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精神分裂症患者生活技能的预测因素。

Predictors of life skills in people with schizophrenia.

机构信息

Department of Psychiatry, Graduate School of Biomedical Sciences, Tokushima University, Tokushima, Japan.

Department of Mental Health, Graduate School of Biomedical Sciences, Tokushima University, Tokushima, Japan.

出版信息

J Med Invest. 2020;67(1.2):75-82. doi: 10.2152/jmi.67.75.

Abstract

Objective : The purpose of the present study is to examine clinical factors related to life skills in people with schizophrenia. Method : The participants were 51 stabilized outpatients with schizophrenia. Their mean age was 38.91 (SD = 10.73) years. Life skills were assessed using the Life skills profile (LSP). Cognitive function was evaluated with the Measurement and Treatment Research to Improve Cognition in Schizophrenia Consensus Cognitive Battery (MCCB). Clinical symptoms were assessed using the Positive and Negative Syndrome scale (PANSS), the Calgary Depression Scale for Schizophrenia (CDSS) and the Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS). Results : Cognitive function was not correlated with the LSP scores at all. Among clinical symptoms, scores of the PANSS positive and negative syndrome scales, the CDSS, and the DIEPSS had negative correlations with the LSP total score and the subscales. Stepwise regression analyses showed that the CDSS and PANSS negative syndrome scale scores were independent predictors of the LSP total score and two of the subscales. Conclusions : These results indicate that cognitive function is not associated with life skills but clinical symptoms such as depressive and negative symptoms have considerable impacts on life skills in people with schizophrenia. J. Med. Invest. 67 : 75-82, February, 2020.

摘要

目的

本研究旨在探讨与精神分裂症患者生活技能相关的临床因素。方法:参与者为 51 名病情稳定的门诊精神分裂症患者。他们的平均年龄为 38.91(SD=10.73)岁。使用生活技能概况(LSP)评估生活技能。认知功能采用精神分裂症共识认知电池(MCCB)的测量和治疗研究来改善认知进行评估。采用阳性和阴性症状量表(PANSS)、精神分裂症卡尔加里抑郁量表(CDSS)和药物诱导的锥体外系症状量表(DIEPSS)评估临床症状。结果:认知功能与 LSP 评分没有相关性。在临床症状中,PANSS 阳性和阴性症状量表、CDSS 和 DIEPSS 的评分与 LSP 总分及各分量表呈负相关。逐步回归分析显示,CDSS 和 PANSS 阴性症状量表评分是 LSP 总分和两个分量表的独立预测因子。结论:这些结果表明,认知功能与生活技能无关,但抑郁和阴性症状等临床症状对精神分裂症患者的生活技能有相当大的影响。J. Med. Invest. 67:75-82, 2020.

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