计算机认知矫正治疗对男性精神分裂症患者认知功能的影响-基于C-BCT的评估

Effects of computerized cognitive remediation therapy on cognitive functioning in male schizophrenic patients-an assessment based on C-BCT

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2024, 51(3)
作者
作者单位

安徽省安庆市第六人民医院 ;

摘要
【摘要】探讨计算机认知矫正治疗对男性精神分裂症患者认知功能的影响。 方法 纳入87名稳定期男性精神分裂症患者,随机分为观察组(CCRT+抗精神病药物治疗,45名)、对照组(单一抗精神病治疗,42名),基线时以及康复训练结束时采用C-BCT评估入组患者的认知功能,并使用PANSS评估患者病情。结果 对照组与观察组基线时的一般人口学信息、PANSS总分评分差异无统计学意义(P>0.05),观察组患者经CCRT康复训练后在卫星探索、速度匹配、颜色stroop、迷途小鱼上前后变化差异有统计学意义(p<0.05),双重视觉记忆、速度分类差异无统计学意义(p>0.05),观察组经CCRT康复训练后认知功能与对照组比较,其中总T分、连线T分、持续操作T分差异具有统计学意义(P<0.05),而数字广度T分、符号编码T分差异无统计学意义(P>0.05) 结论 CCRT康复训练联合抗精神病药物治疗较单一抗精神病药物治疗能更有效改善男性精神分裂症患者的认知功能。
Abstract
【Abstract】Objective To explore whether computerized cognitive remediation therapy has any improvement effect on cognitive function in male schizophrenia patients. Methods Eighty-seven stable male patients with schizophrenia were included and randomly divided into the observation group (CCRT+antipsychotic medication, 45 patients) and the control group (single antipsychotic treatment, 42 patients), and the cognitive function of the patients was assessed by the C-BCT at the baseline and at the end of the rehabilitation training and their psychiatric symptoms were assessed by the PANSS. Results The differences in general demographic information and PANSS total score scores between the control group and the observation group at baseline were not statistically significant (p>0.05), the differences between the patients of the observation group after CCRT rehabilitation training in satellite exploration, speed matching, color stroop, and before and after changes in Lost Fish were statistically significant (p<0.05), and the differences in dual visual memory and speed classification were not statistically significant (p>0.05). 0.05), the cognitive function of the observation group after CCRT rehabilitation training compared with the control group, in which the differences in total T-score, connectivity T-score, and sustained operation T-score were statistically significant (p<0.05), while the differences in digit breadth T-score, and symbol encoding T-score were not statistically significant (p>0.05) Conclusion CCRT rehabilitation training combined with antipsychotic medication is more effective than a single antipsychotic medication to improve cognitive function in male schizophrenic patients.
关键词
精神分裂症;认知功能;计算机矫正治疗
KeyWord
schizophrenia; cognitive function; computerized remediation therapy
基金项目
页码 709-711
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赵勇,李皖生*,房传龙. 计算机认知矫正治疗对男性精神分裂症患者认知功能的影响-基于C-BCT的评估 [J]. 国际精神病学杂志. 2024; 51; (3). 709 - 711.

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