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精神分裂症患者的过度纳入、广泛扫描和图像识别

Overinclusion, broad scanning, and picture recognition in schizophrenics.

作者信息

Knight R A, Sims-Knight J E, Petchers-Cassell M

出版信息

J Clin Psychol. 1977 Jul;33(3):635-42. doi: 10.1002/1097-4679(197707)33:3<635::aid-jclp2270330307>3.0.co;2-r.

Abstract

Difficulty of picture and word recognition was manipulated to test the hypothesis that schizophrenics have adequate recognition memories and to determine whether overinclusion is related to a good visual recognition memory. Good and poor premorbid, acute and chronic schizophrenics were compared to nonpsychotic psychiatric patients and to hospital aides. Both Payne's Object Classification Test and Goldstein-Scheerer's Object Sorting Test were given to all the patients, but only the former differentiated among the diagnostic subgroups and was related to good picture memory. When the measures of overinclusion, chronicity, premorbidity and intelligence were used as independent variables in a multiple regression, only Payne NonA predicted success on the picture task. Good premorbid schizophrenics recognized pictures as well as normals and nonpsychotics, but poor premorbids' picture memory was significantly worse. No experimental variable predicted word performance in a multiple regression, and good premorbids did not differ from poor premorbids on their word recognition. The authors favored the interpretation that the pattern of performance of overinclusive schizophrenics reflects their tendency to scan broadly both important and unimportant features of stimuli.

摘要

通过操纵图片和文字识别的难度来检验精神分裂症患者具有足够的识别记忆这一假设,并确定过度包容性是否与良好的视觉识别记忆相关。将病前状态良好和不佳的急性及慢性精神分裂症患者与非精神病性精神科患者及医院护工进行比较。所有患者均接受了佩恩物体分类测验和戈尔茨坦 - 谢勒物体分类测验,但只有前者能区分不同诊断亚组,且与良好的图片记忆相关。当将过度包容性、慢性病程、病前状态和智力的测量值作为多元回归中的自变量时,只有佩恩非A类预测了图片任务的成功。病前状态良好的精神分裂症患者识别图片的能力与正常人及非精神病患者一样,但病前状态不佳者的图片记忆明显更差。在多元回归中,没有实验变量能预测文字表现,病前状态良好者和病前状态不佳者在文字识别方面没有差异。作者倾向于这样的解释,即过度包容性精神分裂症患者的表现模式反映了他们广泛扫描刺激重要和不重要特征的倾向。

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