查詢結果分析
來源資料
頁籤選單縮合
題名 | Correlation between Deficits in Sustained Attention and Clinical Symptoms in Schizophrenic Patients=精神分裂症患者的注意力缺失與臨床症狀之關係 |
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作者 | 林進嘉; 李添誠; | 書刊名 | 臺灣精神醫學 |
卷期 | 17:2 2003.06[民92.06] |
頁次 | 頁146-155 |
分類號 | 415.983 |
關鍵詞 | 精神分裂症; 連續表現器測驗; 注意力缺失; Schizophrenia; Continuous performance test; CPT; Attention deficit; |
語文 | 英文(English) |
中文摘要 | 目的:探討精神分裂症患者在連續表現器測驗(CPT) 的表現是否跟其臨床狀況無關;精神分裂症患者在連續表現器測得的病意力缺失是否跟PANSS 的症狀評分有關。 方法: 南部某醫學中心精神科連續13 個月中,接受急性病房住院,符合DSM-IV精神分裂症診斷,年齡在18 歲至65 歲之」女病患。在個案同意下,住院一週內,以及出院當天或出院一週內,接受連續表現器測驗(未遮蔽與25%遮蔽)與PANSS 評分。 結果:有81 例接受研究,57 例完成出院時之測驗。出院時之PANSS總分均比入院時在統計上有顯著改善。連續表現器的指標d',不論在未遮蔽與25%遮蔽,出院時應有顯著改善。另外,PANSS量表的負性症狀因子分數,分別在入院時與遮蔽的、出院時與未遮蔽的連續表現器測驗所得的d'呈現負相關。而PANSS 量表的混亂症狀因子分數,在入院時與遮蔽跟未遮蔽的連續表現器測驗所得的d'呈現負相關。 結論:本研究結果無法支持,連續表現器測得的病意力缺失是精神分裂症患者之穩定指標。 |
英文摘要 | Objective: The purposes of this study were to test the following two hypotheses: 1) whether schizophrenic patients' CPT performance is independent of their clinical state; and 2) whether schizophrenic patients' sustained attention deficits as detected by CPT are associated with specific symptom dimensions rated by the PANSS scale. Methods: Patients consecutively admitted to the acute inpatient wards of a medical center hospital were included in this study if they met the DSMIV criteria for schizophrenic disorders, had age between 18 and 65 years old, and agreed to participate in the study during the 13-month periods. The psychopathology of all participating patients was evaluated by a semi-structured interview using the PANSS-CHwithin 1 week after admission, and at discharge day or within one week after discharge. The presence of sustained attention deficits was assessed by the CPT at the same time. Results: Eighty-one schizophrenic patients were enrolled in this study, but only 57 patients completed the second assessment and CPT test at discharge day or within one week after discharge. Patients experienced significant improvements in clinical symptoms, and the CPT performance index, d', and also showed significant improvement on both undegraded and degraded sessions after treatment at the hospital. In addition, the negative symptom scale of the PANSS was significantly correlated with the lower d' on undegraded sessions in the discharge period and on degraded sessions during hospitalization. The disorganization factor of the PANSS was significantly correlated with the lower d' on undegraded and degraded sessions during hospitalization. Conclusion: These findings fail to support the hypothesis that sustained attention deficits might be stable vulnerability indicators of schizophrenia. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。