Naneishvili N, Silagadze T
Tbilisi State Medical University, Georgia.
Georgian Med News. 2019 Apr(289):120-126.
The aim of the study was to determine the level of intelligence in people with schizophrenia from childhood and adolescence. It is noteworthy that such studies were not conducted in Georgia. A total of 250 schizophrenic patients under the age of 45 who had the disease started before the age of 18 and who were treated in a psychiatric institution were examined. The study analyzed the obtained data on the level of intelligence from the point of view of age, sex, age of onset of the disease and its type, diagnosis and education. As a result of the study, it was found that a high premorbidal intellectual level contributes to combating the symptoms of the disease, high motivation, less resistance to the conducted drug and other treatment methods, the desire to cooperate with specialists, which helps maintain the level of functioning, including the desire to get an education. No correlation was discovered between the type of disease (negative or positive symptoms) and the IQ (intelligence quotient). To maintain the daily functioning of schizophrenic patients, it is very important to maintain intellectual abilities at the onset of the disease, for which, along with pharmacological treatment, it is necessary to provide cognitive exercises and psychosocial support.
该研究的目的是确定儿童期和青少年期精神分裂症患者的智力水平。值得注意的是,格鲁吉亚尚未开展过此类研究。研究共检查了250名45岁以下的精神分裂症患者,这些患者在18岁之前发病,且正在一家精神病机构接受治疗。该研究从年龄、性别、发病年龄及其类型、诊断和教育等角度分析了所获得的关于智力水平的数据。研究结果发现,病前较高的智力水平有助于对抗疾病症状、增强动机、降低对所采用药物及其他治疗方法的抵抗性、增强与专家合作的意愿,这有助于维持功能水平,包括接受教育的意愿。未发现疾病类型(阴性或阳性症状)与智商(智力商数)之间存在关联。为维持精神分裂症患者的日常功能,在疾病发作时维持其智力能力非常重要,为此,除药物治疗外,还必须提供认知训练和心理社会支持。