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在童年开始的精神分裂症中神经认知功能障碍:系统性审查
A Armita1,2, J Guivarch3,4,5, E Dor1,2
1University Department of Child and Adolescent Psychiatry, Children's Hospitals of NICE CHU-Lenval, Nice, France.
儿童发作的精神分裂症 (COS) 导致显著的神经认知缺陷,包括较低的智商,注意力,记忆力和执行功能. 这些障碍比成人精神分裂症更严重,突出了进一步研究和有针对性的干预措施的需要.
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.
- 认知科学 认知科学
背景情况:
- 儿童发作的精神分裂症 (COS) 是一种罕见且严重的神经精神疾病.
- 在13岁之前出现COS,与成年精神分裂症相比,它带来了不同的挑战.
研究的目的:
- 系统地审查儿童开始精神分裂症 (COS) 患者的神经认知功能障碍.
- 分析智商 (IQ),注意力,记忆和COS患者的执行功能.
主要方法:
- 来自PubMed的67项研究的系统综述.
- 由两个独立研究人员使用混合方法评估工具 (MMAT) 进行选择.
- 在PROSPERO注册 (CRD42024548945). 在PROSPERO注册.
主要成果:
- COS患者表现出显著的神经认知缺陷,智商分数低于规范数据的1-2个标准偏差.
- 观察到注意力,工作记忆和执行功能 (规划,灵活性) 的受损.
- 与成人发病形式相比,COS表现出更严重的认知缺陷,在发病后的智力下降.
结论:
- 在疾病发生之前和期间,COS的特点是主要的认知障碍.
- 通用认知障碍支持早期精神分裂症和成人精神分裂症之间的连续性假设.
- 需要进行更大规模的合作研究,以更好地理解和有针对性的认知补救.
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