Planning performance in schizophrenia patients: a meta-analysis of the influence of task difficulty and clinical and sociodemographic variables

F. Knapp*, W. Viechtbauer, R. Leonhart, K. Nitschke, C. P. Kaller*

*Corresponding author for this work

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Abstract

Background Despite a large body of research on planning performance in adult schizophrenia patients, results of individual studies are equivocal, suggesting either no, moderate or severe planning deficits. This meta-analysis therefore aimed to quantify planning deficits in schizophrenia and to examine potential sources of the heterogeneity seen in the literature.

Method The meta-analysis comprised outcomes of planning accuracy of 1377 schizophrenia patients and 1477 healthy controls from 31 different studies which assessed planning performance using tower tasks such as the Tower of London, the Tower of Hanoi and the Stockings of Cambridge. A meta-regression analysis was applied to assess the influence of potential moderator variables (i.e. sociodemographic and clinical variables as well as task difficulty).

Results The findings indeed demonstrated a planning deficit in schizophrenia patients (mean effect size: ; 95% confidence interval 0.56-0.78) that was moderated by task difficulty in terms of the minimum number of moves required for a solution. The results did not reveal any significant relationship between the extent of planning deficits and sociodemographic or clinical variables.

Conclusions The current results provide first meta-analytic evidence for the commonly assumed impairments of planning performance in schizophrenia. Deficits are more likely to become manifest in problem items with higher demands on planning ahead, which may at least partly explain the heterogeneity of previous findings. As only a small fraction of studies reported coherent information on sample characteristics, future meta-analyses would benefit from more systematic reports on those variables.

Original languageEnglish
Pages (from-to)2002-2016
Number of pages15
JournalPsychological Medicine
Volume47
Issue number11
DOIs
Publication statusPublished - Aug 2017

Keywords

  • Meta-analyses
  • schizophrenia
  • Stockings of Cambridge
  • Tower of Hanoi
  • Tower of London
  • NAIVE 1ST-EPISODE SCHIZOPHRENIA
  • DORSOLATERAL PREFRONTAL CORTEX
  • EPISODE PSYCHOSIS PATIENTS
  • LONDON TASK
  • EXECUTIVE FUNCTION
  • META-REGRESSION
  • TOL-F
  • COGNITIVE IMPAIRMENT
  • CONSTRUCT-VALIDITY
  • DISSOCIABLE STAGES

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