摘要
目的探讨维持期精神分裂症病人认知功能、家庭功能及家庭亲密度/适应性的关系。方法入组42例维持期治疗的精神分裂症病人及42例正常对照者,分别对病人组和对照组进行家庭功能量表、家庭亲密度及适应性量表评估,用威斯康星卡片分类测验(WSCT)、Stroop色词测验来评估认知功能,并分析它们之间的关系。结果与正常对照相比,精神分裂症组在家庭功能量表、家庭亲密度及适应性量表中指标明显下降(除理论亲密度、实际适应度、理论适应度外)(t=-12.75~1.95,P<0.05);认知功能方面,病人组在所测量各指标明显下降,(t=-3.27~10.62,P<0.05);同时发现:概念化水平与情感反应、正确应答数与亲密不满度、非持续错误数与情感介入分值显著相关(r=0.36~0.50,P<0.05)。结论精神分裂症病人在家庭亲密度、家庭功能感受方面及注意力、认知灵活性、抽象概括方面功能受损,维持期精神分裂症部分认知功能与家庭功能显著相关。
Objective To explore the relationship between cognitive function and family function in maintenance period patients with schizophrenia. Methods 42 patients and 42 normal controls were enrolled and evaluated by Family Assessment Device(FAD),Family Adaptability and Cohesion Scale(FACES-II-CV),Wisconsin Card Sorting Test(WSCT)and Stroop color word test. The relationship between cognitive function and family function were analyzed. Results The scores of FAD and FACES-II-CV in schizophrenic patients were significantly poorer than those in normal controls(t=-12.75~1.95,P<0.05)(except the theory of cohesion,actual of adaptability and theory of adaptability). The cognitive function of schizophrenia patients were decreased significantly(t=-3.27~10.62,P<0.05). The level of concept in WSCT and emotional reaction in FAD,There were significantly related(r=0.36~0.50,P<0.05)between the correct answer in WSCT and dissatisfaction in FACES-II-CV;between non perseverative errors in WSCT and emotional involvement in FACES-II-CV. Conclusion The functions of patients with schizophrenia in the family cohesion,family function,attention,cognitive flexibility,abstract generalization were damaged,and some cognitive function scores were significantly correlated with the family function in patients with schizophrenia.
作者
胡海涛
邱松伟
马闯胜
樊素琴
HU Haitao;QIU Songwei;MA Chuangsheng(The eighth People's hospital of Zhengzhou,Zhengzhou 450000,China)
出处
《国际精神病学杂志》
2019年第4期637-640,共4页
Journal Of International Psychiatry
关键词
精神分裂症
认知功能
家庭功能
相关性
Schizophrenia
Cognitive function
Family function
Correlation
