同理心与临床症状和慢性精神分裂症患者的认知功能的关联,有或没有自杀企图
Zheng Ma1,2, Yang Tian1,2, Jiaxin Li1,2
1CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, 16 Lincui Road, Chaoyang District, Beijing, 100101, China.
European archives of psychiatry and clinical neuroscience
|March 13, 2024
概括
精神分裂症患者有过自杀企图的病史可能表现出比没有精神分裂症患者更高的同情度. 临床症状不同影响精神分裂症患者的神经认知,基于自杀尝试史.
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.
- 社会认知是指社会认知.
背景情况:
- 认知障碍是精神分裂症 (SZ) 自杀的已知危险因素.
- 同理心之间的关系,一个关键的社会认知组成部分,和自杀行为在SZ仍然未被探索.
- 了解这些关联对于精神分裂症中自杀预防策略至关重要.
研究的目的:
- 为了比较精神分裂症患者与没有自杀企图 (SAs) 之间的同情和神经认知.
- 在这两组患者中调查同情,神经认知和临床症状之间的关系.
主要方法:
- 对628名慢性精神分裂症患者的横截面研究.
- 自杀尝试史,社会人口统计学,症状学 (PANSS),同情心 (IRI) 和神经认知 (RBANS) 的评估.
- 包括回归模型在内的统计分析,以确定独立预测因素.
主要成果:
- 与没有SA的患者相比,SA患者在大多数同情度量 (IRI) 上表现优异.
- 消极和积极的症状和疾病持续时间与非SA患者的同理心有关.
- 在非SA患者中,神经认知 (RBANS) 与负面症状,精神病理学,教育,年龄和性别有关;在SA患者中,它与教育,PANSS总得分和发病时的年龄有关.
结论:
- 精神分裂症患者有过自杀企图的病史可能具有更高的同情能力.
- 临床症状对精神分裂症患者的神经认知有不同的影响,有或没有自杀企图的病史.
- 研究结果表明,在精神分裂症中,有不同的途径将社会认知,神经认知和自杀行为联系起来.
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