Rorschach measures of cognition relate to everyday and social functioning in schizophrenia.
Rorschach measures of cognition relate to everyday and social functioning in schizophrenia.
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DOI：
10.1037/a0030546
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发表时间：
2013-03
影响因子：
3.6
通讯作者：
Mausbach, Brent T.
中科院分区：
文献类型：
--
作者：
Moore, Raeanne C.;Viglione, Donald J.;Rosenfarb, Irwin S.;Patterson, Thomas L.;Mausbach, Brent T.
关键词：
精神分裂症患者神经认知障碍和阴性症状与功能障碍有关。然而，在考虑了这些因素的作用后，仍然存在高度的无法解释的变异性。本研究探讨的作用，思维障碍，心理复杂性和人际关系的表征，测量的罗夏，在解释功能和社会技能的能力在72名中年和老年门诊精神分裂症患者（平均年龄= 51.2）。参与者对使用R-优化管理说明管理的罗夏测验作出反应，并使用罗夏测验性能评估系统进行评分。与神经心理性能和精神病理学的关系也进行了探讨。心理复杂性是指一个人解决问题和组织周围环境的认知能力，与功能能力（r = 0.30）和社交技能能力（r = 0.34）相关。健康的人际关系表现与积极的社会技能相关（r = .24至.28）。在多元回归模型中，在控制神经认知功能和精神病理学后，心理复杂性解释了功能（β = 0.23，p = 0.02）和社会技能能力（β = 0.35，p < 0.01）的显著变化。这些数据表明，心理复杂性在精神分裂症的功能限制中起着重要作用，超出了神经认知障碍和阴性症状的贡献。还发现支持健康的客体关系与社会功能的影响。临床意义包括新的信息，未来发展的认知补救治疗策略的基础上，患者的心理能力和健康的人际关系图式的发展水平。
Neurocognitive impairment and negative symptoms contribute to functional disability in people with schizophrenia. Yet, a high level of unexplained variability remains after accounting for the role of these factors. This study examined the role of thought disorder, psychological complexity, and interpersonal representations, as measured by the Rorschach, in explaining functional and social skills capacity in 72 middle-aged and older outpatients with schizophrenia (mean age = 51.2). Participants responded to the Rorschach administered using the R-Optimized administration instructions and scored using the Rorschach Performance Assessment System. Relationships with neuropsychological performance and psychopathology were also explored. Psychological complexity, which refers to a person’s cognitive capacity for problem-solving and organizing their surroundings, was correlated with functional capacity (r = .30) and social skills capacity (r = .34). Healthy interpersonal representations were correlated with positive social skills (r’s = .24 to .28). In multiple regression models, psychological complexity accounted for significant variation in functional (β = 0.23, p = 0.02) and social skills capacity (β = 0.35, p < 0.01) after controlling for neurocognitive functioning and psychopathology. These data suggest that psychological complexity plays a significant role in the functional limitations seen in schizophrenia, above and beyond the contributions of neurocognitive impairment and negative symptoms. Support was also found for the impact of healthy object relations functioning with social functioning. Clinical implications include novel information for future development of cognitive remediation treatment strategies based on a patient’s developmental level of psychological capacity and healthy interpersonal schemas.
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影响因子：
4.5
作者：
ADDINGTON, D;ADDINGTON, J;SCHISSEL, B
通讯作者：
SCHISSEL, B
影响因子：
6.6
作者：
HOLZMAN, PS;SHENTON, ME;SOLOVAY, MR
通讯作者：
SOLOVAY, MR
影响因子：
4.5
作者：
Cardenas, Veronica;Mausbach, Brent T.;Patterson, Thomas
通讯作者：
Patterson, Thomas
影响因子：
3.4
作者：
Dean, Kristin L.;Viglione, Donald J.;Meyer, Gregory J.
通讯作者：
Meyer, Gregory J.
影响因子：
6.6
作者：
Green, MF;Nuechterlein, KH
通讯作者：
Nuechterlein, KH