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首页> 外文期刊>The International journal of social psychiatry >Psychosocial support and cognitive deficits in adults with schizophrenia
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Psychosocial support and cognitive deficits in adults with schizophrenia

机译：精神分裂症成人的社会心理支持和认知缺陷

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Background: In recent decades there has been an increasing interest in cognitive deficits in schizophrenia. However, only a few studies have examined the impact of psychosocial support on the prevention of cognitive deterioration in patients who suffer from schizophrenia. Aim: The aims of the present study are: (1) to confirm the presence of cognitive deficits among patients with schizophrenia; (2) to explore any correlations between such deficits and a range of clinical and/or demographic characteristics of the patients; and (3) to investigate any association between cognitive deficits and psychosocial support. Method: A total of 118 patients with schizophrenia (the patient group) and 102 healthy volunteers (the control group) had a cognitive assessment using a battery of neuropsychological tests. The patients were allocated to one of the following groups: (1) patients under routine outpatient follow-up; or (2) patients receiving or having recently received intensive psychosocial support, in addition to follow-up. This included daily participation in vocational and recreational activities provided by dedicated mental health day centers. The findings of the neuropsychological testing of individuals in all groups were compared, after controlling for clinical or demographic factors. Results: The scores in the neuropsychological tests were lower overall in the patients group compared to healthy volunteers. Within the patients group, those receiving/having received psychosocial support had higher scores compared to those on routine follow-up alone. There were no significant differences between patients currently receiving psychosocial support and those having received it in the past. Lower education, age and illness duration (but not severity of positive or negative symptoms) were factors associated with lower test scores. Conclusions: The study provides some evidence that psychosocial support may be beneficial for the cognitive functioning of patients with schizophrenia and this benefit may be a lasting one.
机译：背景：最近几十年来，人们对精神分裂症的认知缺陷越来越感兴趣。但是，只有少数研究检查了心理社会支持对预防精神分裂症患者认知退化的影响。目的：本研究的目的是：（1）确认精神分裂症患者是否存在认知缺陷; （2）探讨这种缺陷与患者的一系列临床和/或人口统计学特征之间的任何相关性; （3）调查认知缺陷与社会心理支持之间的任何关联。方法：总共118例精神分裂症患者（患者组）和102名健康志愿者（对照组）通过一系列神经心理学测试进行了认知评估。将患者分为以下一组：（1）常规门诊随访的患者; （2）除随访外，接受或近期接受过强烈社会心理支持的患者。这包括每天参加专门的精神卫生日间中心提供的职业和娱乐活动。在控制了临床或人口统计学因素之后，比较了所有组中个体的神经心理学测试结果。结果：与健康志愿者相比，患者组的神经心理学测试得分总体较低。在患者组中，与仅接受常规随访的患者相比，接受/接受过心理社会支持的患者得分更高。当前接受社会心理支持的患者与过去接受心理社会支持的患者之间没有显着差异。较低的教育程度，年龄和疾病持续时间（但不是阳性或阴性症状的严重程度）是与较低考试成绩相关的因素。结论：该研究提供了一些证据，表明心理支持对精神分裂症患者的认知功能可能有益，并且这种益处可能是持久的。

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