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精神分裂症特质与认知控制维度的关系:一项荟萃分析。

Association of Schizotypy With Dimensions of Cognitive Control: A Meta-Analysis.

机构信息

Department of Psychology, University of Bonn, Kaiser-Karl-Ring, Bonn, Germany.

Department of Psychiatry and Psychotherapy, University of Munich, Munich, Germany.

出版信息

Schizophr Bull. 2018 Oct 15;44(suppl_2):S512-S524. doi: 10.1093/schbul/sby030.

DOI:10.1093/schbul/sby030
PMID:29554369
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6188506/
Abstract

Schizotypy is defined as a time-stable multidimensional personality trait consisting of positive, negative, and disorganized facets. Schizotypy is considered as a model system of psychosis, as there is considerable overlap between the 2 constructs. High schizotypy is associated with subtle but fairly widespread cognitive alterations, which include poorer performance in tasks measuring cognitive control. Similar but more pronounced impairments in cognitive control have been described extensively in psychosis. We here sought to provide a quantitative estimation of the effect size of impairments in schizotypy in the updating, shifting, and inhibition dimensions of cognitive control. We included studies of healthy adults from both general population and college samples, which used either categorical or correlative designs. Negative schizotypy was associated with significantly poorer performance on shifting (g = 0.32) and updating (g = 0.11). Positive schizotypy was associated with significantly poorer performance on shifting (g = 0.18). There were no significant associations between schizotypy and inhibition. The divergence in results for positive, negative, and disorganized schizotypy emphasizes the importance of examining relationships between cognition and the facets of schizotypy rather than using the overall score. Our findings also underline the importance of more detailed research to further understand and define this complex personality construct, which will also be of importance when applying schizotypy as a model system for psychosis.

摘要

分裂型特质被定义为一种时间稳定的多维人格特质,由积极、消极和紊乱的方面组成。分裂型特质被认为是精神病学的模型系统,因为这两个结构之间存在相当大的重叠。高分裂型特质与微妙但相当广泛的认知改变有关,包括在衡量认知控制的任务中表现较差。在精神病学中,广泛描述了类似但更为明显的认知控制损伤。我们在这里试图对认知控制的更新、转换和抑制维度中分裂型特质损伤的效应大小进行定量估计。我们纳入了来自一般人群和大学样本的健康成年人的研究,这些研究使用了分类或相关设计。负分裂型特质与转换(g = 0.32)和更新(g = 0.11)的表现明显较差相关。正分裂型特质与转换(g = 0.18)的表现明显较差相关。分裂型特质与抑制之间没有显著关联。正性、负性和紊乱性分裂型特质的结果差异强调了检查认知与分裂型特质各方面之间关系的重要性,而不是使用总体评分。我们的发现还强调了更详细的研究的重要性,以进一步理解和定义这个复杂的人格结构,当将分裂型特质作为精神病学的模型系统时,这也将是重要的。

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本文引用的文献

1
Combining two model systems of psychosis: The effects of schizotypy and sleep deprivation on oculomotor control and psychotomimetic states.结合两种精神病模型系统:精神分裂症特质和睡眠剥夺对眼动控制和类精神病状态的影响。
Psychophysiology. 2017 Nov;54(11):1755-1769. doi: 10.1111/psyp.12917. Epub 2017 Jul 17.
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Cognitive Correlates of Different Mentalizing Abilities in Individuals with High and Low Trait Schizotypy: Findings from an Extreme-Group Design.高低特质分裂型人格个体不同心理化能力的认知关联:极端组设计的研究结果
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Response inhibition and interference control: Effects of schizophrenia, genetic risk, and schizotypy.反应抑制和干扰控制:精神分裂症、遗传风险和精神分裂症特质的影响。
J Neuropsychol. 2018 Sep;12(3):484-510. doi: 10.1111/jnp.12126. Epub 2017 May 8.
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Schizotypy-Independent and Schizotypy-Modulated Cognitive Impairments in Unaffected First-Degree Relatives of Schizophrenia-spectrum Patients.精神分裂症谱系患者未患病的一级亲属中与分裂型人格特质无关及受分裂型人格特质调节的认知障碍
Arch Clin Neuropsychol. 2017 Dec 1;32(8):1010-1025. doi: 10.1093/arclin/acx029.
5
Individual differences in the executive control of attention, memory, and thought, and their associations with schizotypy.注意力、记忆和思维执行控制方面的个体差异及其与精神分裂症相关特征的关联。
J Exp Psychol Gen. 2016 Aug;145(8):1017-1048. doi: 10.1037/xge0000184. Epub 2016 Jun 16.
6
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J Clin Exp Neuropsychol. 2016 Nov;38(9):1050-63. doi: 10.1080/13803395.2016.1188890. Epub 2016 Jun 13.
7
Psychosis as a transdiagnostic and extended phenotype in the general population.精神病作为普通人群中的一种跨诊断和扩展表型。
World Psychiatry. 2016 Jun;15(2):118-24. doi: 10.1002/wps.20310.
8
Additional support for the cognitive model of schizophrenia: evidence of elevated defeatist beliefs in schizotypy.对精神分裂症认知模型的进一步支持:精神分裂症特质中存在更高的失败主义信念的证据。
Compr Psychiatry. 2016 Jul;68:40-7. doi: 10.1016/j.comppsych.2016.03.006. Epub 2016 Mar 29.
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Cognitive and oculomotor performance in subjects with low and high schizotypy: implications for translational drug development studies.低分裂型特质和高分裂型特质受试者的认知与眼动表现:对转化药物研发研究的启示
Transl Psychiatry. 2016 May 17;6(5):C. doi: 10.1038/tp.2016.64.
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Increased distractibility in schizotypy: Independent of individual differences in working memory capacity?精神分裂症样人格特质中注意力分散增加:与工作记忆容量的个体差异无关?
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