以认知和元认知为目标的计算机认知修复改善精神分裂症患者的心理理论:一个多案例研究。

IF 3.6 Q1 PSYCHIATRY Schizophrenia Research and Treatment Pub Date : 2017-01-01 Epub Date: 2017-01-26 DOI:10.1155/2017/7203871
Élisabeth Thibaudeau, Caroline Cellard, Clare Reeder, Til Wykes, Hans Ivers, Michel Maziade, Marie-Audrey Lavoie, William Pothier, Amélie M Achim
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引用次数: 10

摘要

精神分裂症与心理理论(即推断他人心理状态的能力)和认知能力的缺陷有关。认知和ToM之间的关联经常被报道,而ToM介导了精神分裂症患者认知受损和功能受损之间的关系。鉴于认知缺陷可能是ToM的限制因素,本研究探讨了针对非社会认知和元认知的认知修复疗法(CRT)是否可以改善精神分裂症患者的ToM。四名精神分裂症患者接受了CRT。在基线和治疗后以及3个月和1年后对ToM、认知和元认知进行评估。2例患者在治疗后立即达到ToM的显著改善,而在治疗后3个月,所有4例患者均达到显著改善,这一改善在治疗后1年仍保持在研究中的所有3例患者中。ToM的改善伴随着基线时最严重受损的认知功能的显著改善或元认知的改善。本研究表明,不明确针对社交能力的CRT计划可以改善ToM。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Improving Theory of Mind in Schizophrenia by Targeting Cognition and Metacognition with Computerized Cognitive Remediation: A Multiple Case Study.

Schizophrenia is associated with deficits in theory of mind (ToM) (i.e., the ability to infer the mental states of others) and cognition. Associations have often been reported between cognition and ToM, and ToM mediates the relationship between impaired cognition and impaired functioning in schizophrenia. Given that cognitive deficits could act as a limiting factor for ToM, this study investigated whether a cognitive remediation therapy (CRT) that targets nonsocial cognition and metacognition could improve ToM in schizophrenia. Four men with schizophrenia received CRT. Assessments of ToM, cognition, and metacognition were conducted at baseline and posttreatment as well as three months and 1 year later. Two patients reached a significant improvement in ToM immediately after treatment whereas at three months after treatment all four cases reached a significant improvement, which was maintained through 1 year after treatment for all three cases that remained in the study. Improvements in ToM were accompanied by significant improvements in the most severely impaired cognitive functions at baseline or by improvements in metacognition. This study establishes that a CRT program that does not explicitly target social abilities can improve ToM.

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来源期刊
CiteScore
4.60
自引率
0.00%
发文量
2
审稿时长
14 weeks
期刊介绍: Schizophrenia Research and Treatment is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies related to all aspects of schizophrenia.
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