An exploration of linear and curvilinear relationships between community participation and neurocognition among those with serious mental illnesses.

An exploration of linear and curvilinear relationships between community participation and neurocognition among those with serious mental illnesses.
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探索严重精神疾病患者社区参与与神经认知之间的线性和曲线关系。

DOI:
10.1037/prj0000364
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发表时间:
2019
影响因子:
1.9
通讯作者:
Salzer,MarkS
Salzer,MarkS
中科院分区:
医学3区
文献类型:
--
作者:
Thomas,ElizabethC;Snethen,Gretchen;McCormick,Bryan;Salzer,MarkS

文献摘要

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目的纵向研究支持社区生活各方面(如休闲活动、就业)的参与对普通人群神经认知的影响。本研究探讨了社区参与与严重精神疾病患者神经认知之间关系的程度和性质。方法以168名成年精神分裂症患者为研究对象,完成坦普尔大学社区参与量表和简明精神分裂症认知评定量表。结果社区参与量与整体神经认知功能、运动速度、言语流畅性、注意/加工速度、参与广度与言语流利性之间存在显著的线性关系。社区参与量与言语记忆、社区参与广度与整体神经认知功能和运动速度之间存在显著的曲线效应。结论和对实践的启示表明,加强社区参与可能有助于改善神经认知功能,进一步支持这一康复目标的重要性。(心理信息数据库记录(C)2020 APA,保留所有权利)
ObjectiveLongitudinal research supports an effect of participation in aspects of community life (eg, leisure activity, employment) on neurocognition in the general population. This study examined the extent and nature of the relationship between community participation and neurocognition among people with serious mental illnesses.MethodParticipants included 168 adults with schizophrenia spectrum or affective disorder diagnoses who completed the Temple University Community Participation Measure and Brief Assessment of Cognition in Schizophrenia. Hierarchical multiple regression analyses explored linear and curvilinear effects of the amount and breadth of community participation on neurocognition.ResultsSignificant linear relationships existed between amount of community participation and overall neurocognitive functioning, motor speed, verbal fluency, and attention/processing speed, and between breadth of participation and verbal fluency. Significant curvilinear effects were noted between amount of community participation and verbal memory, and between breadth of community participation and overall neurocognitive functioning and motor speed.Conclusions and Implications for PracticeFindings suggest that enhanced community participation may contribute to improved neurocognitive functioning, further supporting the importance of this rehabilitation target.(PsycInfo Database Record (c) 2020 APA, all rights reserved)