吸烟对于精神分裂症患者一级亲属认知功能的影响

Effects of Tobacco Smoking on Cognitive Functions in first degree relatives of Schizophrenia.

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(1)
作者
作者单位

天津市安定医院 ;

摘要
探讨精神分裂症患者一级亲属吸烟行为对其认知功能及精神症状的影响 。 方法 将符合条件的123例精神分裂症患者一级亲属, 分为吸烟组和非吸烟组, 使用认知评定量表评估吸烟者的认知功能, 使用精神病风险症状量表 (SOPS)、 阳性和阴性综合征量表(PANSS)、蒙哥马利抑郁量表(MADRS)、功能大体评定量表(GAF)评估总体的精神症状。结果 非吸烟纽的符号编码、简易视觉记忆测验一修ir版(BVMT-R)、 STR00P一单词评分明显高于吸烟组(P <0.01);连续作业实验(CPT)正确反应数一2D、3D、4D,以及CPT平均反应时一2D、3D、4D的评分非吸烟组明显好于吸烟组 (P<0. 05或 P<0. 01 ) 。 SOPS阴性因子分吸烟组较非吸烟组低(P<0.05);除了 PANSS阳性分数以外, PANSS阴性分、 PANSS一般病理分、 PANSS总分吸烟组较非吸烟组低(P<0.01或 」P<0. 05) ;蒙哥马利j中郁量表非吸烟组较吸烟组的评分高(P<0.05) ; GAF量表评分显示吸烟组的大体功能评分较非吸烟组的大体功能评分高, 功能好 (/)<0. 05) 。 结论 吸烟对于精神分裂症患者一级亲属的认知功能是有害的 。
Abstract
〇bjective To explore the effects of tobacco smoking on cognitive functions and psychiatric symp-toms in first degree relatives of Schizophrenia. Methods 123 first degree relatives were classified into smoking group and non-smoking group, both group were given cognitive tests to evaluate the cognitive functions, and use SOPS, PANSS, MADRS, GAF-M to evaluate Lhe total psychiatric symptoms. Results The scores of BACS-SC, BVMT-R, STR00P-word of non-smoking group were significantly higher than smoking group (P<0.01). The scores of CPT(Continuous Performance Test) -Actual number of responses-2D, 3D, 4D, and CPT - Reaction Time Mean-2D, 3D, 4D of non-smoking group were significantly better than smoking group(P<0. 05orP<0. 01). The score of negative syndrome of SOPS in smoking group was lower than non-smoking group (P<0.05). The scores of SANS, general psychopathology, and the total score of PANSS, have significant statistical difference be- tween these two groups(P<0. 01orP<0.01) except SAPS. The scores of MADRS and GAF of smoking group was significant better than non-smoking group (P<0.05). Conclusion Tobacco smoking was harmful to cognitive functions of first degree relatives of Schizophrenia.
关键词
吸烟;精神分裂症患者一级亲属;认知功能
KeyWord
Tobacco smoking; First degree relatives of Schizophrenia; Cognitive funcLions
基金项目
页码 14-17
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李涛*,李洁,陈清刚,李刚. 吸烟对于精神分裂症患者一级亲属认知功能的影响 [J]. 国际精神病学杂志. 2016; 43; (1). 14 - 17.

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