精神疾病中的认知障碍:患病率、损害概况、发展过程和治疗考虑

IF 8.3 2区医学 Q1 Medicine Dialogues in Clinical Neuroscience Pub Date : 2019-09-01 DOI:10.31887/DCNS.2019.21.3/amccleery

Amanda McCleery, Keith H Nuechterlein

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引用次数: 91

摘要

尽管对精神病症状（如幻觉、妄想）进行了有效的药物治疗，但精神病患者的功能结果往往令人失望。尽管认知障碍不包括在精神病性疾病的诊断标准中，但认知障碍是该临床人群中社区功能的最强决定因素之一，因此是干预的重要目标。在这篇综述中，我们讨论了关于精神病认知障碍的主要研究领域。所涵盖的具体主题包括：（i）精神病患者认知障碍的患病率；（ii）精神病性障碍的认知障碍的特征和程度；（iii）认知障碍的发展过程；（iv）认知障碍的纵向稳定性；以及（v）改善精神病患者认知能力的治疗方法。

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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Cognitive impairment in psychotic illness: prevalence, profile of impairment, developmental course, and treatment considerations .

Despite effective pharmacological treatments for psychotic symptoms (eg, hallucinations, delusions), functional outcomes for people with psychotic disorders are often disappointing. Although it is not included in the diagnostic criteria for psychotic disorders, cognitive impairment is one of the strongest determinants of community functioning in this clinical population, and thus it is an important target for intervention. In this review, we discuss the major areas of research regarding impaired cognition in psychotic illness. The specific topics covered include: (i) the prevalence of cognitive impairment in psychotic disorders; (ii) the profile and magnitude of cognitive impairment in psychotic disorders; (iii) the developmental course of cognitive impairment; (iv) the longitudinal stability of cognitive impairment; and (v) treatment approaches to improve cognitive performance in people with psychotic disorders. .

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来源期刊

Dialogues in Clinical Neuroscience Medicine-Psychiatry and Mental Health

CiteScore

19.30

自引率

1.20%

发文量

期刊介绍： Dialogues in Clinical Neuroscience (DCNS) endeavors to bridge the gap between clinical neuropsychiatry and the neurosciences by offering state-of-the-art information and original insights into pertinent clinical, biological, and therapeutic aspects. As an open access journal, DCNS ensures accessibility to its content for all interested parties. Each issue is curated to include expert reviews, original articles, and brief reports, carefully selected to offer a comprehensive understanding of the evolving landscape in clinical neuroscience. Join us in advancing knowledge and fostering dialogue in this dynamic field.