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慢性精神分裂症患者的神经心理学缺陷。与症状和行为的关系。

Neuropsychological deficits in chronic schizophrenics. Relationship with symptoms and behavior.

作者信息

Dickerson F B, Ringel N B, Boronow J J

机构信息

Schizophrenia Rehabilitation Unit, Sheppard and Enoch Pratt Hospital, Towson, Maryland 21204.

出版信息

J Nerv Ment Dis. 1991 Dec;179(12):744-9. doi: 10.1097/00005053-199112000-00006.

Abstract

Thirty-nine hospitalized chronic schizophrenics were administered the Luria-Nebraska Neuropsychological Battery (LNNB) and the Weschler Adult Intelligence Scale-Revised when they were clinically stable. Test variables were related to Brief Psychiatric Rating Scale ratings and two behavioral measures of ward functioning, points and activities. Spearman correlations of test variables with the symptom and behavioral measures were entered into a series of median polish analyses. There was an overall significant relationship between the two sets of variables. Neuropsychological test variables that were most highly correlated with symptom/behavioral measures were LNNB Left Frontal, Memory, and Intellectual Processes scales. The positive symptoms of thought disorder and hallucinations were most consistently related to neuropsychological variables. In contrast with other findings in the literature, negative symptoms were not significantly correlated with neuropsychological performance.

摘要

三十九名住院的慢性精神分裂症患者在临床症状稳定时接受了鲁利亚 - 内布拉斯加神经心理成套测验(LNNB)和韦氏成人智力量表修订版测试。测试变量与简明精神病评定量表评分以及病房功能的两项行为指标(得分和活动)相关。将测试变量与症状及行为指标的斯皮尔曼相关性纳入一系列中位数平滑分析。两组变量之间总体存在显著关系。与症状/行为指标相关性最高的神经心理测试变量是LNNB左额叶、记忆和智力过程量表。思维紊乱和幻觉的阳性症状与神经心理变量的相关性最为一致。与文献中的其他研究结果不同,阴性症状与神经心理表现无显著相关性。

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