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内化耻辱与自我报告的认知功能障碍之间的关系以及对精神分裂症的洞察力
Merve Bilgin Koçak1, Neşe Öztürk Atkaya2
1Department of Psychiatry, Samsun Mental Health and Disease Hospital, Samsun, Türkiye.
Psychiatry and clinical psychopharmacology
|August 21, 2024
概括
内化耻辱与精神分裂症患者的认知功能障碍和洞察力有关. 对于治疗精神分裂症的临床医生来说,意识到这种联系至关重要.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 神经科学是一个神经科学.
背景情况:
- 精神分裂症是一种复杂的精神障碍.
- 内化污名显著影响精神分裂症患者.
- 认知功能障碍和洞察力是精神分裂症影响的关键领域.
研究的目的:
- 研究内化耻辱和自我报告的认知功能障碍之间的关系.
- 检查内部化耻辱和精神分裂症的洞察力之间的关联.
- 了解污名化如何影响认知障碍和自我意识的主观经验.
主要方法:
- 评估了69名精神分裂症患者的队列.
- 通过积极和消极综合征尺度,洞察力评估时间表 (SAI),精神分裂症认知评分尺度 (SCoRS) 和精神疾病内部化耻辱 (ISMI) 尺度进行评估.
- 进行了相关性和回归分析,以确定变量之间的关系.
主要成果:
- 精神分裂认知评分表 (SCoRS) 的得分与ISMI分表异化和刻板印象认可正相关.
- 洞察力评估日程表 (SAI) 评分与ISMI分量表异化,刻板印象认可,歧视经验和社会退缩正相关.
- 回归分析表明,SCoRS和SAI得分解释了ISMI异化和刻板印象认可的差异的很大一部分.
结论:
- 在内化耻辱,自我报告的认知障碍和精神分裂症的洞察力之间存在显著的关联.
- 临床医生应考虑在报告认知缺陷和更高洞察力的患者中内化耻辱.
- 解决内化耻辱可能对改善精神分裂症患者的主观认知经验和自我意识很重要.
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