Effect of instructional cues on schizophrenic patients' performance on the Wisconsin Card Sorting Test.

Effect of instructional cues on schizophrenic patients' performance on the Wisconsin Card Sorting Test.
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教学线索对精神分裂症患者威斯康星卡片分类测试表现的影响。

DOI:
10.1176/ajp.149.12.1718
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发表时间:
1992
期刊:
The American journal of psychiatry
影响因子:
--
通讯作者:
L. Tompkins
L. Tompkins
中科院分区:
--
文献类型:
--
作者:
Robert S. Goldman;Bradley N. Axelrod;L. Tompkins

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OBJECTIVE Schizophrenic patients are particularly deficient on measures of executive functioning, notably the Wisconsin Card Sorting Test. This study was conducted to determine the efficacy of a cuing strategy in facilitating performance on this cognitive measure of the integrity of prefrontal brain structures and functioning. METHOD Twenty-four schizophrenic inpatients and 24 demographically matched inpatients with mood disorders were administered the Wisconsin Card Sorting Test either with instructional cues at the beginning of the task or with the standard administration procedure. RESULTS There was a significant benefit of cues for the patients with affective disorders as well as for the schizophrenic patients. The schizophrenic subjects in the uncued condition maintained poor but stable performance throughout the course of the task. CONCLUSIONS The study suggests that the deficit in executive functioning of schizophrenic patients may lie in the formation of concepts, not in their application.