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自我报告与基于表现的执行功能在患有精神障碍的人群中
B C van Aken1,2, R Rietveld1, A I Wierdsma1
1Department of Psychiatry, Erasmus MC, Epidemiological and Social Psychiatric Research Institute, Rotterdam, the Netherlands.
Schizophrenia research. Cognition
|October 27, 2023
概括
基于表现和自我报告的执行功能测量评估精神障碍患者认知的不同方面. 这些措施显示了与神经认知,症状和日常运作的不同关联,突出了它们独特的贡献.
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:
- 执行职能在日常生活中至关重要,并经常通过基于绩效和自我报告的措施进行评估.
- 这两种测量类型经常显示较低的相关性,这表明它们捕捉了执行职能的不同方面.
- 了解这些差异至关重要,特别是在心理疾病患者等临床群体中.
研究的目的:
- 调查基于绩效 (伦敦塔;TOL) 和自我报告 (执行功能成人版本的行为评级清单;BRIEF-A) 执行功能指标的不同关联.
- 在患有精神疾病的患者中,检查这些关联与神经认知功能,精神病症状和日常生活结果有关.
主要方法:
- 一项对301名患有精神疾病的患者进行的横截面研究 (UP'S研究).
- 使用了基于绩效的执行职能的TOL和自我报告的执行职能的BRIEF-A.
- 一般化的线性模型分析了与其他神经认知指标 (BACS),症状尺度 (PANSS-R,GAD-7,PHQ-9) 和功能结果 (WHODAS 2.0) 的关联.
主要成果:
- TOL与各种神经认知措施有显著的关联,包括口头列表学习,数字序列和智力.
- 简报-A与其他神经认知指标无关,但与精神病症状 (PANSS-R),抑郁症 (PHQ-9),焦虑症 (GAD-7) 和日常功能的所有领域 (WHODAS 2.0) 有显著的关联.
结论:
- 基于绩效和自我报告的执行职能指标捕捉了不同的底层结构.
- 这些不同的措施与精神病障碍患者的神经认知,症状学和功能结果有不同的关联.
- 这些发现强调了使用两种类型的措施对执行职能全面评估的重要性.
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