认知测试检测通用焦虑症 (GAD) 的能力:一个试点研究
Axel Baussay1, Laura Di Lodovico2, Daphnee Poupon3
1Université de Versailles Saint-Quentin-en-Yvelines. 2 Av. de La Source de La Bièvre, 78180, Montigny-le-Bretonneux, France.
Journal of psychiatric research
|April 16, 2024
概括
在泛性焦虑症 (GAD) 中,认知障碍显著,特别是在认知灵活性方面. 追踪测试 (TMT) B-A有效检测GAD,突出其在评估这种常见疾病中的作用.
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:
- 通用焦虑症 (GAD) 很普遍,但对认知障碍的研究不足.
- 认知缺陷导致了GAD的重大负担.
- 伴随性焦虑症和抑郁症可以影响GAD的认知评估.
研究的目的:
- 评估诊断为GAD的患者的认知障碍.
- 为了评估GAD认知测试的诊断准确性.
- 检查伴随性疾病对GAD认知功能的影响.
主要方法:
- 评估了263名通用诊所门诊患者.
- 焦虑和情绪障碍的诊断使用了GAD-7和迷你国际神经精神病学面试 (MINI).
- 用Stroop测试,面部情绪识别测试和Trail-Making Test (TMT) 来测量认知表现.
主要成果:
- 与对照组相比,患有GAD的患者在TMT B-A上的表现较慢,情绪识别更快.
- 即使在控制并发症后,GAD也对TMT B-A表现产生了重大影响.
- 在检测GAD方面,TMT B-A表现出很好的准确性 (AUC=0.83),尽管低于GAD-7 (AUC=0.97).
结论:
- 通过TMT B-A测量认知灵活性,在GAD中受损.
- TMT B-A可以帮助检测GAD,强调认知缺陷的作用.
- 虽然不是GAD-7等查工具的替代品,但TMT B-A强调了GAD认知灵活性的重要性.
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