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Cognitive functions in smoking and non-smoking patients with Check for schizophrenia: A systematic review and meta-analysis of comparative updates. studies

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机构: [a]Faculty of Health and Life Sciences, De Montfort University, Leicester, UK [b]Unit of Psychiatry, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China [c]Neurology Center, Beijing Tian Tan Hospital, Capital Medical University, Beijing, China [d]Department of Neuropsychiatry & Behavioral Neurology and Clinical Psychology, Beijing Tian Tan Hospital, Capital Medical University, Beijing, China [e]China National Clinical Research Center for Neurological Diseases, Beijing, China [f]The Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital), Guangzhou, China [g]The Affiliated Wuhan Mental Health Center, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China [h]Department of Psychiatry, University of Melbourne, Melbourne, Victoria, Australia [i]Section of Psychiatry, University of Notre Dame Australia, Fremantle, Australia [j]Division of Psychiatry, Medical School, University of Western Australia, Perth, Australia [k]The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical University, School of Mental Health, Beijing, China
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关键词: Cognitive functions Schizophrenia Smoking Systematic review Meta-analysis

摘要:
The "Self-medication hypothesis" that has been developed to explain the effect of nicotine in improving aspects of cognitive impairment in schizophrenia remains controversial. This systematic review and meta-analysis compared cognitive functions between smoking and non-smoking schizophrenia patients. The PubMed, PsycINFO, EMBASE, Web of Science, and Cochrane Library databases were systematically and independently searched. Basic demographic and clinical characteristics, smoking history and cognitive performance were recorded. Seven of the 11 studies included in the study, had meta-analyzable data. Compared to non-smoking schizophrenia patients, their smoking counterparts showed significant deficits on the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS)-immediate memory (n = 739), the RBANS-total score (n = 739) and the Continuous Performance Test-Identical Pairs (n = 157). Two of the 4 studies without meta-analysable data did not report significant group difference in performance on the Wechsler Digit Span Task and the Beck Cognitive Insight Scale, while the other 2 studies found that non-smokers outperformed than smokers in problem solving and visual learning. In conclusion, this systematic review and meta-analysis found that smoking schizophrenia patients had worse performance in certain cognitive tasks than non-smoking patients, casting doubts on the validity of the "self-medication hypothesis" that needs to be further examined.

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出版当年[2018]版:
大类 | 3 区 医学
小类 | 4 区 精神病学
最新[2023]版:
大类 | 2 区 医学
小类 | 3 区 精神病学
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出版当年[2017]版:
Q2 PSYCHIATRY Q3 PSYCHIATRY
最新[2023]版:
Q1 PSYCHIATRY

影响因子: 最新[2023版] 最新五年平均 出版当年[2017版] 出版当年五年平均 出版前一年[2016版] 出版后一年[2018版]

第一作者:
第一作者机构: [a]Faculty of Health and Life Sciences, De Montfort University, Leicester, UK [b]Unit of Psychiatry, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China
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通讯作者:
通讯机构: [b]Unit of Psychiatry, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China [k]The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical University, School of Mental Health, Beijing, China [*1]3/F, Building E12, Faculty of Health Sciences, University of Macau, Avenida da Universidade, Taipa, Macau SAR, China. [*2]Beijing Anding Hospital, China.
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