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Delusions Are Associated With Poor Cognitive Insight in Schizophrenia

机译：妄想与精神分裂症的认知能力差有关

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摘要

The purpose of the study was to investigate the relationship between the symptoms delusions and hallucinations measured by the Positive and Negative Syndrome Scale and cognitive insight as assessed with the Beck Cognitive Insight Scale (BCIS) in patients with schizophrenia. The BCIS is based on 2 subscales, self-reflectiveness and self-certainty, measuring objectivity, reflectiveness and openness to feedback, and mental flexibility. Overall cognitive insight was defined as the difference between self-reflectiveness and self-certainty. This cross-sectional study of 143 patients showed that the occurrence of delusions is associated with low self-reflectiveness and high self-certainty, reflecting low cognitive insight. Hallucinations in the absence of delusions were associated with high self-reflectiveness and low self-certainty, possibly reflecting more open-mindedness and higher cognitive insight. The present findings suggest that delusions are associated with low cognitive insight, whereas solitary hallucinations may be associated with high cognitive insight.
机译：这项研究的目的是调查通过阳性和阴性综合征量表测量的症状妄想与幻觉之间的关系，以及通过贝克认知洞察量表（BCIS）评估的精神分裂症患者的认知见解。 BCIS基于两个子量表，即自我反思和自我确定，衡量客观性，对反馈的反思性和开放性以及心理灵活性。总体认知见解被定义为自我反省与自我确定之间的差异。这项对143例患者的横断面研究表明，妄想的发生与低自反性和高自我确定性有关，反映出较低的认知洞察力。没有幻觉的幻觉与高自我反省和低自我确定性有关，可能反映出更加开放的思想和更高的认知能力。本研究结果表明，妄想与认知能力低下有关，而单独的幻觉可能与认知能力高下有关。

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  • 来源
    《Schizophrenia Bulletin》 |2010年第4期|p.830-835|共6页
  • 作者

    Ole A. Andreassen;

  • 作者单位

    Section of Psychosis Research, Building 49, Division of Psychiatry, Ulleval University Hospital, 0407 Oslo, Norway;

    tel: 47-22-11-84-41, fax: 47-22-11-78-48, e-mail:;

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