Kivling-Bodén Gunilla, Sundbom Elisabet
Department of Psychology, Umeå University, SE-901 87 Umeå, Sweden.
Nord J Psychiatry. 2003;57(3):191-8. doi: 10.1080/08039480310001346.
The overall aim was to study the relationship between post-traumatic symptoms and cognitive abilities among traumatized refugees from the former Yugoslavia, in psychiatric treatment. The results showed that a diagnosis of post-traumatic stress disorder (PTSD), as well as a higher level of post-traumatic symptoms, was significantly associated with poorer average cognitive performance. Three of four tests of fluid intelligence, and the Benton Visual Retention Test, assessing episodic memory, were the most discriminating. A specific constellation of PTSD symptoms, dominated by arousal and intrusive symptoms, had a significant overall correlation with intellectual performance. One implication of the study is that assessment of cognitive abilities might be advisable in this patient group, in particular when arousal and re-experiencing symptoms are frequent.
总体目标是研究接受精神治疗的前南斯拉夫创伤难民的创伤后症状与认知能力之间的关系。结果显示,创伤后应激障碍(PTSD)的诊断以及较高水平的创伤后症状与较差的平均认知表现显著相关。四项流体智力测试中的三项以及评估情景记忆的本顿视觉保持测试的区分度最高。以觉醒和侵入性症状为主的特定PTSD症状群与智力表现总体上有显著相关性。该研究的一个启示是,对该患者群体进行认知能力评估可能是可取的,尤其是当觉醒和重新体验症状频繁出现时。