经过精神分裂症谱系障碍的20年神经认知发展,以及与症状严重程度和功能结果的关联
Marie Starzer1,2, Helene Gjervig Hansen1,2, Carsten Hjorthøj1,3
1Copenhagen Research Center for Mental Health - CORE, Mental Health Center Copenhagen, Mental Health Services in the Capital Region, Copenhagen, Denmark.
精神分裂症的认知缺陷各不相同;一些患者在20年内恶化,与负面症状和教育水平较低有关. 早期干预神经认知对于更好的结果至关重要.
科学领域:
- 精神病学是一个精神病学.
- 神经科学是一个神经科学.
- 临床心理学 临床心理学
背景情况:
- 认知缺陷是精神分裂症的标志,影响功能结果.
- 这些认知缺陷的长期发展轨迹在很大程度上是未知的.
- 识别患有认知能力下降风险的患者对于有针对性的干预措施至关重要.
研究的目的:
- 为了研究精神分裂症患者20年的神经认知结果.
- 识别与认知能力下降或随着时间的推移而改善相关的因素.
主要方法:
- 一项对156名OPUS I试验参与者的20年随访研究.
- 在10年和20年的随访中,使用精神分裂症认知简要评估评估的神经认知.
主要成果:
- 30.5%的患者表现出神经认知能力下降,49.2%的患者表现稳定,20.3%的患者表现出改善.
- 认知恶化与增加的负面症状,更年轻的包容年龄和较低的教育程度相关.
- 20岁时良好的认知功能与更好的社会功能有关.
结论:
- 精神分裂症可能涉及不同的亚型,具有不同的认知轨迹.
- 神经认知障碍与较差的结果有关,强调需要神经认知补救.
- 纵向研究对于理解精神分裂症的复杂进展至关重要.
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