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Insight, Neurocognition, and Schizophrenia: Predictive Value of the Wisconsin Card Sorting Test

机译：洞察力，神经认知和精神分裂症：威斯康星卡片分类测试的预测价值

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Lack of insight in schizophrenia is a key feature of the illness and is associated with both positive and negative clinical outcomes. Previous research supports that neurocognitive dysfunction is related to lack of insight, but studies have not examined how neurocognition relates to change in insight over time. Therefore, the current study sought to understand how performance on the Wisconsin Card Sorting Test (WCST) differed between participants with varying degrees of change in insight over a 6-month period. Fifty-two patients with schizophrenia or schizoaffective disorder were administered the WCST and Positive and Negative Syndrome Scale (PANSS) at baseline, and the PANSS was again administered at a 6-month follow-up assessment. Results indicated that while neurocognition was related to insight at baseline, it was not related to subsequent change in insight. The implications of findings for conceptualization and assessment of insight are discussed.
机译：精神分裂症缺乏见识是该疾病的关键特征，并与阳性和阴性临床结果相关。先前的研究支持神经认知功能障碍与缺乏洞察力有关，但研究并未检查神经认知与随着时间的推移洞察力变化之间的关系。因此，当前的研究试图了解威斯康星卡片分类测试（WCST）的性能如何在6个月内不同见解程度的参与者之间有所不同。在基线时对52例精神分裂症或精神分裂症患者进行WCST和阳性和阴性综合征量表（PANSS），并在6个月的随访评估中再次给予PANSS。结果表明，虽然神经认知与基线时的洞察力有关，但与随后的洞察力变化无关。讨论了发现对概念化和见解评估的意义。

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