Bengochea Seco Rosario, Gil Sanz David, Fernández Modamio Mar, Arrieta Rodríguez Marta, Sánchez Calleja Raúl, Prat Solís Raquel, Arce López Alexandra, Alvarez Soltero Ana
Unidad de Psicología Clínica, Centro de Rehabilitación Psicosocial, Centro Hospitalario Padre Menni, Santander, Cantabria, España.
Rev Psiquiatr Salud Ment. 2010 Apr;3(2):55-60. doi: 10.1016/j.rpsm.2010.03.002. Epub 2010 May 5.
Individuals diagnosed with schizophrenia have significant cognitive deficits. However, the subjective perception of these deficits do not always coincide with the neuropsychological test and clinical ratings.
This study evaluates the cognitive performance of 46 outpatients with schizophrenia, in a Psychosocial Rehabilitation Program, by three different measures: neuropsychological tests (objective assessment), cognitive factor of PANSS (clinical ratings), and subjective scale of cognition, SSTICS (patient self-report). Also studies the possible relationship between subjective assessment of cognitive symptoms and insight of the mental disorder (SUMD).
SSTICS total score correlated only with some neuropsychological subtest, but not with cognitive factor of PANSS. The clinical ratings is more consistent with neuropsychological test than the cognitive complaints. No relationship between SUMD and SSTICS.
Because of the lack of correspondence among several measures, it is possible to think that have been evaluated different cognitive areas. So, it is important to consider all options of assessment in order to create cognitive rehabilitation programs. Cognitive complaints seems to be an independent variable of insight.
被诊断为精神分裂症的个体存在显著的认知缺陷。然而，这些缺陷的主观感受并不总是与神经心理学测试及临床评定结果相一致。
本研究通过三种不同的测量方法，对46名参加社会心理康复项目的精神分裂症门诊患者的认知表现进行评估：神经心理学测试（客观评估）、阳性和阴性症状量表（PANSS）的认知因子（临床评定）以及认知主观量表（SSTICS，患者自我报告）。同时研究认知症状的主观评估与精神障碍自知力（SUMD）之间的可能关系。
SSTICS总分仅与部分神经心理学子测试相关，而与PANSS的认知因子无关。临床评定结果与神经心理学测试的一致性高于认知主诉。SUMD与SSTICS之间无关联。
由于多种测量方法之间缺乏对应关系，有可能认为评估的是不同的认知领域。因此，为制定认知康复计划，考虑所有评估选项很重要。认知主诉似乎是自知力的一个独立变量。
