在精神分裂症的疾病过程中,认知障碍和相关的白质组织异常
Chen-Lan Shen1,2, Shih-Jen Tsai1,3,4, Ching-Po Lin5
1Institute of Brain Science, National Yang Ming Chiao Tung University, No.155, Sec. 2, Linong St. Beitou Dist, Taipei, 112304, Taiwan.
European archives of psychiatry and clinical neuroscience
|December 8, 2025
概括
在精神分裂症中,认知障碍在三十年内恶化,与渐进的白质异常有关. 建议在整个疾病过程中对患者进行认知康复的早期干预.
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.
- 脑部成像 脑部成像
背景情况:
- 精神分裂症是一种慢性脑部疾病,其特征是认知障碍.
- 在精神分裂症患者中观察到白质组织的异常.
- 随着时间的推移,认知障碍和白质变化的进展和相关性尚未得到充分理解.
研究的目的:
- 为了调查认知障碍和白质组织异常在不同的精神分裂症疾病持续时间.
- 在精神分裂症的整个过程中检查认知衰退和白质变化之间的关联.
主要方法:
- 招募了4组:早期 (<5岁),中期 (~15岁),晚期 (>25岁) 精神分裂症和健康的对照.
- 进行认知测试 (威斯康星州卡片排序测试,数字跨度,迷你精神状态检查).
- 进行了白质分数异构和图形理论分析的扩散张力成像.
主要成果:
- 从精神分裂症的早期阶段到精神分裂症的第三个十年,认知障碍明显恶化.
- 白质异常在两个阶段进展:早期网络组织变化,其次是从第二个十年开始减少管道完整性.
- 减少白质完整性与增加的认知障碍相关.
结论:
- 认知障碍和白质异常在精神分裂症的三十年过程中演变.
- 白质完整性和认知功能之间存在显著的关联.
- 研究结果支持在精神分裂症管理中需要持续的认知康复.
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