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阴性症状和神经认知对重度抑郁症和精神分裂症功能的影响。

The Impact of Negative Symptoms and Neurocognition on Functioning in MDD and Schizophrenia.

作者信息

Quek Yue Feng, Yang Zixu, Dauwels Justin, Lee Jimmy

机构信息

Research Division, Institute of Mental Health, Singapore, Singapore.

School of Electrical and Electronic Engineering, Nanyang Technological University, Singapore, Singapore.

出版信息

Front Psychiatry. 2021 Jul 26;12:648108. doi: 10.3389/fpsyt.2021.648108. eCollection 2021.

Abstract

Negative symptoms, neurocognitive deficits and functional impairment are prevalent in individuals with major depressive disorder (MDD) and schizophrenia (SCZ). However, unlike neurocognitive deficits, little is known about the role of negative symptoms toward functioning in individuals with MDD. On the other hand, both factors are well-studied in individuals with SCZ. Thus, this study aimed to examine the contributions of negative symptoms and neurocognitive impairments in functioning in individuals with MDD, compared to individuals with SCZ. Participants included 50 individuals with MDD, 49 individuals with SCZ and 49 healthy controls. The following measures were administered-Negative Symptom Assessment (NSA-16), Brief Assessment of Cognition in Schizophrenia (BACS), Patient Health Questionnaire (PHQ-9), and MIRECC-Global Assessment of Functioning (MIRECC-GAF) to evaluate negative symptoms, neurocognition, depressive symptoms, and functioning respectively. Both MDD and SCZ groups had significantly more severe negative symptoms, depressive symptoms, and poorer functioning than healthy controls. Individuals with SCZ performed significantly poorer on the BACS than the other two groups. Both negative symptoms and neurocognition were significantly correlated with social and occupational functioning in SCZ. Motivation subdomain of the negative symptoms was significantly correlated with occupational functioning, while depressive symptoms correlated with functioning in MDD. Both negative symptoms and neurocognitive deficits appear to play differential roles on individual domains of functioning between MDD and SCZ. Future longitudinal studies with larger sample sizes should be done for a better understanding about the associations between the factors and functioning.

摘要

阴性症状、神经认知缺陷和功能损害在重度抑郁症(MDD)和精神分裂症(SCZ)患者中普遍存在。然而,与神经认知缺陷不同,关于阴性症状对MDD患者功能的作用知之甚少。另一方面,这两个因素在SCZ患者中都得到了充分研究。因此,本研究旨在探讨与SCZ患者相比,阴性症状和神经认知障碍对MDD患者功能的影响。参与者包括50名MDD患者、49名SCZ患者和49名健康对照者。采用以下测量工具——阴性症状评估(NSA-16)、精神分裂症认知简短评估(BACS)、患者健康问卷(PHQ-9)和MIRECC全球功能评估(MIRECC-GAF),分别评估阴性症状、神经认知、抑郁症状和功能。MDD组和SCZ组的阴性症状、抑郁症状均明显比健康对照者严重,功能也更差。SCZ患者在BACS上的表现明显比其他两组差。在SCZ患者中,阴性症状和神经认知与社会和职业功能均显著相关。阴性症状的动机子领域与职业功能显著相关,而抑郁症状与MDD患者的功能相关。阴性症状和神经认知缺陷在MDD和SCZ患者功能的各个领域似乎发挥着不同的作用。未来应开展更大样本量的纵向研究,以更好地了解这些因素与功能之间的关联。

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