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成年精神病患者的神经发育障碍
Nils Christensen1, Michael Linden2, Beate Muschalla1
1Department of Psychotherapy and Diagnostics, Technische Universität Braunschweig, 38106 Braunschweig, Germany.
许多精神病患者经历神经心理问题,特别是那些有童年神经发育问题的病史的人. 早期发现这些最小脑功能障碍 (MCD) 对于有效治疗和改善社会参与至关重要.
科学领域:
- 精神病学是一个精神病学.
- 神经心理学 神经心理学
- 精神病体医学是一种精神病体医学.
背景情况:
- 最小的大脑功能障碍 (MCD) 在精神障碍中很常见,通常被其他症状掩盖.
- 这些功能障碍可能会对疾病进展和社会功能产生负面影响.
- 关于MCD频谱,患病率和慢性疾病后果的数据有限.
研究的目的:
- 为了比较当前神经心理功能障碍在精神病患者和没有童年神经认知问题的历史.
- 研究精神病体性住院患者中最小大脑功能障碍 (MCD) 的患病率.
- 评估早期神经发育问题与当前神经心理和心理症状之间的关系.
主要方法:
- 评估了1453名精神病患者的方便样本.
- 使用MCD尺度来评估儿童的神经发育问题和当前的神经心理功能障碍.
- 额外的措施包括注意力缺陷多动性自我评分表 (ADHS-SB) 和症状检查清单90 (SCL-90).
主要成果:
- 8.87%的患者报告了显著的早期神经发育问题.
- 患有早期神经发育问题病史的患者表现出明显更高的MCD症状率.
- 这一群人还报告了显著更多的一般心理症状 (SCL-90).
结论:
- 神经心理功能障碍在精神病患者中很普遍,特别是那些有早期神经发育问题的人.
- 需要全面的诊断方法,包括MCD史和当前功能障碍.
- 解决这些障碍可以改善受影响个人的参与和结果.
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