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首次发作精神病高风险受试者的神经心理状态

Neuropsychological status of subjects at high risk for a first episode of psychosis.

作者信息

Hawkins K A, Addington J, Keefe R S E, Christensen B, Perkins D O, Zipurksy R, Woods S W, Miller T J, Marquez E, Breier A, McGlashan T H

机构信息

Yale University School of Medicine, New Haven, CT 06519, USA.

出版信息

Schizophr Res. 2004 Apr 1;67(2-3):115-22. doi: 10.1016/j.schres.2003.08.007.

Abstract

Thirty-six subjects aged 16 years or older judged at risk for a first episode of psychosis within a North American multi-site study of the schizophrenia prodrome [McGlashan et al., Schizophr. Res. (2003); Miller et al., Schizophr. Res. (2003)] performed at levels intermediate to population norms and data reported for schizophrenia samples on a comprehensive neuropsychological exam. In the context of normal intelligence, this intermediate status suggests that, as a group, these subjects are not fully normal in neuropsychological functioning. Conversely, the finding that they do not show the levels of impairment commonly observed in schizophrenia, including within the first episode, suggests that prodromal interventions might conceivably prevent, delay, or lessen the severity of declines associated with first psychotic episodes.

摘要

在一项关于精神分裂症前驱期的北美多中心研究中,36名年龄在16岁及以上、被判定有首次精神病发作风险的受试者[McGlashan等人,《精神分裂症研究》(2003年);Miller等人,《精神分裂症研究》(2003年)],在一项全面的神经心理学检查中的表现处于总体常模和精神分裂症样本报告数据的中间水平。在智力正常的情况下,这种中间状态表明,作为一个群体,这些受试者在神经心理功能方面并不完全正常。相反,他们没有表现出精神分裂症中常见的损害水平,包括首次发作时的损害水平,这一发现表明,前驱期干预可能可以预防、延迟或减轻与首次精神病发作相关的衰退的严重程度。

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