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精神分裂症与精神分裂症-强迫症患者的临床和神经心理学特征比较。

Comparative Clinical and Neuropsychological Characteristics in Schizophrenia and Schizophrenia-Obsessive-Compulsive Disorder Patients.

机构信息

Departments of Health and Developmental Psychology.

出版信息

J Nerv Ment Dis. 2021 Aug 1;209(8):552-557. doi: 10.1097/NMD.0000000000001337.

Abstract

The present study aimed to compare neuropsychological characteristics of patients with schizophrenia and patients with schizophrenia-obsessive-compulsive disorder (OCD). A total of 78 patients were included in the study, with 32 patients diagnosed with schizophrenia and 46 patients diagnosed with schizophrenia-OCD according to the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition criteria. Two groups of the patients were compared with each other in terms of demographic data, psychotic symptoms, and clinical and neuropsychological characteristics. In this study, the schizophrenia-OCD relationship was seen at a higher rate in male patients, and this group has worse clinical features. In addition, there was no significant difference among sociodemographics, clinical characteristics, and social and neuropsychological functionality between the two groups. According to our results, patients with schizophrenia-OCD experience more depression and anxiety that are related to poorer quality of life. Longitudinal and more homogeneous patient groups are needed for further studies to reveal whether schizophrenia accompanied by OCD is a comorbidity, a subtype of schizophrenia, or a different disorder.

摘要

本研究旨在比较精神分裂症患者和精神分裂症-强迫症(OCD)患者的神经心理学特征。共有 78 名患者纳入研究,根据《精神障碍诊断与统计手册》第 4 版标准,32 名患者被诊断为精神分裂症,46 名患者被诊断为精神分裂症-OCD。两组患者在人口统计学数据、精神病症状以及临床和神经心理学特征方面进行了比较。在这项研究中,男性患者中精神分裂症-OCD 关系的发生率更高,且该组患者具有更差的临床特征。此外,两组患者在社会人口统计学特征、临床特征和社会及神经心理学功能方面无显著差异。根据我们的结果,精神分裂症-OCD 患者经历更多与生活质量较差相关的抑郁和焦虑。需要进一步的纵向和更同质的患者群体研究来揭示伴有 OCD 的精神分裂症是否是一种共病、精神分裂症的一种亚型还是一种不同的障碍。

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