摘要
探讨Ⅱ型糖尿病患者的分类能力及与情绪、人格、脑血灌注情况的关系。方法 :年龄 ( 4 0～ 60岁 )、性别、学历、职业相匹配的NIDDM患者和非糖尿病病人各 30名 ,均接受威斯康星卡片分类测验、艾森克个性测验、焦虑和抑郁自评量表的测量 ,部分被试另作脑血流灌注显像检查。结果 :糖尿病组WCST成绩低于对照组 ,其分类能力与糖尿病并发症、病期等躯体因素有关 ,还与人格和情绪因素有关 ,SPECT发现 ,患者存在局部脑血流灌注减低 ,尤其是额叶和顶叶。WCST成绩与额叶、颞叶等脑皮层血流灌注有关。结论 :NIDDM患者的分类能力降低 ,其原因与若干心身因素 ,特别是额叶等局部脑血流灌注的减低有关。
To examine NIDDM'S conceptual ability and its related physical and psychological factors.Methods:Thirty NIDDM patients and 30 non-diabetic control subjects were administered the Wisconsin Card Sorting Task (WCST), SAS, SDS, and EPQ. Eleven patients and 11 control subjects were evaluated brain blood perfusion by means of SPECT. Results:NIDDM patients got significantly lower scores in WCST, and were more depressive and anxious than the controls. SPECT demonstrate the existence of regional hypo-perfusion of brain blood of patients with type Ⅱ diabetes mellitus. Conclusion: Middle-aged NIDDM patients had impairment in conceptual ability. The hypo-perfusion of cerebral blood flow could be the possible explanatory mechanism. Physical and mental factors can influence the patients' conceptual ability.
出处
《中国临床心理学杂志》
CSCD
2000年第2期94-97,共4页
Chinese Journal of Clinical Psychology
关键词
糖尿病
认识功能
脑血流
Type Ⅱ diabetes, Cognitive function, Cerebral blood flow
