首发精神病的主观认知主诉:对性别影响和酒精使用的重点随访

IF 2.3 Q2 PSYCHIATRY Schizophrenia Research-Cognition Pub Date : 2022-12-01 DOI:10.1016/j.scog.2022.100267
E. Stip , F. Al Mugaddam , J. Nauman , A. Abdel Baki , S. Potvin
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摘要

加拿大魁北克省蒙特利尔市蒙特利尔大学的早期精神病特定干预项目网络,在两家城市早期干预服务机构(EIS)进行了一项为期五年的纵向自然主义研究。在本研究中,根据纳入/排除标准招募了198名患者并同意参与。我们的目的是评估精神分裂症患者在首发精神病(FEP)时的主观认知投诉与他们的一般特征之间的关系,该主观认知投诉由精神分裂症主观认知调查量表(SSTICS)评估。我们还想评估在主观认知抱怨中是否存在基于性别的差异,以及饮酒患者与不饮酒患者在认知抱怨方面的差异。此外,我们希望在5年的随访中监测主观抱怨进展的变化。我们的研究结果显示,尽管女性比男性表达更多的认知抱怨[平均(SD) SSTICS,女性28.2(13.7),男性24.7(13.2)],但这种差异没有统计学意义(r = - 0.190, 95% CI, - 0)。435比0。097)。我们还发现,不饮酒者对认知的抱怨多于饮酒者[平均(SD) SSTICS,不饮酒者27.9(13.4),消费者23.7(12.9)],差异具有统计学意义(r = - 0.166, 95% CI, - 0)。307至- 0.014)。我们的研究结果表明,通过研究随访时间,FEP患者的sssics平均得分有所下降。综上所述,我们建议,如果我们想要建立一个良好的认知修复方案,从患者的需求开始是有用的。这种需求可以跟随患者的投诉。需要进一步的调查,以便在酒精使用者和戒酒患者之间提出不同的方法来应对他们的认知抱怨。
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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Subjective cognitive complaints in first episode psychosis: A focused follow-up on sex effect and alcohol usage

A network of early psychosis-specific intervention programs at the University of Montreal in Montreal, Quebec, Canada, conducted a longitudinal naturalistic five-year study at two Urban Early Intervention Services (EIS). In this study, 198 patients were recruited based on inclusion/exclusion criteria and agreed to participate. Our objectives were to assess the subjective cognition complaints of schizophrenic patients assessed by Subjective Scale to Investigate Cognition in Schizophrenia (SSTICS) in their first-episode psychosis (FEP) in relation to their general characteristics. We also wanted to assess whether there are sex-based differences in the subjective cognitive complaints, as well as differences in cognitive complaints among patients who use alcohol in comparison to those who are abstainers. Additionally, we wanted to monitor the changes in the subjective complaints progress for a period of five years follow-up. Our findings showed that although women expressed more cognitive complaints than men [mean (SD) SSTICS, 28.2 (13.7) for women and 24.7 (13.2) for men], this difference was not statistically significant (r = −0.190, 95 % CI, −0. 435 to 0. 097). We also found that abstainers complained more about their cognition than alcohol consumers [mean (SD) SSTICS, 27.9 (13.4) for abstainers and 23.7 (12.9) for consumers], a difference which was statistically significant (r = −0.166, 95 % CI, −0. 307 to −0.014). Our findings showed a drop in the average score of SSTICS through study follow-up time among FEP patients. In conclusion, we suggest that if we want to set up a good cognitive remediation program, it is useful to start with the patients' demands. This demand can follow the patients' complaints. Further investigations are needed in order to propose different approaches between alcohol users and abstinent patients concerning responding to their cognitive complaints.

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CiteScore
5.60
自引率
10.70%
发文量
54
审稿时长
67 days
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