Silverstein S M, Schenkel L S, Valone C, Nuernberger S W
University Services Psychiatric Rehabilitation Program, Rochester Psychiatric Center, NY 14620, USA.
Psychiatr Q. 1998 Fall;69(3):169-91. doi: 10.1023/a:1022197109569.
Many patients with schizophrenia are characterized by cognitive deficits that limit their ability to benefit from psychiatric rehabilitation interventions. While this suggests that cognitive rehabilitation is important, more needs to be known about which cognitive deficits interfere with which aspects of outcome and functioning before effective interventions are developed. We report data on cognitive predictors of three types of outcome: acquisition and performance of skills in a skills training group; aspects of daily ward functioning; and ability to be discharged from a state hospital. Our data indicate that poorer outcomes in each of these areas are associated with different, but somewhat overlapping, profiles of cognitive deficits. These data are relevant for designing both ward-based and individualized interventions. Integrating traditional psychiatric rehabilitation approaches with targeted cognitive interventions is necessary to maximize the impact of psychiatric rehabilitation services on individuals with chronic schizophrenia.
许多精神分裂症患者具有认知缺陷，这限制了他们从精神康复干预中获益的能力。虽然这表明认知康复很重要，但在开发有效的干预措施之前，还需要更多地了解哪些认知缺陷会干扰结果和功能的哪些方面。我们报告了关于三种结果类型的认知预测因素的数据：技能培训组中技能的习得和表现；病房日常功能的各个方面；以及从州立医院出院的能力。我们的数据表明，这些领域中每个领域较差的结果都与不同但有些重叠的认知缺陷特征相关。这些数据对于设计基于病房的干预措施和个性化干预措施都具有相关性。将传统的精神康复方法与有针对性的认知干预措施相结合，对于最大限度地提高精神康复服务对慢性精神分裂症患者的影响是必要的。
