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[精神分裂症元认知训练的理论背景]

[Theoretical background for the metacognitive training for schizophrenia].

作者信息

Gaweda Łukasz, Moritz Steffen, Kokoszka Andrzej

机构信息

II Klinika Psychiatryczna, Warszawski Uniwersytet Medyczny.

出版信息

Psychiatr Pol. 2009 Nov-Dec;43(6):671-81.

Abstract

The aim of the article is to present a theoretical background for new, structuralized, group cognitive-behavioral therapy for schizophrenia developed by S. Moritz and T.S. Woodward. Research results suggest the occurrence of a specific manner of cognitive functioning amongst patients with delusions or hallucinations. It was shown, that patients with delusions, more often than those from other clinical groups, tend to make a decision with a lack of information (jumping to conclusion), display deficit in Theory of Mind and tend to display overconfidence in false memories, when at the same time are under-confident in true memories. Moreover persons with schizophrenia display a specific attribution style. They also exhibit disturbances in emotional regulation, which is often manifested by depressive mood and anxiety. Research results are often a basis for therapeutic intervention. Currently, apart from psychopharmacotherapy, psychological intervention in schizophrenia is mentioned, especially the cognitive-behavioural approach. The presented article is a review of research on cognitive biases in schizophrenia, which were the background for metacognitive training for this disorder.

摘要

本文旨在介绍由S. 莫里茨和T.S. 伍德沃德开发的针对精神分裂症的新型结构化团体认知行为疗法的理论背景。研究结果表明,妄想或幻觉患者存在一种特定的认知功能方式。研究显示,与其他临床组患者相比,妄想患者更常倾向于在缺乏信息的情况下做出决策(急于下结论),表现出心理理论缺陷,并且在虚假记忆方面往往表现出过度自信,而同时在真实记忆方面信心不足。此外,精神分裂症患者表现出一种特定的归因风格。他们还表现出情绪调节障碍,这通常表现为抑郁情绪和焦虑。研究结果常常是治疗干预的基础。目前,除了心理药物治疗外,精神分裂症的心理干预也被提及,尤其是认知行为方法。本文是对精神分裂症认知偏差研究的综述,这些研究是该疾病元认知训练的背景。

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