Cognitive functioning in schizophrenia: implications for psychiatric rehabilitation.
Cognitive functioning in schizophrenia: implications for psychiatric rehabilitation.
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DOI：
10.1093/oxfordjournals.schbul.a033378
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发表时间：
1999
影响因子：
6.6
通讯作者：
W. Spaulding;Shelley K. Fleming;D. Reed;M. Sullivan;D. Storzbach;M. Lam
中科院分区：
文献类型：
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作者：
W. Spaulding;Shelley K. Fleming;D. Reed;M. Sullivan;D. Storzbach;M. Lam
在精神病理学和认知神经科学的研究表明，在精神病康复的新应用。分析实验室任务的表现缺陷有助于治疗计划，个人和家庭咨询，以及工作人员咨询，就像在脑损伤和其他类型的中枢神经系统神经病理学的情况下一样。认识精神分裂症认知障碍的性质可以为社会心理技术的设计提供信息，如社会和生活技能培训。认知障碍越来越被视为药物和心理社会治疗和康复的潜在目标。在这篇文章中，认知技术在精神分裂症和相关疾病的精神康复中的应用的三个关键问题被制定为直接的，临床相关的问题：（1）认知障碍在急性精神病的预后意义是什么？(2)认知功能在慢性残留过程中能得到改善吗？(3)认知改善如何有益于恢复和康复的其他方面？这些问题是通过回顾以前的研究结果和新的多变量分析的认知功能的急性，急性后，和慢性残留期的精神分裂症。
Research in psychopathology and the cognitive neurosciences suggests new applications in psychiatric rehabilitation. Analysis of performance deficits on laboratory tasks can contribute to treatment planning, individual and family counseling, and staff consultation, much like it does in cases of brain injury and other types of central nervous system neuropathology. Recognition of the nature of cognitive impairments in schizophrenia can inform design of psychosocial techniques such as social and living skills training. Cognitive impairments are increasingly seen as potential targets for pharmacological and psychosocial treatment and rehabilitation. In this article, three key issues for application of cognitive technology in psychiatric rehabilitation of schizophrenia and related disorders are formulated as straightforward, clinically relevant questions: (1) What is the prognostic significance of cognitive impairment in acute psychosis? (2) Can cognitive functioning improve in the chronic, residual course? (3) How does cognitive improvement benefit other aspects of recovery and rehabilitation? These questions are addressed through review of previous findings and new multivariate analyses of cognitive functioning in the acute, post-acute, and chronic residual phases of schizophrenia.