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CLINICAL FRAMEWORK

Neuropsychological Evaluation of Prodromal & First-Episode Psychosis

An interactive guide to the MATRICS Consensus Cognitive Battery (MCCB), critical assessment voids, social cognition profiling, neuroeconomic risk tools, and a dynamic supplemental battery builder for early psychosis.

Abstract representation of cognitive networks and neuropsychological assessment
Standardized Battery

The MCCB Benchmark

The MATRICS Consensus Cognitive Battery (MCCB) is the FDA-recognized gold standard for quantifying Cognitive Impairment Associated with Schizophrenia (CIAS). It maps seven factor-analyzed domains structurally impaired in first-episode psychosis.

MCCB Cognitive Domain Profile

Typical FEP T-Score deficit profile vs. healthy benchmark (Mean T = 50, SD = 10)

Clinical Takeaway: Speed of processing and working memory exhibit the most severe primary drops in early psychosis, serving as foundational bottlenecks for higher-order reasoning.

Explore the 7 MATRICS Domains

Click a domain for details
MCCB Domain: SOP

Speed of Processing

T-Score Drop: -1.8 SD

Foundational processing speed deficit that mediates impairments across higher-order cognitive domains. Persists independently of positive symptoms.

Primary Instruments:BACS Symbol Coding, Trail Making (Part A), Category Fluency
Functional Outcome Link:Directly limits real-world functional capacity and daily task completion rate.

This page was medically reviewed by Eric Wexler M.D., Ph.D. on August 14, 2026.