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精神分裂症谱系障碍患者的神经认知功能与临床症状与自我污名之间的关系。

Relationship between neurocognitive function and clinical symptoms with self-stigma in patients with schizophrenia-spectrum disorders.

机构信息

Department of Psychiatry, The University of Hong Kong, Hong Kong, and.

State Key Laboratory of Brain and Cognitive Science, The University of Hong Kong, Hong Kong.

出版信息

J Ment Health. 2019 Dec;28(6):583-588. doi: 10.1080/09638237.2017.1340599. Epub 2017 Jun 23.

DOI:10.1080/09638237.2017.1340599
PMID:28644707
Abstract

: Self-stigma is associated with poor outcomes of patients with schizophrenia and development of self-stigma is a complex process. Results of studies on relationship of both positive and negative symptoms of psychosis with self-stigma have been inconsistent. Cognitive deficits are common to patients. However, number of studies exploring the relationship specifically between self-stigma and neurocognition are limited.: The current study aimed to examine the relationship between neurocognitive functions and clinical symptoms with self-stigma.: Sixty-four patients with psychosis were recruited and completed the Internalized Stigma of Mental Illness Scale and neurocognitive tests. Their clinical symptoms and role functioning were also assessed.: Neurocognitive function was found to have negative correlations with Stereotype Endorsement and Discrimination Experience. Negative symptoms also correlated negatively with Stereotype Endorsement, Discrimination Experience, and Social Withdrawal. Neurocognitive function and negative symptoms explained 21.2% variance of stereotype endorsement. Neurocognitive function explained 7.9% variance of Discrimination Experience.: Poor neurocognitive function is related to self-stigma. This study also further confirmed the relationship between negative symptoms and self-stigma. Future longitudinal studies should be conducted to confirm the nature of such a relationship.

摘要

: 自我污名与精神分裂症患者的不良预后有关,而自我污名的形成是一个复杂的过程。关于精神病阳性和阴性症状与自我污名之间关系的研究结果并不一致。认知缺陷在患者中很常见。然而,专门探讨自我污名与神经认知之间关系的研究数量有限。

: 本研究旨在探讨神经认知功能与临床症状与自我污名之间的关系。

: 招募了 64 名精神病患者,他们完成了内化的精神疾病污名量表和神经认知测试。他们的临床症状和角色功能也得到了评估。

: 神经认知功能与刻板印象认可和歧视体验呈负相关。阴性症状也与刻板印象认可、歧视体验和社会退缩呈负相关。神经认知功能和阴性症状可以解释 21.2%的刻板印象认可的差异。神经认知功能可以解释歧视体验差异的 7.9%。

: 较差的神经认知功能与自我污名有关。本研究还进一步证实了阴性症状与自我污名之间的关系。未来应进行纵向研究,以确认这种关系的性质。

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