Reality monitoring and its association with social functioning in schizophrenia.

Reality monitoring and its association with social functioning in schizophrenia.
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DOI:
10.1016/j.psychres.2010.07.041
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发表时间:
2011-03-30
影响因子:
11.3
通讯作者:
Docherty, Nancy M.
Docherty, Nancy M.
中科院分区:
医学2区
文献类型:
--
作者:
Divilbiss, Marielle;McCleery, Amanda;Aakre, Jennifer M.;Seghers, James P.;Schumann, Emily Bell;Docherty, Nancy M.

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现实监控,或区分短期记忆中存在的内部和外部信息的能力,与精神分裂症的研究有关。以前的研究已经将监测障碍与精神病症状和某些形式的沟通障碍联系起来。本研究的重点是检验这一假设,即精神分裂症患者的现实监测与当前和发病前的社会功能之间存在特定的关系,超出了一般言语能力的影响。对50例精神分裂症或情感性精神障碍门诊患者进行了内部/外部现实监测缺陷、一般语言智力以及当前和病前社会功能的评估。这些变量之间的关联进行了评估。还进行了探索性分析,以确定特定类型的现实监测错误是否与社会功能有关。结果表明:(a)现实监测的总体准确性与疾病前的社会功能有关,超出了语言能力的影响;(B)现实监测中对新旧信息的敏感性与当前的社会功能有关;(c)说-报告-思考现实监测错误与疾病前的社会功能显著相关。研究结果支持现实监测敏感性和社会功能之间的关联的假设。
Reality monitoring, or the ability to discriminate internal from external information present in short-term memory, is relevant in the study of schizophrenia. Previous research has linked monitoring impairments with psychotic symptoms and certain forms of communication disturbance. The focus of the present study was to test the hypothesis that there would be specific relationships between reality monitoring in patients with schizophrenia and current and pre-morbid social functioning, beyond the effects of general verbal ability. Fifty outpatients with schizophrenia or schizoaffective disorder were assessed for internal/external reality monitoring deficits, general verbal intelligence, and both current and pre-morbid social functioning. Associations between these variables were assessed. Exploratory analyses also were conducted to determine whether specific types of reality monitoring errors were related to social functioning. Results showed that (a) overall accuracy in reality monitoring was related to pre-morbid social functioning beyond the effects of verbal ability, (b) sensitivity to old versus new information in reality monitoring was related to current social functioning, and (c) a say-report- think reality monitoring error was significantly associated with pre-morbid social functioning. The results support the hypothesis of an association between reality monitoring sensitivity and social functioning.
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发表时间: 2003-01-01
影响因子: 6.9
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发表时间: 1991-09-01
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