精神分裂症患者认知缺陷的患病率,相关值和解释模型-A横截面研究
Chithra Uppinkudru1, Rajesh Gopalakrishnan1, Joseph Noel1
1Department of Psychiatry, Christian Medical College, Vellore, Tamil Nadu, India.
Indian journal of psychiatry
|December 18, 2023
概括
认知缺陷在精神分裂症中很常见,影响超过75%的患者. 许多患者对他们的认知障碍的原因持有多种,有时是相互矛盾的信念.
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:
- 精神分裂症显著影响社会和经济的运作.
- 精神分裂症的认知缺陷可能比积极或消极的症状更令人衰弱.
- 对影响寻求帮助行为的认知缺陷解释模型的研究有限.
研究的目的:
- 估计精神分裂症患者认知缺陷的患病率.
- 检查认知缺陷与社会人口统计学/临床因素之间的关系.
- 探索患者对认知缺陷的解释模型.
主要方法:
- 招募了140名精神分裂症门诊患者.
- 使用阿登布鲁克认知检查 (ACE III) 和可观察的社会认知 - 一个评分表 (OSCARS) 评估认知.
- 利用阳性和阴性症状量表 (PANSS) 进行症状概况和疾病信仰的简短解释模型面试 (SEMI).
主要成果:
- 认知缺陷的患病率为75.7% (ACE-III),19.3% (OSCARS) 和40% (主观报告).
- 较差的认知测试表现与显著的家族病史相关.
- 81.4%的人报告了一种医学解释模型,而70.7%的人同时持有非医学模型.
结论:
- 在精神分裂症患者中,认知缺陷非常普遍.
- 家庭病史与较差的认知功能有关.
- 患者经常支持多种,相互矛盾的认知缺陷解释模型.
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