Department of Psychology, Faculty of Medicine, University of Castilla La Mancha, Avda Almansa 14, 02006 Albacete, Spain.
J Behav Ther Exp Psychiatry. 2012 Dec;43 Suppl 1:S12-20. doi: 10.1016/j.jbtep.2011.06.001. Epub 2011 Jun 23.
This report describes the effects of a specific event group-based training programme on autobiographical memory, self-consciousness of memory retrieval, and depression symptoms in a sample of 24 schizophrenic patients (experimental group).
Twenty-six matched schizophrenic patients who participated in social skills and occupational therapy group sessions constituted the active control group. Participants in the experimental group were trained to complete a diary with specific daily memories, followed by patients' ratings of the associated emotional arousal of those entries. During training, significant specific events from childhood, adolescence, adulthood and the previous year were also reviewed.
After 10 weeks of group-based sessions, the experimental group demonstrated an increase in their degree of specificity for autobiographical retrievals, had a higher level of consciousness of their memories and showed a decrease in their depression scores. Significant changes in measurements of retrieval specificity and autonoetic awareness were maintained when changes in emotional symptomatology were statistically controlled.
The present study did not assess the impact of autobiographical memory training on the positive and negative symptoms of schizophrenia.
These results suggest that cognitive training strategies based on event-specific autobiographical memory training should be considered for inclusion in intervention programs for schizophrenic patients.
本报告描述了一项特定的基于事件群组的训练计划对 24 名精神分裂症患者(实验组)的自传体记忆、记忆检索的自我意识和抑郁症状的影响。
26 名匹配的精神分裂症患者参加了社交技能和职业治疗小组会议,构成了积极对照组。实验组的参与者接受了训练,用特定的日常记忆来完成日记,然后由患者对这些条目相关的情绪唤醒进行评分。在训练过程中,还回顾了来自童年、青少年、成年和前一年的重要特定事件。
经过 10 周的小组会议后,实验组在自传体记忆检索的特异性方面有了更高的程度,对记忆的自我意识更高,抑郁评分也有所下降。当对情绪症状进行统计控制时,在检索特异性和自我意识方面的测量中保持了显著的变化。
本研究未评估自传体记忆训练对精神分裂症阳性和阴性症状的影响。
这些结果表明,应考虑将基于特定事件的自传体记忆训练的认知训练策略纳入精神分裂症患者的干预计划中。