视觉空间能力和注意力作为中年和老年精神分裂症患者自杀想法的风险因素:一个横截面研究
Qiongzhang Wang1, Wei Tang2, Junjie Zhang1
1School of Mental Health, Wenzhou Medical University, Wenzhou, China.
BMC psychiatry
|October 18, 2023
概括
18-44岁的精神分裂症患者表现出更高的自杀风险. 在老年患者 (45-70岁) 中,视觉空间和注意力认知功能受损与自杀念头有关.
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.
- 临床心理学 临床心理学
背景情况:
- 精神分裂症与显著的自杀风险和与年龄相关的认知能力下降有关.
- 神经认知缺陷和精神分裂症中自杀倾向之间的关系是复杂的,并且在不同年龄组之间存在差异.
- 了解这些关联对于有针对性的干预至关重要.
研究的目的:
- 研究精神分裂症患者神经认知功能和自杀念头之间的关系.
- 通过不同年龄层 (年轻人与中年人和老年人) 来比较这些关联.
主要方法:
- 587名精神分裂症患者被分为年轻 (18-44岁) 和中年/老年 (45-70) 组.
- 用贝克自杀意念量表来评估自杀意念.
- 评估了神经认知功能 (RBANS),失眠 (ISI) 和精神病症状 (PANSS).
主要成果:
- 年轻的精神分裂症患者表现出更高的自杀倾向风险.
- 在年轻患者中,失眠严重程度和积极的精神病症状与自杀念头有关.
- 在中年和老年患者中,年龄,BMI,失眠,一般精神病症状,视觉空间和注意力得分与自杀念头有关.
结论:
- 视觉空间和注意力缺陷被确定为中年和老年精神分裂症患者自杀想法的危险因素.
- 在精神分裂症中,认知功能和症状概况根据年龄不同预测自杀倾向.
- 对神经认知和精神病理学的年龄特定评估对于管理自杀风险至关重要.
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