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自杀行为,神经认知功能和精神分裂症患者的洞察力之间的关系
Sumeyye Yasemin Calli1, Yagmur Sever Fidan1, Engin Emrem Bestepe1
1Erenköy Mental and Nervous Diseases Training and Research Hospital, Istanbul, Turkey.
Psychiatry and clinical psychopharmacology
|May 20, 2024
概括
认知洞察力和冲动性与精神分裂症患者的自杀企图有关. 精神分裂症患者的低自我确定性和较高的冒险行为增加了自杀风险.
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.
- 认知心理学 认知心理学
背景情况:
- 精神分裂症中自杀行为和认知功能之间的联系仍然不清楚.
- 精神分裂症患者表现出不同的认知特征,影响自杀风险评估.
研究的目的:
- 调查精神分裂症患者的认知功能和洞察力,这些患者有过自杀尝试的历史,与没有的患者相比.
- 确定与精神分裂症中自杀风险增加相关的认知因素.
主要方法:
- 评估了77名精神分裂症患者的队列,分为有 (n=36) 和没有 (n=41) 自杀企图的人.
- 评估包括社会人口统计数据,贝克认知洞察量表和剑桥神经生理学评估电池 (CNAB).
主要成果:
- 试图自杀的患者表现出更高的自我反思能力和总分,但在贝克认知洞察力尺度上自我确定性较低.
- 在CNAB剑桥博任务中,自杀企图组的延迟厌恶和冒险得分更高.
- 后勤回归表明,增加的住院治疗,CNAB延迟厌恶,以及较低的贝克认知洞察力尺度自我确定性显著预测了自杀企图.
结论:
- 认知洞察力,特别是自我确定性,与精神分裂症的自杀企图有显著的关联.
- 认知冲动性,如延迟厌恶和冒险所示,与这一群体的自杀行为有关.
- 需要进一步的研究来阐明精神分裂症的认知和自杀倾向之间的复杂关系.
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