Study of Cognitive Functions Efficaciously Affected by PsychoeducationalProgram for Patients with Schizophrenia

Tomohiro Ikeda, K. Hori, Atsuko Inamoto, Takuro Nakatsubo, J. Koike, Satoru Sugisawa, T. Tsuneoka, M. Mimura, A. Iwanami
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Abstract

Background: Although psychoeducational programs for patients with schizophrenia have become relatively standardized, the correlation between effectiveness of such programs and cognitive function has rarely been investigated. To the best of our knowledge, studies detailing the effectiveness of such programs on cognitive function in Japan have yet to be reported. Method: Participants included 91 patients with schizophrenia (women, n=46; men, n=45; mean age, 43.2 years) who had been admitted to a subacute care unit in Showa University Karasuyama Hospital and who had given their consent to participate. In this study, a new psychoeducation-based, psychosocial intervention program (the Program) was initiated. The effectiveness of the Program was evaluated by the comparisons with global daily function and daily cognitive functions between pre and post intervention in patients. Results and discussion: Our results showed that the global assessment of functioning (GAF) score was significantly associated with the Wisconsin card sorting test (WCST) total number of errors and perseverative errors. We confirmed that the effectiveness of the Program and global functional improvement is related with improvement of executive function.Conclusion: On the basis of these results, future studies are warranted to improve our program and confirm its long-term effectiveness.
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心理教育方案对精神分裂症患者认知功能有效影响的研究
背景:尽管针对精神分裂症患者的心理教育项目已经相对标准化,但这些项目的有效性与认知功能之间的相关性却很少被研究。据我们所知,在日本详细研究这些项目对认知功能的有效性还没有报道。方法:纳入91例精神分裂症患者(女性,n=46;男人,n = 45;平均年龄43.2岁),这些患者曾入住昭和大学卡拉山医院的亚急性护理病房,并已同意参与研究。在这项研究中,一个新的心理教育为基础,社会心理干预计划(计划)被启动。通过比较干预前后患者的总体日常功能和日常认知功能来评估该计划的有效性。结果和讨论:我们的研究结果表明,整体功能评估(GAF)得分与威斯康星卡片分类测试(WCST)总错误数和持续性错误显著相关。我们确认该计划的有效性和整体功能的改善与执行功能的改善有关。结论:在这些结果的基础上,未来的研究有必要改进我们的方案,并确认其长期有效性。
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