Neuropsychological Investigation of the Effects of Psychiatric Rehabilitation Strategies for Schizophrenia
Neuropsychological Investigation of the Effects of Psychiatric Rehabilitation Strategies for Schizophrenia
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精神分裂症精神康复策略效果的神经心理学研究
DOI：
10.1007/978-4-431-68514-2_3
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发表时间：
2002
期刊：
影响因子：
--
通讯作者：
H. Kashima
中科院分区：
文献类型：
--
作者：
M. Mizuno;H. Kashima
几项研究发现了精神分裂症患者的认知功能和社交技能之间的关系。研究结果与认知功能低下导致社会技能障碍的假设基本一致。在一系列关于社会技能训练有效性的研究中，强调通过训练来提高社会技能，但对训练所探究的技能的泛化困难仍存在争议。然而，通过技能训练没有改善的损伤可以为额外的康复策略提供线索或提示。在社会技能训练（SST）22小时前后，对精神分裂症患者进行了几项临床神经心理学测试、康复评估（REHAB）行为评估和简明精神病评定量表（BPRS）精神症状评估。SST是在一天的治疗方案，为稳定的精神症状的门诊患者。除了标准的精神病治疗外，受过培训的工作人员每周进行1小时的治疗，共22次。结果表明，在想法流畅性测试中，要求尽可能多地回答对象的使用，在会议结束后比会议前的表现要好得多。然而，进一步的定性分析的反应表明，在想法流畅性测试的总成绩的提高是由于增加的任务依赖形式的反应与经常使用和形状的对象。任务修改形式的反应，在想法流畅性测试，需要转换的观点没有改善。这可能部分解释了精神分裂症患者难以摆脱刻板思维的原因。
Several studies have found a relationship between cognitive functioning and social skills in schizophrenia. The results are generally consistent with the hypothesis that poor cognitive functioning contributes to social skill impairment. In a series of studies on the efficacy of social skill training, improvement by training was stressed, but the difficulty of generalization of skills inquired by training is still controversial. The impairments not improved through skill training, however, may provide cues or hints for additional rehabilitation strategies. Several clinical neuropsychological tests, behavioral assessment by rehabilitation evaluation (REHAB), and psychiatric symptoms assessment by the Brief Psychiatric Rating Scale (BPRS) were administered to patients with schizophrenia before and after 22 hours of social skill training (SST) sessions. SST was performed in a day treatment program for outpatients with stable psychiatric symptoms. Trained staffs conducted a 1-hour program every week for a total 22 sessions, in addition to standard psychiatric treatment. The results show that performance on the Idea Fluency Test, which requests as many responses as possible on the uses of objects, was significantly better after the sessions than before the sessions. However, further qualitative analysis of the responses showed that the improvement of the total score on the Idea Fluency Test was due to the increase of task-dependent form responses connected with the regular uses and shapes of the object. Task modification form responses in the Idea Fluency Test that required conversion of viewpoint did not improve. This may in part explain the difficulty of escaping from stereotyped thinking by patients with schizophrenia.
慢性精神分裂症的情绪识别和社交能力。
影响因子：
4.6
作者：
Mueser,KT;Doonan,R;Penn,DL;Blanchard,JJ;Bellack,AS;Nishith,P;DeLeon,J
通讯作者：
DeLeon,J