摘要
目的探讨精神分裂症患者的执行功能与精神症状的关系,以及与抑郁症患者的区别。方法采用威斯康星卡片分类测验、色词Stroop操作范式和连线测验评定32名精神分裂症患者和30名抑郁症患者的执行功能,用阳性与阴性症状量表(PANSS)评估精神分裂症患者的精神症状。结果 1本次病期与阳性症状(r=0.462,P<0.01)、一般病理学量表(r=0.433,P<0.01)、PANSS总分(r=0.461,P<0.01)、总体stroop时间(r=0.385,P<0.05)和trial的平均时间(r=0.422,P<0.05)显著正相关;2总体stroop时间与PANSS总分显著正相关(r=0.379,P<0.05),trial的平均时间与阴性症状(r=0.353,P<0.05)、一般病理学量表(r=0.386,P<0.05)、PANSS总分(r=0.437,P<0.05)显著正相关;3精神分裂症患者的连线测验A的得分(t=-0.2.296,P<0.05)、总体stroop时间(t=-4.809,P<0.01)和trial的平均反应时(t=-4.441,P<0.01)显著低于抑郁症。结论 1精神分裂症患者的本次病期对抑制功能和阳性症状有影响;2精神分裂症患者的抑制功能与阴性症状和一般病理学有关,与阳性症状无关。快速视觉搜索能力和转换功能与症状无关;3精神分裂症患者的快速视觉搜索能力和抑制功能好于抑郁症患者。
Objective To inquire the relationship beween the executive function of schizophrenia and mental symptoms ,as well as the distinction from depressive .Methods The executive function of 32 schizophrene and 30 depressive were measured by ways of Wisconsin Card Sorting Test ,Stroop test and the trail making test ,and then judge the mental symptom of schizophrene through PANSS .Results There were three results from this research , the first was that this stadium was positively correlated with positive symptom （ r=0.462,P〈0.01）,general pathology scale（r=0.433,P〈0.01）,total score of PANSS（r=0.461,P〈0.01）,overall stroop time（r=0.385,P〈0.05） and average trial time（r=0.422,P〈0.05）.The second was that overall stroop time was positively correlated with to-tal score of PANSS（r=0.379,P〈0.05）,average trial time was positively correlated with negative symptom （r=0.353,P〈0.05）,gen-eral pathology scale（r=0.386,P〈0.05） and total score of PANSS（r=0.437,P〈0.05）.The last was that online test A scores of schizophrene（t=-0.2.296,P〈0.05）,overall stroop time（t=-4.809,P〈0.01） and average trial time（t=-4.441,P〈0.01） were distinctively lower than those of depressives .Conclusion Firstly, schizophrene＇s stadium has an effect on inhibition function and posi-tive symptom.Secondly, the inhibition function of schizophrene is relevant with negative symptom and general pathology rathan than posi-tive symptom.The quick visual search ability is unrelated with transitional function and symptom .Lastly,the quick visual search ability and inhibition function of schizophrene are better than depressive .
出处
《中国健康心理学杂志》
2014年第9期1288-1291,共4页
China Journal of Health Psychology
