Cognitive functioning predicts outpatient service utilization in schizophrenia.
Cognitive functioning predicts outpatient service utilization in schizophrenia.
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DOI：
10.1023/b:mhsr.0000036491.58918.71
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发表时间：
2004-09-01
期刊：
影响因子：
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通讯作者：
Meltzer, Herbert Y
中科院分区：
文献类型：
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作者：
McGurk, Susan R;Mueser, Kim T;Meltzer, Herbert Y
本研究的目的是评估精神分裂症患者门诊服务使用的认知和症状预测因素。在12个月的时间里，对20名在心理社会俱乐部接受门诊服务的患者进行了认知功能（言语学习和记忆、执行功能）、症状（阳性症状、阴性症状）和门诊服务利用（病例管理、药物监测）之间的关系进行了研究。执行功能，正如威斯康星卡片分类测试（WCST）所测量的，是门诊服务利用率的唯一显著预测因子，占总门诊服务使用方差的20%以上，更大的损伤与更高的服务利用率相关。具体来说，WCST较差的表现与提供更多的病例管理服务有关，但与药物管理服务无关。可能需要更多的病例管理服务来补偿精神分裂症患者执行功能的损害。
Aim of the study was to evaluate the cognitive and symptom predictors of outpatient service utilization in schizophrenia. The relationships between cognitive functioning (verbal learning and memory, executive functions), symptoms (positive symptoms, negative symptoms), and outpatient service utilization (case management, medication monitoring), were examined in 20 patients receiving outpatient services at a psychosocial clubhouse over a 12-month period. Executive functions, as measured on the Wisconsin Card Sorting Test (WCST), were the only significant predictor of outpatient service utilization, accounting for over 20% of the variance in total outpatient services used, with greater impairment associated with higher service utilization. Specifically, poorer performance on the WCST was associated with delivery of more case management services, but not medication management services. More case management services may be required to compensate for impairments in executive functioning in patients with schizophrenia.