Department of Rehabilitation Sciences.
Am J Orthopsychiatry. 2020;90(1):90-97. doi: 10.1037/ort0000399. Epub 2019 Jan 24.
Poor neurocognitive functioning among individuals with schizophrenia is typically conceptualized as resulting from a disease process. The objective of this article is to further expand understanding of poor neurocognition beyond pathogenesis toward a perspective that also incorporates community participation factors. This article focuses on three such factors-sedentary behavior, loneliness, and poverty-that have been demonstrated to be related to neurocognition and are highly prevalent among individuals with schizophrenia. This article provides an overview of the research on each factor and discusses its possible connection to neurocognitive challenges for individuals with schizophrenia. Implications for research, policy, and practice efforts are then proposed to broaden approaches to understanding and addressing neurocognitive challenges in this population. (PsycINFO Database Record (c) 2020 APA, all rights reserved).
精神分裂症个体的神经认知功能较差通常被认为是疾病过程的结果。本文的目的是进一步拓展对神经认知功能障碍的理解,不仅仅局限于发病机制,还要纳入社区参与因素。本文重点介绍了三个这样的因素——久坐行为、孤独和贫困,这些因素已被证明与神经认知功能有关,而且在精神分裂症个体中非常普遍。本文概述了每项因素的研究,并讨论了其与精神分裂症个体神经认知挑战之间可能存在的联系。然后提出了研究、政策和实践工作的意义,以拓宽理解和解决这一人群神经认知挑战的方法。(APA,2020 年,所有权利保留)。