阿立哌唑联合认知干预对精神分裂症患者认知功能的影响

Efficacy of Aripiprazole combined with Cognitive Intervention in Cognitive Function with Schizophrenia

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(1)
作者
作者单位

天津市安定医院 ;

摘要
探讨阿立哌唑联合认知干预对精神分裂症患者认知功能的影响。方法 将92例精神分裂症患者随机分为阿立哌唑联合认知干预组(研究组,n=46)和阿立哌唑组(对照组,n=46),疗程12周,采用威斯康星卡片分类测试(WCST)、持续操作测验(CPT)、连线测验(TMT)、语义流畅性(CF)、霍普金斯词汇学习测验-修订版(HVLT-R)及WMS-Ⅲ空间广度测验(WMS-Ⅲ)评估患者的认知功能,副反应量表(TESS)评估患者的不良反应。结果 治疗12周末两组WCST、CPT、TMT、CF、HVLT-R及WMS-Ⅲ评分较治疗前均明显改善(P<0.01),且研究组较对照组改善更加明显(P<0.05或0.01)。两组患者TESS量表总分差异无统计学意义(P>0.05)。结论 阿立哌唑联合认知干预对改善精神分裂症患者的认知功能可能优于单用阿立哌唑治疗。
Abstract
Objective To explore the efficacy of cognitive function in schizophrenia patients treated by aripiprazole combined with cognitive intervention. Methods A total of 92 schizophrenia patients were randomly divided into two groups: 46 study group(treated with aripiprazole combined with cognitive intervention) and 46 control group(treated with aripiprazole only) for 12 weeks. Cognitive function was assessed by wisconsin card sorting test(WCST), continuous performance test(CPT), trail making test(TMT), category fluency(CF), hopkins verbal learning test-revised(HVLT-R) and wechsler memory scale-Ⅲ(WMS-Ⅲ). Treatment emergent symptom scale(TESS) was assessed side effects during treatment. Results In the treatment of 12th weekend, the scores of WCST, CPT, TMT, CF, HVLT-R, WMS-Ⅲ in both groups were all significantly better than pre- treatment(P<0.01), and study group was significantly superior to control group(P<0.05 or P<0.01). Two groups shown no significant difference in side effects(P>0.05). Conclusion Aripiprazole combined with cognitive intervention has better efficacy to improve cognitive function of schizophrenia than single aripiprazole.
关键词
阿立哌唑;认知干预;认知功能;精神分裂症
KeyWord
Aripiprazole; Cognitive Intervention; Cognitive Function; Schizophrenia
基金项目
页码 52-54
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李建功,李洁*,赵永萍,仇玉莹. 阿立哌唑联合认知干预对精神分裂症患者认知功能的影响 [J]. 国际精神病学杂志. 2018; 45; (1). 52 - 54.

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