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精神分裂症工作记忆评估及其与执行功能能力的相关性。

Working memory assessment in schizophrenia and its correlation with executive functions ability.

机构信息

Department of Psychiatry, Interdisciplinary Lab of Clinical Neurosciences, Universidade Federal de São Paulo, São Paulo, SP, Brazil.

出版信息

Braz J Psychiatry. 2009 Sep;31(3):219-26. doi: 10.1590/s1516-44462009000300007.

Abstract

OBJECTIVE

Working memory impairment is common in schizophrenia and is possibly a cause of multiple features of the disorder. However few studies have replicated such findings of impairment patterns in Brazilian samples. The main target of this study was to assess auditory and visual working memory in patients with schizophrenia, to assess if they work as separate systems, and to correlate working memory deficits with executive functions.

METHOD

Twenty subjects with schizophrenia and twenty healthy subjects matched by gender, age, and schooling have participated. The abilities assessed were auditory and visual working memory, selective attention, inhibitory control, cognitive flexibility, and planning.

RESULTS

Patients showed declines in all measures evaluated, except for a measure reaction time of inhibitory control. Auditory working memory was correlated to selective attention, inhibition, flexibility and planning while Visual working memory to planning and flexibility.

CONCLUSION

The present study suggests that working memory and executive functions deficits are present in patients with schizophrenia in the Brazilian sample evaluated. Alterations in executive functions may lead to incapacity of operation of processes of working memory. These findings may contribute to delineate and develop new strategies of schizophrenia treatment in the Brazilian population.

摘要

目的

工作记忆损伤在精神分裂症中较为常见,可能是导致该疾病多种特征的原因之一。然而,很少有研究在巴西样本中复制到这种损伤模式的发现。本研究的主要目的是评估精神分裂症患者的听觉和视觉工作记忆,评估它们是否作为独立的系统运作,并将工作记忆缺陷与执行功能相关联。

方法

20 名精神分裂症患者和 20 名性别、年龄和教育程度相匹配的健康受试者参与了研究。评估的能力包括听觉和视觉工作记忆、选择性注意、抑制控制、认知灵活性和计划。

结果

患者在所有评估的指标中均表现出下降,除了抑制控制的反应时指标外。听觉工作记忆与选择性注意、抑制、灵活性和计划有关,而视觉工作记忆与计划和灵活性有关。

结论

本研究表明,在巴西样本中评估的精神分裂症患者存在工作记忆和执行功能缺陷。执行功能的改变可能导致工作记忆过程的运作能力下降。这些发现可能有助于为巴西人群制定和发展新的精神分裂症治疗策略。

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