Kim Sung-Jin, Jung Do-Un, Moon Jung-Joon, Jeon Dong-Wook, Seo Young-Soo, Jung Sung-Soo, Lee Yoo-Chul, Kim Jeong-Eun, Kim Yeon-Sue
Department of Psychiatry, Busan Paik Hospital, Inje University College of Medicine, Busan, Republic of Korea.
Department of Psychiatry, Sharing and Happiness Hospital, Busan, Republic of Korea.
Schizophr Res Cogn. 2020 Nov 19;23:100192. doi: 10.1016/j.scog.2020.100192. eCollection 2021 Mar.
We investigated the relationship between disability self-awareness and cognitive and daily living functions in 49 patients with schizophrenia. The World Health Organization Disability Assessment Schedule 2.0 (WHODAS) self-report was used to identify patient-rated global function. A clinician-rated measure of global function was obtained using the Personal and Social Performance Scale (PSP); disability self-awareness was calculated using two global function scores. The Positive and Negative Syndrome Scale (PANSS) and the Calgary Depression Scale for Schizophrenia (CDSS) were used to evaluate clinical symptoms, while the MATRICS consensus cognitive battery (MCCB) and the UCSD Performance-based Skills Assessment (UPSA) were applied to assess cognitive and daily living functionality, respectively. The WHODAS scores correlated significantly with the MCCB verbal learning, visual learning, and social cognition domains, and with the UPSA communication domain. The PSP correlated significantly with all MCCB and UPSA domains. Disability self-awareness demonstrated positive correlation with most domains of MCCB and UPSA. The findings of this study indicate that the lower the cognitive and daily living function in patients with schizophrenia, the more positively they perceive their own disability.
我们调查了49例精神分裂症患者的残疾自我认知与认知及日常生活功能之间的关系。使用世界卫生组织残疾评定量表2.0（WHODAS）自我报告来确定患者自评的整体功能。使用个人和社会功能量表（PSP）获得临床医生评定的整体功能测量值；使用两个整体功能评分来计算残疾自我认知。使用阳性和阴性症状量表（PANSS）和精神分裂症卡尔加里抑郁量表（CDSS）来评估临床症状，同时分别应用MATRICS共识认知成套测验（MCCB）和加州大学圣地亚哥分校基于表现的技能评估（UPSA）来评估认知和日常生活功能。WHODAS评分与MCCB的言语学习、视觉学习和社会认知领域以及UPSA的沟通领域显著相关。PSP与所有MCCB和UPSA领域显著相关。残疾自我认知与MCCB和UPSA的大多数领域呈正相关。本研究结果表明，精神分裂症患者的认知和日常生活功能越低，他们对自身残疾的认知就越积极。
