Peralta Martín V, Cuesta Zorita M J
Unidad de Psiquiatria, Hospital Virgen del Camino, Pamplona.
Actas Luso Esp Neurol Psiquiatr Cienc Afines. 1993 Jan-Feb;21(1):14-20.
The current status of the subjective cognitive disorders (SCD) in schizophrenia is examined Hypothetically, SCD are ascribed to impairments of information processing, however studies on the relationship between SCD and information processing are scarce and contradictory. The psychometric properties of most SCD' scales are not enough studied, but they seem to have a high interrater reliability, internal consistency and concurrent validity. The number of SCD is related to female sex, and inversely to educative level and the lack of insight into illness. In the acute stage of illness, the SCD are associated to positive symptoms and they can then reflect the process activity of the schizophrenia. In the remission stage of illness, the SCD are related to negative symptoms and they are the subjective experience of the psychological deficit. A theory of the SCD in the framework of the vulnerability/stress model of schizophrenia is proposed.
本文考察了精神分裂症主观认知障碍（SCD）的现状。假设SCD归因于信息处理受损，然而关于SCD与信息处理之间关系的研究却很少且相互矛盾。大多数SCD量表的心理测量特性研究不足，但它们似乎具有较高的评分者间信度、内部一致性和同时效度。SCD的数量与女性性别有关，与教育水平和对疾病缺乏洞察力呈负相关。在疾病急性期，SCD与阳性症状相关，进而可反映精神分裂症的病程活动。在疾病缓解期，SCD与阴性症状相关，是心理缺陷的主观体验。本文提出了一个基于精神分裂症易感性/应激模型框架的SCD理论。
