Difficulty Reading Common in Schizophrenia
the Psychiatry Advisor take:
Patients with schizophrenia tend to have difficulty reading, which leads many with the disease to have reduced educational and job opportunities, though the shortcoming can be corrected.
Nadine Revheim, PhD, a research scientist at the Nathan S. Kline Institute for Psychiatric Research, Orangeburg, New York, and colleagues, examined 45 patients with schizophrenia, 19 patients at high risk for the disease, and 65 control subjects. The participants were given tests to measure visual or phonological reading dysfunction. Neuropsychological and functional outcome measures were also obtained.
Patients with schizophrenia displayed reading deficits that were far more severe (effect size >2.0) than would be predicted based on general neurocognitive impairments (effect size 1.0–1.4), the researchers reported in the American Journal of Psychiatry.
The deficits correlated highly with both visual and auditory sensory measures, including impaired mismatch negativity generation (r=0.62, N=51, P=0.0002).
More than 70% of patients with schizophrenia met criteria for acquired dyslexia, with 50% reading below eighth-grade level. Reading deficits also correlated significantly (rp=0.4, N=30, P=0.03) with failure to match parental socioeconomic achievement, over and above contributions of more general cognitive impairment.
“Patients with schizophrenia display severe deficits in reading ability that represent a potentially remediable cause of impaired socioeconomic function,” the researchers concluded. “Such deficits are not presently captured during routine clinical assessment.”
Many Patients With Schizophrenia Have Difficulty Reading
Sign Up for Free e-newsletters
Psychiatry Advisor Articles
- Hospitalization Rates in Schizophrenia—Lurasidone vs Quetiapine
- Psychopathology of Adults Affected by Pre- and Perinatal Factors, Family Functioning
- Family History of Psychiatric Disorders an Important Predictor of Postpartum Psychiatric Illness
- Anxiety: Feature of Late-Onset Dementia or Modifiable Risk Factor?
- New APA President Takes Office as the First African-American to Lead the Organization
- Video Games and Exercise as Alternative Therapies for ADHD
- How Parents Can Enhance Autism Treatment: Use of Intervention Strategies at Home
- Electroconvulsive Therapy Effective in Children With Autism
- The Cutting Edge of Schizophrenia Research: VR as Treatment for Psychosis
- Comorbid Autism Spectrum Disorder and OCD: Challenges in Diagnosis and Treatment
- New Dimensions in Psychopathy: Are There Cultural Differences in Psychopaths?
- Addressing Psychiatric Comorbidities in Inflammatory Rheumatic Diseases
- Exploring the Link Between Persistent Infection, Inflammation, and Mood Disorders
- CDC: No Change in Level of Uninsured in US in 2017
- Benefit of Behavioral Activation During TMS for Major Depressive Disorder