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精神分裂症中的认知缺陷:理解生物学关联及补救策略

Cognitive Deficits in Schizophrenia: Understanding the Biological Correlates and Remediation Strategies.

作者信息

Tripathi Adarsh, Kar Sujita Kumar, Shukla Rashmi

机构信息

Department of Psychiatry, King George's Medical University, Lucknow, India.

出版信息

Clin Psychopharmacol Neurosci. 2018 Feb 28;16(1):7-17. doi: 10.9758/cpn.2018.16.1.7.

Abstract

Cognitive deficits are one of the core symptoms of schizophrenia that evolve during the course of schizophrenia, after being originated even before the onset of illness. Existing pharmacological and biological treatment modalities fall short to meet the needs to improve the cognitive symptoms; hence, various cognitive remediation strategies have been adopted to address these deficits. Research evidences suggest that cognitive remediation measures improve the functioning, limit disability bettering the quality of life. The functional outcomes of cognitive remediation in schizophrenia are resultant of neurobiological changes in specific brain areas. Recent years witnessed significant innovations in cognitive remediation strategies in schizophrenia. This comprehensive review highlights the biological correlates of cognitive deficits in schizophrenia and the remedial measures with evidence base.

摘要

认知缺陷是精神分裂症的核心症状之一,在精神分裂症病程中逐渐发展,甚至在疾病发作之前就已出现。现有的药物和生物治疗方法不足以满足改善认知症状的需求;因此,人们采用了各种认知康复策略来解决这些缺陷。研究证据表明,认知康复措施可改善功能、限制残疾,从而提高生活质量。精神分裂症认知康复的功能结果是特定脑区神经生物学变化的结果。近年来,精神分裂症的认知康复策略有了重大创新。这篇综述强调了精神分裂症认知缺陷的生物学相关性以及有循证基础的康复措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67bd/5810454/39a4142e1fd7/cpn-16-007f1.jpg

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