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精神分裂症康复患者自我调节脑活动的增强

Reinforcement of Self-Regulated Brain Activity in Schizophrenia Patients Undergoing Rehabilitation.

作者信息

Markiewicz Renata, Dobrowolska Beata

机构信息

Psychiatric Nursing Department, Faculty of Health Sciences, Medical University of Lublin, 20-081 Lublin, Poland.

Department of Management in Nursing, Faculty of Health Sciences, Medical University of Lublin, 20-081 Lublin, Poland.

出版信息

Biomed Res Int. 2021 Mar 26;2021:8030485. doi: 10.1155/2021/8030485. eCollection 2021.

Abstract

The experiment was aimed to compare the effects of different forms of rehabilitation applied in patients with schizophrenia. Verification of the obtained results was based on the analysis of the level of cognitive and social functioning of the subjects. For this purpose, the following clinical tools were used: Positive and Negative Syndrome Scale (PANSS), Beck Cognitive Insight Scale (BCIS), Color Trial Test (CTT-1, CTT-2), d2 psychological tests, Acceptance of Illness Scale (AIS), Self-efficacy Scale (GSES), Quantitative Electroencephalogram Biofeedback (QEEG-BF), auditory event-related potentials (ERPs), and serum levels of brain-derived neurotrophic factor (BDNF). The subjects were mentally stable male schizophrenia patients who had been in remission. They were divided into two groups which received different types of rehabilitation for three months. Group 1 patients followed a standard rehabilitation and Group 2 patients received GSR Biofeedback () training. Pretherapy and posttherapy measurements were made for each group. Experimental rehabilitation based on GSR-BF training resulted in regulatory control of neurophysiological mechanisms, and the parameters obtained demonstrated improvement in the subjects' cognitive and social function. The following therapy outcomes were observed: (1) reduce psychopathological symptoms (2) improving cognitive (concentration, attention) and social functions (3) increase in the neurotrophic factor BDNF. GSR-BF can be used as an alternative to conventional rehabilitation in schizophrenia patients.

摘要

该实验旨在比较不同形式的康复治疗对精神分裂症患者的影响。对所得结果的验证基于对受试者认知和社会功能水平的分析。为此,使用了以下临床工具:阳性与阴性症状量表(PANSS)、贝克认知洞察量表(BCIS)、颜色试验测试(CTT - 1、CTT - 2)、d2心理测试、疾病接受量表(AIS)、自我效能量表(GSES)、定量脑电图生物反馈(QEEG - BF)、听觉事件相关电位(ERPs)以及脑源性神经营养因子(BDNF)的血清水平。受试者为病情缓解期的精神状态稳定的男性精神分裂症患者。他们被分为两组,接受为期三个月的不同类型的康复治疗。第1组患者接受标准康复治疗,第2组患者接受皮电生物反馈(GSR Biofeedback)训练。对每组患者在治疗前和治疗后进行测量。基于GSR - BF训练的实验性康复导致神经生理机制的调节控制,所获得的参数表明受试者的认知和社会功能有所改善。观察到以下治疗结果:(1)减轻精神病理症状;(2)改善认知(注意力、专注力)和社会功能;(3)增加神经营养因子BDNF。GSR - BF可作为精神分裂症患者传统康复治疗的替代方法。

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