比预期更好:自我报告和客观认知表现测量之间的差距在缓解的双相情感障碍中
Esther Quinlivan1,2, Babette Renneberg2, Stefanie Schreiter1
1Department of Psychiatry and Neurosciences, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Frontiers in psychiatry
|October 4, 2023
概括
与对照组相比,缓解性双极障碍 (BD) 患者没有客观认知缺陷,但报告认知功能较差. 疾病严重程度和抑郁情绪预测BD患者的认知功能.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 认知心理学 认知心理学
背景情况:
- 有限的研究存在于客观与自我报告的认知功能在缓解的双相情感障碍 (BD).
- 现有研究提出了关于BD缓解患者认知障碍的相互矛盾的发现.
研究的目的:
- 为了比较缓解的BD患者与健康对照者的客观和自我报告的认知功能.
- 为了确定认知功能的预测因子在转移的BD.
主要方法:
- 横截面设计比较了26名缓解的BD患者 (15名BD I) 和24名健康对照.
- 执行职能通过TAP Go/No-go和Stroop Task进行评估.
- 用注意力缺陷经验问卷测量自我报告的功能;用于识别预测因素的回归分析.
主要成果:
- 经过缓解的BD患者在客观执行功能或其他认知领域与对照人群没有区别.
- 经过缓解的BD患者报告认知功能和自尊心显著下降.
- 疾病严重程度和低于值的抑郁情绪预测了缓解的BD患者的认知功能,而自尊预测了对照组的认知功能.
结论:
- 双相情感障碍 (BD) 的认知功能是异质的.
- 在缓解的BD中,治疗认知缺陷应该考虑在认知训练的同时考虑下值抑郁症状和自尊.
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