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精神分裂症中的认知自我效能：问卷编制及其与社会功能的关系。

Cognitive self-efficacy in schizophrenia: Questionnaire construction and its relation with social functioning.

作者信息

Santosh Shivani, Kundu Partha S

机构信息

Department of Applied Psychology, The Neotia University, Diamond Harbour, West Bengal, India.

Department of Psychiatry, IPGMER and SSKM Hospital, Kolkata, West Bengal, India.

出版信息

Ind Psychiatry J. 2023 Jan-Jun;32(1):71-77. doi: 10.4103/ipj.ipj_263_21. Epub 2023 Feb 8.

DOI:10.4103/ipj.ipj_263_21
PMID:37274571
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10236676/
Abstract

BACKGROUND

Social functioning or social adjustment is a general term used to refer to the ability of individuals to meet socially defined roles such as homemaker, worker, student, spouse, family member, or friend. In schizophrenia, the patient's social functioning is impaired. Social functioning tends to worsen due to impairment in cognitive functions, and it is a primary target for various rehabilitation programs for schizophrenia. In cognitive remediation therapies, much attention is paid to cognitive skill development rather than cognitive self-efficacy, possibly due to a dearth of systematic studies in this area. The objective of the current study was to explore cognitive self-efficacy in association with verbal working memory and demographic variables as predictors of social functioning.

MATERIALS AND METHODS

The research was classified into two studies: Phase-I dealt with construction of a questionnaire measuring cognitive self-efficacy (CSE). Psychometric properties of the questionnaire were tested on 100 patients with schizophrenia. In phase II, 150 patients diagnosed with schizophrenia according to ICD-10 were taken from the department of psychiatry of different postgraduate hospitals in Kolkata. CSE questionnaire, positive and negative symptoms scale for schizophrenia (PANSS), Schizophrenia Research Foundation (SCARF) India-Social Functioning Index (SCARF-SFI), and backward digit span test were administered.

RESULTS

Linear regression analysis showed that CSE was a strong predictor in predicting social functioning.

CONCLUSION

Cognitive Self-efficacy questionnaire was developed and validated.

摘要

背景

社会功能或社会适应是一个通用术语，用于指代个体履行社会定义角色的能力，如家庭主妇、工人、学生、配偶、家庭成员或朋友。在精神分裂症中，患者的社会功能受损。由于认知功能受损，社会功能往往会恶化，并且它是精神分裂症各种康复项目的主要目标。在认知康复治疗中，人们更多地关注认知技能的发展而非认知自我效能，这可能是由于该领域缺乏系统研究。本研究的目的是探讨与言语工作记忆及人口统计学变量相关的认知自我效能作为社会功能的预测因素。

材料与方法

该研究分为两项研究：第一阶段涉及编制一份测量认知自我效能（CSE）的问卷。在100名精神分裂症患者身上测试了该问卷的心理测量特性。在第二阶段，从加尔各答不同研究生医院的精神科选取了150名根据ICD - 10诊断为精神分裂症的患者。发放了CSE问卷、精神分裂症阳性和阴性症状量表（PANSS）、印度精神分裂症研究基金会（SCARF）社会功能指数（SCARF - SFI）以及倒背数字广度测试。

结果

线性回归分析表明，CSE是预测社会功能的一个强有力的预测因素。

结论

开发并验证了认知自我效能量表。