Barch Deanna M
Psychology Department, Washington University, St. Louis, MO 63130, USA.
Schizophr Bull. 2005 Oct;31(4):875-81. doi: 10.1093/schbul/sbi040. Epub 2005 Aug 3.
This article summarizes a workshop discussion focused on the current state of our understanding of the ways in which cognitive dysfunction in schizophrenia is related to, influenced by, or even leads to disturbances in areas such as emotion, motivation, and stress, as well as areas in need of further research. A major emphasis in the workshop discussion was the critical importance of motivation and its potential influence on cognitive function and learning in schizophrenia. As such, the members of the workshop suggested a number of questions regarding motivation that need further research, including (1) the definition and measurement of different components of motivation; (2) the relationship between intrinsic motivation and incentive drive and hedonic processing; (3) the integrity of motivational processes, incentive drive, and hedonic processing in schizophrenia; (4) the influence of cognitive deficits on motivational disturbances in schizophrenia; (5) the influence of antipsychotic medication on incentive drive and hedonic processing in schizophrenia; and (6) the relationships among cognitive function, stress, and the processing of aversive stimuli.
本文总结了一场研讨会的讨论内容，该讨论聚焦于我们目前对精神分裂症认知功能障碍与情绪、动机和压力等领域的紊乱之间的关联方式、受其影响的方式，甚至导致这些紊乱的方式的理解现状，以及有待进一步研究的领域。研讨会讨论的一个主要重点是动机的至关重要性及其对精神分裂症认知功能和学习的潜在影响。因此，研讨会成员提出了一些关于动机的问题，这些问题需要进一步研究，包括：（1）动机不同组成部分的定义和测量；（2）内在动机与激励驱力及享乐加工之间的关系；（3）精神分裂症中动机过程、激励驱力和享乐加工的完整性；（4）认知缺陷对精神分裂症动机紊乱的影响；（5）抗精神病药物对精神分裂症激励驱力和享乐加工的影响；以及（6）认知功能、压力和厌恶性刺激加工之间的关系。
