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首发未用药精神分裂症患者认知缺陷与临床特征之间的关联

The Association Between Cognitive Deficits and Clinical Characteristic in First-Episode Drug Naïve Patients With Schizophrenia.

作者信息

Peng Xing-Jie, Hei Gang-Rui, Yang Ye, Liu Chen-Chen, Xiao Jing-Mei, Long Yu-Jun, Huang Jing, Zhao Jing-Ping, Wu Ren-Rong

机构信息

Mental Health Institute of the Second Xiangya Hospital, Central South University, Changsha, China.

China National Clinical Research Center on Mental Disorders, Changsha, China.

出版信息

Front Psychiatry. 2021 Feb 25;12:638773. doi: 10.3389/fpsyt.2021.638773. eCollection 2021.

Abstract

Schizophrenia is a severe mental disease which characterized by positive symptom, negative symptom, general pathology syndrome and cognitive deficits. In recent years, many studies have investigated the relationship between cognitive deficits and clinical characteristics in schizophrenia, but relatively few studies have been performed on first-episode drug-naïve patients. Eighty seven first-episode drug-naïve schizophrenia patients were assessed for positive symptom, negative symptom, general pathology symptom and cognitive deficits from the Positive and Negative Symptom Scale and MATRICS Consensus Cognitive Battery. Psychotics depression were assessed using the Calgary depressing scale for schizophrenia. The relationship between clinical characteristics and cognitive deficits were assessed using correlation analysis and linear regression analysis. The prevalence of cognitive deficits among the patients in our study was 85.1% (74/87) which was much higher than that in the general population. According to correlation analysis, negative symptom was negatively correlated with speed of processing and social cognition, and general pathology showed a negative correlation with attention/vigilance. In addition, a positive correlation was found between age and speed of processing. No correlation was found between cognitive deficits and positive symptom. This study confirmed that negative symptom is negatively related with some domains of cognitive function in first-episode drug naïve schizophrenia patients. NCT03451734. Registered March 2, 2018 (retrospectively registered).

摘要

精神分裂症是一种严重的精神疾病,其特征为阳性症状、阴性症状、一般病理综合征和认知缺陷。近年来,许多研究调查了精神分裂症患者认知缺陷与临床特征之间的关系,但针对首发未用药患者的研究相对较少。对87例首发未用药的精神分裂症患者进行了阳性与阴性症状量表及MATRICS共识认知成套测验评估,以测定其阳性症状、阴性症状、一般病理症状和认知缺陷。使用卡尔加里精神分裂症抑郁量表评估精神病性抑郁。采用相关分析和线性回归分析评估临床特征与认知缺陷之间的关系。本研究中患者认知缺陷的患病率为85.1%(74/87),远高于普通人群。相关分析显示,阴性症状与加工速度和社会认知呈负相关,一般病理症状与注意力/警觉性呈负相关。此外,年龄与加工速度呈正相关。未发现认知缺陷与阳性症状之间存在相关性。本研究证实,首发未用药的精神分裂症患者的阴性症状与认知功能的某些领域呈负相关。NCT03451734。于2018年3月2日注册(追溯注册)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cba0/7950319/83f1e4006c77/fpsyt-12-638773-g0001.jpg

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