与精神分裂症认知障碍相关的耻辱的精神病学和功能相关性
Lauren Gonzales1, Alice M Saperstein1, Min Qian2
1Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons and New York-Presbyterian, New York, NY, United States; New York State Office of Mental Health, New York, NY, United States.
Psychiatry research
|October 26, 2024
概括
与精神分裂症认知障碍 (CIAS) 相关的耻辱与更大的认知衰退和更严重的抑郁症状有关. 这种污名似乎不会影响精神病症状或日常功能.
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.
- 心理学 心理学 心理学
背景情况:
- 精神分裂症的诊断带来了重大的耻辱感,通常包括对无能和预后不佳的刻板印象.
- 与精神分裂症相关的认知障碍 (CIAS) 患者报告了独特的耻辱经历,这表明CIAS耻辱与一般精神分裂症耻辱不同.
- 现有的研究将一般精神疾病的耻辱与不良的精神和功能结果联系起来,但CIAS耻辱的相关性仍然未被探索.
研究的目的:
- 调查与精神分裂症相关的认知障碍 (CIAS) 患者所经历的耻辱的认知,精神病学和功能相关性.
- 了解CIAS污名化如何与精神分裂症谱系障碍的认知衰退,症状严重程度和功能结果有关.
主要方法:
- 这项研究包括54名被诊断患有精神分裂症谱系障碍的参与者,他们被纳入了认知补救试验.
- 收集的数据包括认知功能,精神症状 (精神病,抑郁症) 和功能能力和社区功能.
- 评估CIAS的耻辱经历,并与认知,精神和功能变量相关联.
主要成果:
- 较高的CIAS污名度与更大的估计认知衰退有关.
- 报告有更多CIAS污名的个人也表现出更高水平的抑郁症状严重程度.
- 在CIAS污名和积极/消极精神病症状,一般精神病理学,基于绩效的功能能力或社区功能之间没有发现显著的关联.
结论:
- 在精神分裂症谱系障碍患者中,CIAS污名与认知障碍程度和抑郁症状严重程度有显著的关联.
- 这些发现突出了认知缺陷,情绪症状和精神分裂症的耻辱之间的复杂相互作用.
- 需要进一步的研究来澄清这些关系的方向性以及CIAS污名对功能结果的影响.
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