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神经认知障碍和功能结果在精神分裂症的认知行为社会技能培训
Amber V Keller1, Kristen Dwyer2, Jason Holden2
1SDSU/UC San Diego Joint Doctoral Program in Clinical Psychology, 6363 Alvarado Court, Suite 103, San Diego, CA, 92120, USA; Research Service, VA San Diego Healthcare System, 3350 La Jolla Village Drive, La Jolla, CA, 92161, USA.
Journal of psychiatric research
|October 11, 2025
概括
认知行为社会技能培训 (CBSST) 有利于精神分裂症患者,特别是那些执行功能缺陷的人. 这种干预可能比支持性接触更有效地改善这个群体的功能结果.
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:
- 神经认知障碍与精神分裂症的功能不良结果有关.
- 以前关于心理治疗对精神分裂症神经认知缺陷的影响的研究已经产生了混合的结果.
- 认知行为社会技能培训 (CBSST) 旨在提高精神分裂症患者的功能.
研究的目的:
- 调查基线神经认知障碍是否影响CBSST的有效性,与精神分裂症患者的目标集中支持接触 (GFSC) 相比.
- 为了确定特定的神经认知领域是否在心理社会干预后缓和功能结果.
主要方法:
- 两项随机对照试验的二次分析,涉及精神分裂症或精神分裂情绪障碍患者.
- 参与者每周接受CBSST或GFSC的36次会议.
- 回归模型评估了基线神经心理障碍在9个月或12个月的随访后对功能结果的缓解作用.
主要成果:
- 执行功能障碍显著缓解治疗结果.
- 与GFSC相比,执行功能较低的个体在CBSST下表现出更大的功能改善.
- 那些高执行功能的人在两种治疗条件下都有类似的功能结果.
结论:
- 对于精神分裂症患者经历认知障碍的人来说,CBSST可能对精神分裂症患者有益,可能比具有完整认知的患者提供更大的优势.
- 在CBSST中教授的技能,如认知灵活性和解决问题的能力,可能会补偿精神分裂症的执行功能缺陷.
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