Cognitive Functioning and Disability in Schizophrenia
Cognitive Functioning and Disability in Schizophrenia
复制标题
DOI：
10.1177/0963721410378033
复制
发表时间：
2010-08-01
影响因子：
7.2
通讯作者：
Harvey, Philip D.
中科院分区：
文献类型：
--
作者：
Harvey, Philip D.
精神分裂症患者存在各种认知过程的障碍，包括集中力和注意力，学习和记忆，处理速度和解决问题的能力。在这种情况下，还可以看到执行日常任务和实现正常功能里程碑（如工作，稳定的社会关系和独立生活）的能力明显受损。在这篇文章中，我讨论了最近的研究，重点是量化现实世界中功能障碍的预测因素，认知障碍是主要的预测因素之一。其他重要的发展还包括直接测量实现日常功能目标所需技能的能力的发展，这些技能被称为“功能能力”。研究表明，这些能力可能受到认知障碍的影响，可能比认知缺陷更能预测残疾。我还检查了目前的文献对认知障碍和功能障碍的治疗，包括药物和行为干预。
Impairments in a variety of cognitive processes, including concentration and attention, learning and memory, processing speed, and problem solving, are present in people with schizophrenia. Also seen in the condition are notable impairments in the ability to perform everyday tasks and to achieve normal functional milestones such as work, stable social relationships, and living independently. In this article I discuss recent research that has focused on quantifying the predictors of disability in real-world functioning, with cognitive impairment being one of the major predictors. Other important developments include the development of direct measures of the ability to perform the skills required to achieve everyday functional goals-skills referred to as "functional capacity.'' Studies have shown that these abilities may be influenced by cognitive impairments and may be better predictors of disability than are cognitive deficits. I also examine the current literature on the treatment of cognitive impairments and functional disability, including both pharmacological and behavioral interventions.