Hayes Robyn Lynette, O'Grady Bethany Maree
Cognitive Neuropsychiatry Research Unit, Sunshine Hospital, St. Albans, Victoria, Australia
Schizophr Bull. 2003;29(3):499-507. doi: 10.1093/oxfordjournals.schbul.a007022.
Although people with schizophrenia appear to be able to read aloud, their reading comprehension has been little tested. This study asks, Do people with schizophrenia have deficits in reading comprehension compared with well controls and, if so, what are the type and severity of those deficits? The reading comprehension of 30 people with chronic schizophrenia was compared with a group of 30 people without a psychiatric diagnosis. The groups were matched for sex and age and had similar intelligence scores. The Reading Comprehension Battery for Aphasia (RCBA) was used to obtain a profile of reading comprehension skills, and intelligence was estimated using the National Adult Reading Test. Schizophrenia subjects took significantly longer to complete the RCBA and obtained significantly poorer scores than did controls on the RCBA total and on all but one RCBA subtest. Although these findings could have serious implications for the presentation of written material such as consent and information forms, further research is needed to determine how these deficits impact on functional reading and whether or not they can be addressed.
尽管精神分裂症患者似乎能够大声朗读，但他们的阅读理解能力鲜有测试。本研究提出以下问题：与健康对照组相比，精神分裂症患者在阅读理解方面是否存在缺陷？如果存在，这些缺陷的类型和严重程度如何？研究将30名慢性精神分裂症患者的阅读理解能力与30名未患精神疾病的人进行了比较。两组在性别和年龄上相匹配，且智力得分相似。使用失语症阅读理解量表（RCBA）来获取阅读理解技能概况，并使用国家成人阅读测试来评估智力。与对照组相比，精神分裂症患者完成RCBA的时间明显更长，在RCBA总分及除一项子测试外的所有子测试中得分明显更低。尽管这些发现可能对诸如同意书和信息表等书面材料的呈现产生严重影响，但仍需进一步研究以确定这些缺陷如何影响功能性阅读以及是否可以解决。
