Ito M, Kanno M, Mori Y, Niwa S
Department of Neuropsychiatry, Fukushima Medical College, Japan.
Schizophr Res. 1997 Feb 28;23(3):205-11. doi: 10.1016/s0920-9964(96)00108-9.
To examine whether attention deficits in the Continuous Performance Test (CPT) and in the Span of Apprehension Test (SPAN) are observed in Japanese schizophrenics, 49 chronic medicated schizophrenics and 43 normal controls were administered the UCLA version of CPT and SPAN. To investigate whether each measure of the CPT and the SPAN is independently correlated to symptoms, a hierarchical multiple regression was conducted with the attentional measures and age as independent variables and with the conceptual disorganization scores on the Brief Psychiatric Rating Scale (BPRS) as a dependent variable in schizophrenic subjects. Decreased performance on the CPT and SPAN measures was observed in the Japanese patients. This indicates that the CPT and the SPAN can detect the attention deficits of schizophrenics in Japan as well as Europe and the US. The SPAN scores in the present study were lower than in previous studies. This may be due to a lower level of familiarity of Japanese subjects with the Roman alphabet. Each measure of the CPT and the SPAN was significantly correlated with the conceptual disorganization scores after controlling for the other measure and age. We concluded that each deficit in sustained attention and processing capacity was independently related to formal thought disorder in schizophrenia.
为了检验日本精神分裂症患者是否存在连续性能测试(CPT)和领悟广度测试(SPAN)中的注意力缺陷,对49名慢性服药的精神分裂症患者和43名正常对照者进行了加州大学洛杉矶分校版本的CPT和SPAN测试。为了研究CPT和SPAN的各项指标是否与症状独立相关,对精神分裂症患者进行了分层多元回归分析,将注意力指标和年龄作为自变量,将简明精神病评定量表(BPRS)上的概念紊乱得分作为因变量。在日本患者中观察到CPT和SPAN测试的表现下降。这表明CPT和SPAN能够检测出日本精神分裂症患者以及欧美精神分裂症患者的注意力缺陷。本研究中的SPAN得分低于先前研究。这可能是由于日本受试者对罗马字母的熟悉程度较低。在控制了另一项指标和年龄后,CPT和SPAN的各项指标均与概念紊乱得分显著相关。我们得出结论,精神分裂症患者持续注意力和处理能力的每一项缺陷都与形式思维障碍独立相关。