Neurocognitive functioning in patients with first-episode schizophrenia

Neurocognitive functioning in patients with first-episode schizophrenia
复制标题

首发精神分裂症患者的神经认知功能

DOI:
--
复制
发表时间:
2006
影响因子:
4.7
通讯作者:
H. Küchenhoff
H. Küchenhoff
中科院分区:
医学2区
文献类型:
--
作者:
M. Albus;W. Hubmann;F. Mohr;S. Hecht;Petra Hinterberger;N.;H. Küchenhoff

文献摘要

参考文献

被引文献

相似文献

为了评估精神分裂症患者神经心理学(NP)损害的病程,71例首发(FE)精神分裂症患者和71例健康对照者在指数评估时、2年和5年随访期后接受了一组全面的NP测试。通过z-评分标准化,构建了言语智力(VBI)、空间组织(SPT)、言语流畅性(VBF)、言语学习(VBL)、语义记忆(SEM)、视觉记忆(Vim)、延迟/留存率(DEL)、短时记忆(STM)、视觉加工和注意(VSM)和抽象/灵活性(ABS)的综合评分。FE精神分裂症患者表现出更差的性能相比,对照组在所有领域的调查,最明显的VSM,SEM和VBL。在大多数认知领域,在5年随访期间发现改善,两组之间没有差异。然而,在VBF患者略有恶化,而控制改善和记忆功能的患者相比,控制改善。当控制相关的混杂因素,无论是传统的或非典型的抗精神病药物表现出对NP性能的有害影响,除了对VBF。我们的数据表明,NP损害已经存在于疾病的发病,并保持稳定的早期过程中的精神分裂症。
To assess the course of neuropsychological (NP) impairment in schizophrenia, 71 patients with first episode (FE) schizophrenia and 71 healthy controls were given a comprehensive battery of NP tests at index assessment, after a 2-year and after a 5-year follow-up period. By means of the z-score standardization, summary scores for verbal intelligence (VBI), spatial organisation (SPT), verbal fluency (VBF), Verbal learning (VBL), semantic memory (SEM), visual memory (VIM), delay/retention rate (DEL), short-term memory (STM), visuomotor processing and attention (VSM) and abstraction/flexibility (ABS) were constructed. FE schizophrenia patients showed a worse performance compared to controls in all areas investigated, most pronounced in VSM, SEM and VBL. In the majority of cognitive domains, an improvement was found over the 5-year follow-up period without differences between the two groups. However, in VBF patients slightly deteriorated whilst controls improved and in memory functions patients improved less compared to controls. When controlling for relevant confounders, neither conventional nor atypical neuroleptics showed a deleterious influence on NP performance, except on VBF. Our data suggest that NP impairment is already present at the onset of the illness and remains stable over the early course of schizophrenia.
DOI: 10.1176/appi.ajp.162.3.495
发表时间: 2005-03-01
影响因子: 17.7
作者:
Milev, P;Ho, BC;Andreasen, NC
通讯作者: Andreasen, NC
DOI: 10.1001/archpsyc.1992.01820080032005
发表时间: 1992-08
影响因子: --
作者:
R. Spitzer;Janet B W Williams;M. Gibbon;M. First
通讯作者: R. Spitzer;Janet B W Williams;M. Gibbon;M. First
DOI: 10.1176/ajp.156.9.1342
发表时间: 1999-09
期刊: The American journal of psychiatry
影响因子: --
作者:
S. Gold;Stephan Arndt;P. Nopoulos;D. O'Leary;N. Andreasen
通讯作者: S. Gold;Stephan Arndt;P. Nopoulos;D. O'Leary;N. Andreasen
DOI: 10.1176/appi.ajp.157.4.549
发表时间: 2000-04-01
影响因子: 17.7
作者:
Bilder, RM;Goldman, RS;Lieberman, JA
通讯作者: Lieberman, JA
阿尔茨海默病中的手势交流。
DOI: 10.1076/jcen.20.1.1.1484
发表时间: 1998
影响因子: 2.2
作者:
Glosser,G;Wiley,MJ;Barnoski,EJ
通讯作者: Barnoski,EJ