在专门的情绪障碍诊所进行优化治疗后,实施双相情绪障碍门诊患者的认知查
Kamilla Woznica Miskowiak1, Tue Krebs Roikjer1, Johanna Mariegaard1
1Neurocognition and Emotion in Affective Disorders (NEAD) Centre, Mental Health Services, Capital Region of Denmark, and Department of Psychology, University of Copenhagen, Denmark.
概括
认知障碍在双相情感障碍 (BD) 中很常见,即使在缓解期间也是如此. 这项研究发现认知查是可行的,并与识别这些问题和指导BD患者的干预相关.
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:
- 双极性障碍 (BD) 经常涉及持续的认知障碍.
- 在BD中,认知缺陷的临床查受到缺乏标准化程序的阻碍.
研究的目的:
- 评估新诊断的BD门诊患者的认知障碍的患病率.
- 用精神病学认知障碍屏幕 (SCIP) 评估认知查的可行性.
- 为了检查认知功能,抱怨,压力和BD中的日常功能之间的关系.
主要方法:
- 136名新诊断的BD门诊患者在15-20个月的专业护理后使用SCIP进行了评估.
- 分析了认知障碍的模式.
- 研究人员检查了与认知投诉,感知压力和功能相关的关联.
主要成果:
- 73%的患者实现了缓解,51%的患者在认知上正常,38%的患者有整体障碍,11%的患者有选择性障碍.
- 认知障碍患者报告了更多的主观困难和更差的功能.
- 认知表现与认知投诉,功能,生活质量和抑郁症状相关.
结论:
- 认知查在BD患者中是临床相关的和可行的,即使是那些处于缓解状态的人.
- 相当一部分BD患者经历认知障碍,需要量身定制的干预措施.
- 在临床环境中,SCIP是识别认知缺陷的有效工具.
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