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在精神疾病中执行功能的行为评级清单上自我报告的认知功能:性别,教育和认知功能的影响
Eivind Haga Ronold1,2, Rune Raudeberg1
1Department of Biological and Medical Psychology, University of Bergen, Postboks 7807 NO, 5020, Bergen, Norway.
Schizophrenia research. Cognition
|November 11, 2025
概括
自我报告的执行功能 (srEF) 在精神病障碍 (PD) 中略有损害,特别是在元认知中. 患有PD的女性患者经历了更大的srEF困难,突出了需要基于性别的干预措施.
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.
- 认知心理学 认知心理学
背景情况:
- 精神病障碍 (PD) 是一种严重的精神疾病,通常伴有认知障碍.
- 自我报告的执行功能 (srEF) 困难在PD中很常见,但结果在不同研究中有所不同.
- 性别,教育和整体认知功能等因素可能会影响PD中的srEF.
研究的目的:
- 调查自我报告的执行功能 (srEF) 使用行为评级库执行功能成人版本 (BRIEF-A) 在患有PD的患者样本中.
- 检查性别,教育和认知功能 (由RBANS评估) 对PD的BRIEF-A分数的影响.
- 为了确定srEF在精神疾病中的潜在人口和认知调节者.
主要方法:
- 利用了260名患有PD的患者的BRIEF-A数据 (99名女性,平均年龄为24.58).
- 雇员独立样本 t 测试以比较srEF中的性别差异.
- 使用一般线性混合模型来评估性别,教育和RBANS分数对BRIEF-A结果的影响.
主要成果:
- 完整的样本显示全球执行组合 (GEC) 略有损失,在BRIEF-A的元认知指数 (MI) 上得分最高.
- 女性患者表现出高于临床切线的GEC和MI得分,在大多数尺度上报告了更多的srEF困难.
- 观察到性别和全球认知之间的多变量相互作用,但其影响很小.
结论:
- 自我报告的执行功能,特别是元认知功能,在患有PD的患者中略有受损,并因性别而恶化.
- 研究结果表明,性别在精神疾病中主观体验执行功能障碍时起着重要作用.
- 未来的研究应该探索纵向的srEF变化,并确定针对性认知补救的患者子组.
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