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精神分裂症患者言语和非言语流畅性的神经心理学特征

Neuropsychological characteristics of verbal and non-verbal fluency in schizophrenia patients.

作者信息

Tyburski Ernest, Sokołowski Andrzej, Chęć Magdalena, Pełka-Wysiecka Justyna, Samochowiec Agnieszka

机构信息

Department of Clinical Psychology and Psychoprevention, Institute of Psychology, University of Szczecin.

Institute of Psychology, Adam Mickiewicz University.

出版信息

Arch Psychiatr Nurs. 2015 Feb;29(1):33-8. doi: 10.1016/j.apnu.2014.09.009. Epub 2014 Oct 22.

DOI:10.1016/j.apnu.2014.09.009
PMID:25634872
Abstract

This review paper provides analyses confirming correlation between various brain regions activity, particularly its prefrontal portions, and schizophrenia patients' performance in verbal fluency tests. Various factors modifying patients' performance in the aforementioned tasks were singled out and discussed. Systematically we have reviewed the results of non-verbal fluency tests conducted in the schizophrenic patients. The authors also summarizes findings of earlier studies stressing the role of semantic fluency as a predictor of first-episode psychosis. Verbal and non-verbal fluency tests engage complex cognitive processes and executive functions in patients. As a result, the interpretation of their results is often complicated and requires special competences. The tests are popular neuropsychological tools used for assessment of verbal memory, executive functions, visual-spatial abilities and psychomotor speed in patients with mental and neurological disorders. The aim of this paper is to discuss diagnostic tools used for measuring both types of fluency (verbal and non-verbal), test interpretation methods, as well as their usefulness in clinical diagnostics and scientific research.

摘要

这篇综述论文提供了分析,证实了大脑各区域活动之间的相关性,尤其是前额叶部分,以及精神分裂症患者在言语流畅性测试中的表现。我们找出并讨论了影响患者在上述任务中表现的各种因素。我们系统地回顾了在精神分裂症患者中进行的非言语流畅性测试的结果。作者还总结了早期研究的结果,强调语义流畅性作为首发精神病预测指标的作用。言语和非言语流畅性测试涉及患者复杂的认知过程和执行功能。因此,对其结果的解释往往很复杂,需要特殊的能力。这些测试是用于评估精神和神经疾病患者言语记忆、执行功能、视觉空间能力和精神运动速度的常用神经心理学工具。本文的目的是讨论用于测量两种类型流畅性(言语和非言语)的诊断工具、测试解释方法,以及它们在临床诊断和科学研究中的有用性。

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