Jm. Goldstein et al., ARE SCHIZOPHRENIC MEN AT HIGHER RISK FOR DEVELOPMENTAL DEFICITS THAN SCHIZOPHRENIC WOMEN - IMPLICATIONS FOR ADULT NEUROPSYCHOLOGICAL FUNCTIONS, Journal of Psychiatric Research, 28(6), 1994, pp. 483-498
This study tested the hypothesis that schizophrenic men would be at a
greater risk than schizophrenic women for exhibiting a history of deve
lopmental problems in childhood and would exhibit more neuropsychologi
cal deficits as adults. The study was a secondary analysis of data tha
t were collected in 1981-83. The sample consisted of 49 DSM-III schizo
phrenic patients (57% male/ 43% female), who were generally in the ear
ly stages of the disorder. All subjects received a neurodevelopmental
and clinical/diagnostic interview and a neuropsychological battery of
tests, including measures of intelligence, abstract reasoning, memory,
sustained attention, executive function, language skills, and motor a
bility. Latent class analysis was used to identify gender differences
in subclasses of schizophrenia. The groups were then compared on neuro
psychological function. Results indicated that schizophrenics with his
tories of early developmental problems exhibited significantly more ne
uropsychological dysfunction as adults than did other schizophrenics,
and they were more likely to be men. Impairment in this group was evid
ent in the areas of verbal ability, attention, abstraction, motor func
tion, and verbal and nonverbal learning and memory, with verbal tasks
being relatively more impaired.