Journal
GENERAL HOSPITAL PSYCHIATRY
Volume 65, Issue -, Pages 64-73Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.genhosppsych.2020.05.011
Keywords
Schizophrenia; Cognition; Screening; Montreal Cognitive Assessment; Systematic review
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Objective: This study aims to systematically review the evidence on the accuracy of the Montreal Cognitive Assessment (MoCA) test for evaluating the presence of cognitive impairment in patients with schizophrenia and to outline the quality and quantity of research evidence available about the accuracy of MoCA in this population. Methods: We conducted a systematic literature review, searching four databases from inception until April 2020. Results: We identified only three cross-sectional studies, two case - control studies, three studies comparing MoCA with Mini -Mental State Examination (MMSE) and four prevalence studies that met the inclusion criteria. Publication period ranged from 2012 to 2020. Conclusions: In patients with schizophrenia, the MoCA test provides information about general cognitive func- tioning disturbances. A lower threshold than the original cut-off of 26 is probably more useful for optimal screening, as it lowers false positive rates and improves diagnostic accuracy. Nonetheless, more studies are necessary in this direction.
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