Lysaker Paul H, Tsai Jack, Maulucci Alyssa M, Stanghellini Giovanni
Department of Psychiatry, Roudebush VA Medical Center, Indiana University School of Medicine, Day Hospital 116H, 1481 West 10th Street, Indianapolis, IN 46202, USA.
Conscious Cogn. 2008 Dec;17(4):1143-51. doi: 10.1016/j.concog.2008.09.005. Epub 2008 Oct 25.
Awareness of illness in schizophrenia reflects complex storied understanding of the impact of the disorder upon one's life. Individuals may be aware of their illness in different ways and this may be related to their functioning. A total of 76 adults with schizophrenia were assessed for their awareness of illness, neurocognition, social cognition, and social function concurrently and social function was also assessed at three later time points. A cluster analysis revealed 3 groups: generally full awareness, generally limited awareness, and superficial awareness. Comparisons between these profiles revealed the superficial group had poorer executive function, emotion recognition ability, and capacity for social relationships than the full awareness group, yet had better verbal memory and more social contacts than the limited awareness group. These results suggest assessing the narrative qualities of awareness of illness may reveal unique links with cognition and function, and this may have implications for interventions.
精神分裂症患者对疾病的认知反映了对该疾病对其生活影响的复杂的、有故事性的理解。个体可能以不同方式意识到自己的疾病，这可能与他们的功能状况有关。共有76名成年精神分裂症患者同时接受了疾病认知、神经认知、社会认知和社会功能评估，并且在随后的三个时间点也对社会功能进行了评估。聚类分析揭示了三组：总体上完全认知、总体上有限认知和表面认知。这些特征之间的比较表明，表面认知组的执行功能、情绪识别能力和社交关系能力比完全认知组差，但言语记忆比有限认知组好，社交接触也更多。这些结果表明，评估疾病认知的叙事特征可能揭示与认知和功能的独特联系，这可能对干预措施有影响。
