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中国重度抑郁症患者中通过THINC综合工具(THINC-it)评估的认知功能障碍与心理社会功能之间的关系

The Relationship Between Cognitive Dysfunction Through THINC-Integrated Tool (THINC-it) and Psychosocial Function in Chinese Patients With Major Depressive Disorder.

作者信息

Han Han, Hou Yanyan, Yao Shuqiao, Hu Shaohua, Zhou Qi, Yu Xin, McIntyre Roger S, Shi Chuan

机构信息

Beijing Huilongguan Hospital, Peking University Huilongguan Clinical Medical School, Beijing, China.

Peking University Sixth Hospital, Peking University Institute of Mental Health, Beijing, China.

出版信息

Front Psychiatry. 2021 Nov 23;12:763603. doi: 10.3389/fpsyt.2021.763603. eCollection 2021.

Abstract

Herein, we validate the psychometric properties of the Chinese version of the THINC-integrated tool (THINC-it) as a screening tool for cognitive deficits in patients with major depressive disorder. The primary aim of this study is to determine whether cognitive deficits as detected by the THINC-it tool in adults with major depressive disorder (MDD) are associated with workplace productivity and/or psychosocial function. Subjects aged 18-65 ( = 91) with MDD were evaluated and compared to age-, sex- and education- matched healthy controls ( = 95). Symptoms of cognitive dysfunction, workplace productivity, and psychosocial function were measured using the THINC-it tool, Hamilton Depression Scale (HAMD), Sheehan Disability Scale (SDS), The Work Productivity and Activity Impairment questionnaire- Specific Health Problem (WPAI-SHP). There were significant differences in THINC-it scores ( < 0.01), the average of HAMD total score ( < 0.01) and all aspects of SDS ( < 0.01) between two groups. There were significant differences in the four aspects of WPAI between the two groups in the employed status ( <0.01). THINC-it subjective cognition and SDS total score, SDS work/school, SDS social, SDS family showed significantly correlation ( ranging from 0.255 to 0.386, <0.01). SDS and THINC-it Objective cognition, THINC-it comprehensive cognition were no correlation between two groups. HAMD total score and SDS total score, SDS social, SDS family showed significantly correlation ( ranging.

摘要

在此,我们验证了THINC综合工具中文版(THINC-it)作为重度抑郁症患者认知缺陷筛查工具的心理测量特性。本研究的主要目的是确定THINC-it工具在成年重度抑郁症(MDD)患者中检测到的认知缺陷是否与工作场所生产力和/或心理社会功能相关。对年龄在18 - 65岁(n = 91)的MDD患者进行评估,并与年龄、性别和教育程度匹配的健康对照者(n = 95)进行比较。使用THINC-it工具、汉密尔顿抑郁量表(HAMD)、希恩残疾量表(SDS)、工作生产力和活动障碍问卷 - 特定健康问题(WPAI - SHP)来测量认知功能障碍症状、工作场所生产力和心理社会功能。两组之间在THINC-it评分(p < 0.01)、HAMD总分平均值(p < 0.01)和SDS的所有方面(p < 0.01)存在显著差异。在就业状态下,两组之间在WPAI的四个方面存在显著差异(p<0.01)。THINC-it主观认知与SDS总分、SDS工作/学校、SDS社交、SDS家庭呈显著相关性(范围从0.255至0.386,p < 0.01)。SDS与THINC-it客观认知、THINC-it综合认知在两组之间无相关性。HAMD总分与SDS总分、SDS社交、SDS家庭呈显著相关性(范围......

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