An examination of relationship between neurological soft signs and neurocognition

ObjectiveNeurological soft signs (NSS) and cognitive function had been examined in schizophrenia, but their relationship has remained elusive for several years. We examined the relationship between NSS and cognitive functions in the present study.MethodA cross sectional study was carried out. Subjects were drawn from first degree relatives of schizophrenia patients, admitted as inpatient or attending as an outpatient. Controls were recruited by word of mouth from hospital staff and visitors of hospitalized patients. Those subjects who satisfied the screening process were subjected to Cambridge Neurological Inventory for soft sign assessment and digit span test, paired associate learning test (PALT) and visuo-spatial working memory matrix (VSWMM) for cognitive function assessment. Correlation analysis and structural equation modeling (SEM) was used for analysis.ResultSignificant negative correlation of primitive reflexes with PALT; of motor coordination with VSWMM, working memory (WM) and cognitive index; of total NSS with WM and cognitive index among first degree relatives. SEM showed that motor soft signs have important negative influence over WM.ConclusionThe current findings indicate that NSS have significant negative effect on cognitive functioning.

► Relationship of neurological soft signs with neurocognition is explored.
► Structural equation modeling shows that soft signs have significant negative effect on cognitive functioning.
► Neurological soft signs may become useful in quick assessment of cognitive state.