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双相情感障碍中的心理旋转任务。

Mental rotation task in bipolar disorder.

作者信息

Chrobak Adrian Andrzej, Jeziorko Szymon, Tereszko Anna, Janeczko Weronika, Arciszewska Aleksandra, Siuda-Krzywicka Katarzyna, Starowicz-Filip Anna, Siwek Marcin, Dudek Dominika

机构信息

Klinika Psychiatrii Dorosłych, Uniwersytet Jagielloński, Collegium Medicum.

Uniwersytet Jagielloński, Collegium Medicum.

出版信息

Psychiatr Pol. 2018 Oct 27;52(5):807-817. doi: 10.12740/PP/OnlineFirst/79835.

Abstract

OBJECTIVES

Bipolar disorder (BD) significantly affects level of cognitive and motor functioning. Studies on cognitive function in BD shows i.a. deficits in visuospatial processing and visuospatial memory. However, studies have not used Mental Rotation Task to evaluate these functions so far. Our aim is to introduce this method to assess abovementioned deficits in euthymic BD patients.

METHODS

31 euthymic BD patients and 27 healthy volunteers matched for age and years of education were recruited. All participants performed digital version of Mental Rotation Task. In this task, participants were asked to compare two figures rotated against each other and declare its similarity or difference indicating whether the figures are identical or whether they constitute their own mirror image.

RESULTS

The test revealed significantly longer reaction times in the group of BD patients when images were rotated by - 90, - 45, 45, 90 degrees, or not rotated at all. There was no significant difference in condition of - 135, 135 or 180 degrees. The accuracy rate was significantly lower in the patient group than in the control group for the entire test and in each condition. The correlation between the average response time and the accuracy rate turned out to be insignificant.

CONCLUSIONS

Our results are consistent with studies presenting visuospatial deficits in bipolar disorder. In this study we show for the first time that mental rotation deficits are present in euthymic state of BD patients.

摘要

目的

双相情感障碍(BD)显著影响认知和运动功能水平。关于BD认知功能的研究表明,在视觉空间加工和视觉空间记忆等方面存在缺陷。然而,迄今为止,尚未有研究使用心理旋转任务来评估这些功能。我们的目的是引入这种方法来评估心境正常的BD患者的上述缺陷。

方法

招募了31名心境正常的BD患者和27名年龄及受教育年限相匹配的健康志愿者。所有参与者都完成了心理旋转任务的数字版本。在这个任务中,参与者被要求比较两个相互旋转的图形,并判断其相似性或差异性,即判断图形是否相同或是否构成彼此的镜像。

结果

测试显示,当图像旋转 -90度、-45度、45度、90度或根本不旋转时,BD患者组的反应时间明显更长。在 -135度、135度或180度的情况下,没有显著差异。在整个测试及每种情况下,患者组的准确率显著低于对照组。平均反应时间与准确率之间的相关性不显著。

结论

我们的结果与那些显示双相情感障碍存在视觉空间缺陷的研究一致。在本研究中,我们首次表明心境正常的BD患者存在心理旋转缺陷。

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