Corrigan P W, Toomey R
University of Chicago Center for Psychiatric Rehabilitation, Tinley Park, IL 60477, USA.
Schizophr Bull. 1995;21(3):395-403. doi: 10.1093/schbul/21.3.395.
Cognitive models of interpersonal problem solving have been proposed for, but infrequently tested on, samples of schizophrenia subjects. This study undertook to examine the relationships between the receiving, processing, and sending skills that comprise one model of interpersonal problem solving with information processing and social cue perception. Twenty-six patients with a DSM-III-R diagnosis of schizophrenia or schizoaffective disorder completed measures of interpersonal problem solving, social cue perception, visual vigilance, verbal memory, conceptual flexibility, and psychiatric symptoms. Significant and robust relationships were found between sensitivity to social cues and receiving, processing, and sending skills. Only recognition and recall memory, of the various other information-processing measures, were found to be related to any of the three problem-solving skills. Associations between problem solving and cognitive deficits did not seem to be attributable to psychiatric symptoms. Implications of these findings for understanding and remediating the problem-solving deficits of schizophrenia patients are discussed.
针对精神分裂症患者样本,已提出人际问题解决的认知模型,但对其进行测试的情况却很少见。本研究旨在检验构成人际问题解决模型的接收、处理和发送技能与信息处理及社会线索感知之间的关系。26名被诊断为精神分裂症或分裂情感性障碍的DSM-III-R患者完成了人际问题解决、社会线索感知、视觉警觉、言语记忆、概念灵活性和精神症状的测量。研究发现,对社会线索的敏感性与接收、处理和发送技能之间存在显著且稳固的关系。在各种其他信息处理测量中,只有识别和回忆记忆与三种问题解决技能中的任何一种有关。问题解决与认知缺陷之间的关联似乎并非由精神症状所致。本文讨论了这些发现对理解和纠正精神分裂症患者问题解决缺陷的意义。