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老年精神分裂症门诊患者的领悟缺陷范围

Span of apprehension deficits in older outpatients with schizophrenia.

作者信息

Granholm E, Asarnow R F, Verney S P, Nelson P, Jeste D V

机构信息

Department of Psychiatry, University of California, San Diego, USA.

出版信息

Schizophr Res. 1996 May;20(1-2):51-6. doi: 10.1016/0920-9964(95)00106-9.

Abstract

Performance on the span of apprehension task, a well-studied information processing task in schizophrenia research, was examined in 11 schizophrenia patients and 11 normal comparison participants, all over the age of 45 years. Subjects detected "T' and "F' targets in briefly-flashed arrays of 1, 6, and 12 letters on the span task. Consistent with previously reported findings in younger schizophrenia patients, the older patients detected significantly fewer targets in the larger (12-letter), but not smaller (1-, or 6-letter), arrays. The older schizophrenia patients also showed significantly slower reaction times in all array-size conditions. Neither age of onset nor duration of illness was significantly correlated with span task performance. The characteristic span of apprehension task deficit found in the older schizophrenia patients suggests that late-life schizophrenia shares a common cognitive impairment with childhood and young adulthood schizophrenia, and provides supportive evidence for a possible stable vulnerability trait deficit in schizophrenia that is independent of age of onset and duration of illness.

摘要

在一项针对11名精神分裂症患者和11名正常对照参与者(均年龄超过45岁)的研究中,对精神分裂症研究中一项经过充分研究的信息处理任务——理解广度任务的表现进行了检查。在跨度任务中,受试者要在短暂闪现的由1个、6个和12个字母组成的阵列中检测“T”和“F”目标。与之前关于年轻精神分裂症患者的研究结果一致,年龄较大的患者在较大(12个字母)而非较小(1个或6个字母)的阵列中检测到的目标明显更少。年龄较大的精神分裂症患者在所有阵列大小条件下的反应时间也明显更慢。发病年龄和病程均与跨度任务表现无显著相关性。在年龄较大的精神分裂症患者中发现的特征性理解广度任务缺陷表明,老年期精神分裂症与儿童期和青年期精神分裂症存在共同的认知障碍,并为精神分裂症中可能存在的独立于发病年龄和病程的稳定易损特质缺陷提供了支持性证据。

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