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基于心理干预的精神分裂症患者代谢综合征分析及认知功能分析。

Analysis of metabolic syndrome and cognitive functional analysis in schizophrenic patients based on psychological intervention.

机构信息

Huangpu Mental Health Center, Shanghai, China.

Xuhui Mental Health Center, Shanghai, China.

出版信息

Prev Med. 2023 Aug;173:107586. doi: 10.1016/j.ypmed.2023.107586. Epub 2023 Jun 22.

Abstract

In this paper, we explore the characteristics of cognitive dysfunction in patients with schizophrenia complicated with metabolic syndrome (MS), and to explore the effects of psychological intervention on MS and cognitive function changes in patients with schizophrenia, and to provide theoretical basis for early intervention of MS. 159 patients with schizophrenia were retrospectively analyzed and divided into 2 groups according to whether they were accompanied by MS. (41 cases), the second group was not MS. (118 cases). Results shows PANSS total score as (53.72 ± 5.03), positive symptom score (12.39 ± 2.68), negative symptom score (14.94 ± 3.27), general pathological score (26.27 ± 3.63). In MS group,Verbal fluency (16.69 ± 1.27), symbol coding (30.46 ± 2.55), number sequence (15.21 ± 1.84), spatial span (10.14 ± 0.68), continuous operation (16.72 ± 1.34), verbal memory (16.72 ± 1.34), and visual memory (14.24 ± 1.26), all indicators were significantly lower than those of non-MS group. The cognitive impairment of schizophrenia patients with multiple sclerosis is more severe than that of schizophrenia patients without multiple sclerosis. Increasing psychological intervention can effectively improve the therapeutic effect and cognitive function of schizophrenia patients. Early identification and intervention of MS in the clinical treatment of schizophrenia is particularly important.

摘要

本文探讨了伴有代谢综合征(MS)的精神分裂症患者认知功能障碍的特点,探讨了心理干预对精神分裂症患者 MS 及认知功能变化的影响,为 MS 的早期干预提供理论依据。回顾性分析 159 例精神分裂症患者,根据是否伴有 MS 分为 2 组,MS 组 41 例,非 MS 组 118 例。结果显示,PANSS 总分(53.72±5.03),阳性症状评分(12.39±2.68),阴性症状评分(14.94±3.27),一般病理评分(26.27±3.63)。MS 组言语流畅性(16.69±1.27)、符号编码(30.46±2.55)、数字序列(15.21±1.84)、空间跨度(10.14±0.68)、连续操作(16.72±1.34)、言语记忆(16.72±1.34)和视觉记忆(14.24±1.26)均明显低于非 MS 组。伴有 MS 的精神分裂症患者认知损害较不伴有 MS 的精神分裂症患者更严重。增加心理干预能有效提高精神分裂症患者的疗效和认知功能。在精神分裂症的临床治疗中,早期识别和干预 MS 尤为重要。

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