1989) · Technometrics · doi:10.2307/1270020 · Cited by 99,588 · see citing works
Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975) · Journal of Psychiatric Research · doi:10.1016/0022-3956(75)90026-6 · Cited by 88,282 · see citing works
Diagnostic and Statistical Manual of Mental Disorders.
Widiger, T. A. (2000) · Oxford University Press eBooks · doi:10.1037/10518-009 · Cited by 19,767 · see citing works
A compendium of neuropsychological tests: administration, norms, and commentary
(1991) · Choice Reviews Online · doi:10.5860/choice.29-2400 · Cited by 6,117 · see citing works
Frontotemporal lobar degeneration: A consensus on clinical diagnostic criteria
Neary, D., Snowden, J. S., Gustafson, L., Passant, U., Stuss, D., Black, S., Freedman, M., Kertesz, A., Robert, P. H., Albert, M., et al. (1998) · Neurology · doi:10.1212/wnl.51.6.1546 · Cited by 5,047 · see citing works
A Compendium of Neuropsychological Tests: Administration, Norms, and Commentary
Levin, H. S. (1993) · Archives of Neurology · doi:10.1001/archneur.1993.00540050007005 · Cited by 4,793 · see citing works
The FAB: A frontal assessment battery at bedside
Dubois, B., Slachevsky, A., Litvan, I., & Pillon, B. (2000) · Neurology · doi:10.1212/wnl.55.11.1621 · Cited by 3,913 · see citing works
L’examen Clinique en Psychologie
Rubé, P. (1959) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.1959.13.4.989 · Cited by 3,299 · see citing works
Dementia Praecox and Paraphrenia.
(1972) · Annals of Internal Medicine · doi:10.7326/0003-4819-76-6-1058_8 · Cited by 2,906 · see citing works
Neurocognitive deficit in schizophrenia: A quantitative review of the evidence.
Heinrichs, R. W., & Zakzanis, K. K. (1998) · Neuropsychology · doi:10.1037//0894-4105.12.3.426 · Cited by 2,791 · see citing works
Clinical and Pathological Diagnosis of Frontotemporal Dementia
McKhann, G. M. (2001) · Archives of Neurology · doi:10.1001/archneur.58.11.1803 · Cited by 1,475 · see citing works
The prevalence of frontotemporal dementia
Ratnavalli, E., Brayne, C., Dawson, K., & Hodges, J. R. (2002) · Neurology · doi:10.1212/wnl.58.11.1615 · Cited by 1,151 · see citing works
Johnson, E. O., & Lovell, M. A. (2011) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781585624201.js08 · Cited by 810 · see citing works
Using significance tests to evaluate equivalence between two experimental groups.
Rogers, J. L., Howard, K. I., & Vessey, J. T. (1993) · Psychological Bulletin · doi:10.1037/0033-2909.113.3.553 · Cited by 568 · see citing works
A Meta-Analysis of Cognitive Deficits in Adults with a Diagnosis of Schizophrenia
Fioravanti, M., Carlone, O., Vitale, B., Cinti, M. E., & Clare, L. (2005) · Neuropsychology Review · doi:10.1007/s11065-005-6254-9 · Cited by 472 · see citing works
Frontal-striatal cognitive deficits in patients with chronic schizophrenia
Pantelis, C. (1997) · Brain · doi:10.1093/brain/120.10.1823 · Cited by 430 · see citing works
Tryon, W. (2001) · Psychological methods · doi:10.1037/1082-989x.6.4.371 · Cited by 423 · see citing works
Hopkins Verbal Learning Test--Revised
Benedict, R. H. B., Schretlen, D. J., Groninger, L. D., & Brandt, J. (1991) · PsycTESTS Dataset · doi:10.1037/t10851-000 · Cited by 375 · see citing works
Zakzanis, K. K. (2001) · Archives of Clinical Neuropsychology · doi:10.1093/arclin/16.7.653 · Cited by 346 · see citing works
Hopkins Verbal Learning Test Revised
National Cancer Institute (2020) · Definitions · doi:10.32388/4ejz7k · Cited by 287 · see citing works
Characteristics of very poor outcome schizophrenia
Keefe, R. S. E., Mohs, R. C., LOSONCZY, M. F., Davidson, M., Silverman, J. M., Kendler, K. S., Horvath, T., Nora, R. M., & Davis, K. L. (1987) · American Journal of Psychiatry · doi:10.1176/ajp.144.7.889 · Cited by 214 · see citing works
Course of Schizophrenia: Neuropsychological Evidence for a Static Encephalopathy
Goldberg, T. E., Hyde, T. M., Kleinman, J. E., & Weinberger, D. R. (1993) · Schizophrenia Bulletin · doi:10.1093/schbul/19.4.797 · Cited by 184 · see citing works
Velakoulis, D., Walterfang, M., Mocellin, R., Pantelis, C., & McLean, C. (2009) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.108.057034 · Cited by 179 · see citing works
Self-citationExecutive Control Functions in Degenerative Dementias: A Comparative Review
Duke, L. M., & Kaszniak, A. W. (2000) · Neuropsychology Review · doi:10.1023/a:1009096603879 · Cited by 152 · see citing works
Schizophrenia and Related Syndromes
McKenna, P. J. (2013) · Routledge eBooks · doi:10.4324/9780203718506 · Cited by 129 · see citing works
The NUCOG: Validity and Reliability of a Brief Cognitive Screening Tool in Neuropsychiatric Patients
Walterfang, M., Siu, R., & Velakoulis, D. (2006) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/j.1440-1614.2006.01923.x · Cited by 126 · see citing works
Self-citationBinetti, G. G., Locascio, J. J., Corkin, S., Vonsattel, J. P., & Growdon, J. H. (2000) · Archives of Neurology · doi:10.1001/archneur.57.2.225 · Cited by 91 · see citing works
Very poor outcome schizophrenia: Clinical and neuroimaging aspects
Mitelman, S. A., & Buchsbaum, M. S. (2007) · International Review of Psychiatry · doi:10.1080/09540260701486563 · Cited by 81 · see citing works
Dementia as a complication of schizophrenia
de Vries, P. J. (2001) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp.70.5.588 · Cited by 69 · see citing works
Kosmidis, M. H., Aretouli, E., Bozikas, V. P., Giannakou, M., & Ioannidis, P. (2008) · Behavioural Neurology · doi:10.1155/2008/157356 · Cited by 63 · see citing works
Brain is Related to Behavior (p < .05)
Zakzanis, K. K. (1998) · Journal of Clinical and Experimental Neuropsychology · doi:10.1076/jcen.20.3.419.821 · Cited by 47 · see citing works
The Relationship Between Schizophrenia and Frontotemporal Dementia
Cooper, J. J., & Ovsiew, F. (2013) · Journal of Geriatric Psychiatry and Neurology · doi:10.1177/0891988713490992 · Cited by 40 · see citing works
Negative schizophrenic symptoms and the frontal lobe syndrome: one and the same?
Ziauddeen, H., Dibben, C., Kipps, C., Hodges, J. R., & McKenna, P. J. (2011) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-010-0133-y · Cited by 40 · see citing works
Schizophrenia and frontotemporal dementia: Shared causation?
Harciarek, M., Malaspina, D., Sun, T., & Goldberg, E. (2013) · International Review of Psychiatry · doi:10.3109/09540261.2013.765389 · Cited by 39 · see citing works
Schizophrenia and Related Syndromes
Tzotzoli, P. (2008) · Journal of Mental Health · doi:10.1080/09638230701879243 · Cited by 38 · see citing works
Dementia of frontal type and simple schizophrenia: Two sides of the same coin?
Gregory, C. A., McKenna, P. J., & Hodges, J. R. (1998) · Neurocase · doi:10.1080/13554799808410601 · Cited by 36 · see citing works
Zec, R. F. (1995) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/bf02191800 · Cited by 34 · see citing works
Cribbie, R. A., & Arpin-Cribbie, C. A. (2009) · Psychotherapy Research · doi:10.1080/10503300902926554 · Cited by 32 · see citing works
Abnormal Hippocampal Distribution of TDP-43 in Patients With-Late Onset Psychosis
Velakoulis, D., Walterfang, M., Mocellin, R., Pantelis, C., Dean, B., & McLean, C. (2009) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/00048670903001984 · Cited by 31 · see citing works
Self-citationNeuropsychological differentiation of late onset schizophrenia and frontotemporal dementia
Zakzanis, K. K., Kielar, A., Young, D. A., & Boulos, M. I. (2001) · Cognitive Neuropsychiatry · doi:10.1080/13546800042000052 · Cited by 17 · see citing works
Birley, J. L. T. (1987) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp.50.5.656-a · Cited by 17 · see citing works
Probabilistic association learning in frontotemporal dementia and schizophrenia
Weickert, T. W., Leslie, F. V. C., Rushby, J. A., Hodges, J. R., & Hornberger, M. (2011) · Cortex · doi:10.1016/j.cortex.2011.09.011 · Cited by 12 · see citing works
The neuropsychology of frontotemporal dementia
Hodges, J. R., & Patterson, K. E. (2007) · Cambridge University Press eBooks · doi:10.1017/cbo9781316135457.006 · Cited by 9 · see citing works
Sanders, F. A., Smeets-Janssen, M. M. J., Meesters, P. D., van der Vlies, A. E., Kerssens, C. J., & Pijnenburg, Y. A. L. (2012) · PubMed · Cited by 6 · see citing works
The dementias of schizophrenia
de Oliveira‐Souza, R., Marrocos, R. P., & Moll, J. (2007) · Dementia & Neuropsychologia · doi:10.1590/s1980-57642008dn10200003 · Cited by 4 · see citing works
Flagged first, then by citations
1 of the 46 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Ducharme, S., Dols, A., Laforce, R., Devenney, E., Kumfor, F., van den Stock, J., Dallaire-Théroux, C., Seelaar, H., Gossink, F., Vijverberg, E., et al. (2020) · Brain · doi:10.1093/brain/awaa018 · Cited by 320 · see citing works
Self-citationSchizophrenia and risk of dementia: a meta-analysis study
Cai, L., & Huang, J. (2018) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s172933 · Cited by 142 · see citing works
Eratne, D., Loi, S. M., Walia, N., Farrand, S., Li, Q.-X., Varghese, S., Walterfang, M., Evans, A., Mocellin, R., Dhiman, K., et al. (2020) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867419857811 · Cited by 56 · see citing works
Self-citationEratne, D., Janelidze, S., Malpas, C. B., Loi, S. M., Walterfang, M., Merritt, A. H., Diouf, I., Blennow, K., Zetterberg, H., Cilia, B.-J., et al. (2021) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/00048674211058684 · Cited by 36 · see citing works
Self-citationEratne, D., Keem, M. H., Lewis, C., Kang, M. J., Walterfang, M., Farrand, S., Loi, S. M., Kelso, W. M., Cadwallader, C. J., Berkovic, S. F., et al. (2022) · Journal of the Neurological Sciences · doi:10.1016/j.jns.2022.120439 · Cited by 23 · see citing works
Self-citationFDG-PET scans in patients with Kraepelinian and non-Kraepelinian schizophrenia
Bralet, M., Buchsbaum, M. S., DeCastro, A., Shihabuddin, L., & Mitelman, S. A. (2015) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-015-0633-x · Cited by 18 · see citing works
Bendayan, R., Mascio, A., Stewart, R. J., Roberts, A., & Dobson, R. (2020) · American Journal of Geriatric Psychiatry · doi:10.1016/j.jagp.2020.10.018 · Cited by 12 · see citing works
Gambogi, L. B., Guimarães, H. C., de Souza, L. C., & Caramelli, P. (2019) · Arquivos de Neuro-Psiquiatria · doi:10.1590/0004-282x20190107 · Cited by 3 · see citing works
Should lithium be added to the drinking water?
Galletly, C. A. (2014) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867414547986 · Cited by 1 · see citing works
Rogers, K. (2018) · Minerva Access (University of Melbourne)
Moller, C. I., Shearman, R., & Yung, A. R. (2025) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/00048674251387882
- Authors
- Chan, H.-M., Stolwyk, R., Kelso, W., Neath, J., Walterfang, M., Mocellin, R., Pavlis, A., & Velakoulis, D.
- Affiliations
- The Royal Melbourne Hospital (AU)
- School of Psychological Sciences, Monash University, Clayton, Australia
- Venue
- Australian & New Zealand Journal of Psychiatry
- Publisher
- SAGE Publications
- Published
- 2014-04-07
- Volume
- 48
- Issue
- 9
- Pages
- 828-837
- ISSN
- 0004-8674 (ISSN-L)
- 1440-1614
- OpenAlex
- W2329307084
- Cited by
- 11
- References
- 46
- Citations by year
- 2025: 1 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 2 · 2018: 2 · 2015: 1 · 2014: 1
- FWCI
- 0.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Australian & New Zealand Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Victoria University Research Repository (Victoria University) (submittedVersion)
- Funders
- Monash University
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Social Sciences › Psychology › Clinical Psychology › Historical and Modern Theater Studies
- Keywords
- frontotemporal dementia, dementia praecox, neurocognitive function, cognitive impairment, executive function, switching, behavioral variant frontotemporal dementia, differential diagnosis
- MeSH terms
- Adult, Aged, Cognition, Female, Humans, Male, Middle Aged, Neuropsychological Tests, Schizophrenic Psychology, Young Adult, Executive Function, Frontotemporal Dementia
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review