Takeda Tomoya, Nakataki Masahito, Umehara Hidehiro, Numata Shusuke
Department of Psychiatry, Graduate School of Biomedical Sciences, Tokushima University, Japan.
Schizophr Res Cogn. 2023 Dec 2;35:100298. doi: 10.1016/j.scog.2023.100298. eCollection 2024 Mar.
This study investigated the relationships between negative and positive automatic thoughts and clinical variables in patients with schizophrenia. The participants included 36 patients with schizophrenia (male = 16; female = 20; age = 42.86 ± 9.40) who were outpatients in the Department of Psychiatry at Tokushima University Hospital. We used the Automatic Thoughts Questionnaire-Revised (ATQ-R), Positive and Negative Syndrome Scale (PANSS), Calgary Depression Scale for Schizophrenia (CDSS), and Brief Assessment of Cognition in Schizophrenia (BACS) to assess negative and positive automatic thoughts, positive and negative symptoms, depressive symptoms, and neurocognition, respectively. Spearman rank correlation coefficients were calculated to determine the relationships between negative and positive automatic thoughts and clinical variables. No relationship was observed between negative and positive automatic thoughts. Negative automatic thoughts were related to depressive symptoms. Positive automatic thoughts were related to neurocognition. We therefore surmise that each automatic thought might have different clinical features and outcomes, and should therefore be treated accordingly.
本研究调查了精神分裂症患者消极和积极自动思维与临床变量之间的关系。参与者包括36例精神分裂症患者（男性16例；女性20例；年龄42.86±9.40），他们是德岛大学医院精神科的门诊患者。我们使用修订后的自动思维问卷（ATQ-R）、阳性和阴性症状量表（PANSS）、精神分裂症卡尔加里抑郁量表（CDSS）以及精神分裂症认知简短评估量表（BACS）分别评估消极和积极自动思维、阳性和阴性症状、抑郁症状以及神经认知。计算斯皮尔曼等级相关系数以确定消极和积极自动思维与临床变量之间的关系。未观察到消极和积极自动思维之间存在关联。消极自动思维与抑郁症状相关。积极自动思维与神经认知相关。因此，我们推测每种自动思维可能具有不同的临床特征和结果，因此应相应地进行治疗。
