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Consistently, a large retrospective cohort study comparing schizophrenia spectrum ( n = 1,217) and affective disorders ( n = 2,264) showed that although individuals with schizophrenia experienced earlier cognitive concerns and earlier dementia diagnosis, their rate of cognitive decline was gradual (approximately 11.4 MMSE points/year) rather than rapidly progressive, arguing against a predominant fast-decliner phenotype (35)