双相情感障碍患者的临床特征和认知功能具有不同发病症状的患者
Zhonggang Wang1, Haiyan Cao2, Yuying Cao3
1Department of Psychiatry, Shandong Daizhuang Hospital, Jining, China.
Frontiers in psychiatry
|October 16, 2023
概括
注意力,记忆力和执行功能的认知障碍存在于第一期双相情感障碍患者中. 患有抑郁症的人比患有躁狂症的人有更严重的障碍.
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:
- 双极性障碍呈现出各种临床特征和认知障碍,根据第一个情节类型 (抑郁症或躁狂症) 变化.
- 了解这些差异对于有针对性的干预和改善患者结果至关重要.
研究的目的:
- 根据他们的指数情节 (抑郁症与躁狂症) 评估第一个情节双极性障碍患者的认知功能.
- 确定影响这些患者群体认知功能的风险因素.
主要方法:
- 评估了168名第一期双极性障碍患者 (73名躁狂,95名抑郁症) 和75名健康对照.
- 用连续性能测试 (CPT),数字跨度测试 (DST) 和威斯康星卡排序测试 (WCST) 评估认知功能.
- 为了分析风险因素,收集了人口统计和临床数据.
主要成果:
- 双相情感障碍患者的教育水平低于对照组.
- 健康对照组在DST,WCST和CPT上表现优于患者.
- 躁狂组在多个认知领域显示出比抑郁组更好的认知表现.
结论:
- 第一个情节双极性障碍与注意力,记忆力和执行功能的认知障碍有关.
- 认知缺陷在患有抑郁指数事件的患者中比患有躁狂指数事件更为明显.
- 开始的年龄,教育水平和疾病严重程度被确定为认知障碍的危险因素.
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