The Differences of Montreal Cognitive Assessment Scores in Indonesian Version (Moca-Ina) Between Male Patient Schizophrenic Light and Heavy Smokers
Amin, Mustafa M
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Background: Schizophrenia is characterized as a psychiatric disorder with symptoms of complex dimension. Poor prognosis contained in several cognitive functions resulting in difficulties in social, academic, and adaptation of adequate employment. Schizophrenic patients who smoke have the highest prevalence of 70-80% among other mental disorders where it is 20-30% in the general population and schizophrenic patients tend to smoke more heavily than smokers in the general population. Reasons for smoking behavior is quite extensive in schizophrenic patients that do not understand, in some studies indicate that smoking or nicotine may improve some cognitive deficits in schizophrenic patients or nicotine serves as a form of self-medication. This observation also indicates that the dysfunction in the nicotinic acetylcholine receptor signaling may be involved in the etiology of cognitive deficits in schizophrenia. Aim of research: To determine differences in Montreal cognitive assessment score of Indonesian version (MoCA-Ina) between male patients schizophrenic light and heavy smokers. Methods: This study is a comparative analytical study of numerical unpaired with cross-sectional study, non-probability sampling technique sampling types consecutive sampling. Place of research: Mental Health Hospital. Prof. M. Ildrem North Sumatera Province: August-September 2015. All patients who meet the criteria as male schizophrenic patients who were diagnosed based PPDGJ III, aged between 15-55 years with disease duration <10 years, smoker, has entered a phase of stabilization and treated with haloperidol 10 mg / day, the last education of at least junior high school, understand Indonesian, prepared as a respondent and can be interviewed, did not suffer koomorbid physical illness severe and does not have a history of alcohol and other substances except tobacco included in the study and assessment scores in cognitive function using MoCA -Ina. Results: A total of 50 patients were evenly split into groups of light and heavy smokers have the characteristics of the largest age at 26-35 years (56% and 68%). Highest Education in Junior 44% and on score of MoCA-Ina average values and standard deviations 19.92 (3.08) and 18.28 (3.28). Cross-table test showed no significant differences in scores of MoCA-Ina (p> 0.05). Conclusion: This study found most patients schizophrenic men who smoke experience cognitive impairment. There are no significant differences in scores Moca-smokers Ina mild or severe.