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首页> 外文期刊>Nordic journal of psychiatry. >Neurocognitive functioning and outcome of the Illness Management and Recovery Program for clients with schizophrenia and schizoaffective disorder
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Neurocognitive functioning and outcome of the Illness Management and Recovery Program for clients with schizophrenia and schizoaffective disorder

机译：精神分裂症和精神分裂症患者的神经认知功能和疾病管理和恢复计划的结果

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The relationship between psychosocial programming and neurocognition has been established in previous research, but has not been explored in the context of the Illness Management and Recovery Program (IMR). This study examined associations between neurocognition and illness self-management skills acquisition, based on two previous trials of IMR. Neurocognitive functioning was assessed at baseline and post-treatment in 53 participants with schizophrenia or schizoaffective disorder who completed the IMR. Illness self-management was measured by the client and clinician versions of the Illness Management and Recovery Scale. Statistical analyses investigated improvements in neurocognitive functioning and possible association between illness self-management skills acquisition and neurocognitive functioning. Speed of processing as measured by the Trail Making Test A, was related to client-reported acquisition of illness self-management skills, before and after controlling for psychiatric symptoms and medication, but did not predict improvement in clinician ratings of client illness self-management skills. However, when controlling for client session attendance rates, the association between speed of processing and client-reported illness self-management skills acquisition ceased to be statistically significant, which suggests that compromised neurocognitive functioning does not reduce response to training in illness self-management in itself. The association between the frequency of attended IMR sessions and outcome of the IMR seems to decrease the negative impact of compromised neurocognition on illness self-management skills acquisition. Also, clients with slower speed of processing may experience less benefit from the IMR and may attend fewer sessions.
机译：心理社会程序设计与神经认知之间的关系已在先前的研究中建立，但尚未在疾病管理与恢复计划（IMR）的背景下进行探讨。这项研究基于先前的两项IMR试验，研究了神经认知与疾病自我管理技能获得之间的关联。在基线和治疗后对完成IMR的53位精神分裂症或精神分裂症患者进行了神经认知功能评估。疾病自我管理是通过疾病管理和恢复量表的客户和临床医生版本来衡量的。统计分析调查了神经认知功能的改善以及疾病自我管理技能获得与神经认知功能之间的可能联系。追踪制作测试A衡量的处理速度与客户报告的在控制精神病症状和用药之前和之后对疾病自我管理技能的掌握有关，但并未预测临床医生对客户疾病自我管理的评价会提高技能。但是，在控制客户会话的出勤率时，处理速度与客户报告的疾病自我管理技能获取之间的联系不再具有统计学意义，这表明神经认知功能受损并不会降低对疾病自我管理培训的反应。本身。参加IMR会议的频率与IMR结果之间的关联似乎减少了神经认知受损对疾病自我管理技能获得的负面影响。同样，处理速度较慢的客户端可能会从IMR中受益较少，并且可能会参加较少的会话。

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