认知功能缺陷对偏执型精神分裂症患者自尊水平及社会功能的影响  

Effects of cognitive impairment on self-esteem and social function in patients with paranoid schizophrenia

作　　者：顾筱梅 马瑞 胡小飞 GU Xiaomei;MA Rui;HU Xiaofei(Department of Psychiatric,Fuyang Third People’s Hospital,Anhui Province,Fuyang 236015,China)

机构地区：[1]安徽省阜阳市第三人民医院精神科,安徽阜阳236015

出　　处：《中国医药导报》2023年第23期69-72,共4页China Medical Herald

基　　金：安徽省自然科学基金资助项目(2008085MB32)。

摘　　要：目的探究认知功能缺陷对偏执型精神分裂症患者自尊水平及社会功能的影响。方法选取2020年2月至2022年1月在安徽省阜阳市第三人民医院(以下简称“我院”)精神科治疗的偏执型精神分裂症患者82例作为病例组,选取我院精神科同期健康体检者110例为健康对照组。采用一般资料问卷、MATRICS共识认知成套测试(MCCB)、状态自尊量表(SSES)及个体和社会功能量表(PSP)对患者进行调查。用Pearson系数分析认知功能、自尊水平及社会功能三者之间的关系。用AMOS 22.0构建结构方程,利用偏差矫正非参数百分比Bootstrap进行中介效应验证。结果患者认知功能缺陷(56.17±7.24)分、自尊水平(54.54±5.62)分、社会功能(70.13±3.40)分。Pearson分析结果显示,认知功能缺陷分别与自尊水平、社会功能评分呈负相关(r=-0.986、-0.977,P<0.05),自尊与社会功能呈正相关(r=0.982,P<0.05)。Bootstrap中介效应验证结果显示,自尊对社会功能具有直接预测作用,直接效应为67.00%[95%CI:(0.254,0.542)],同时认知功能缺陷在自尊水平与社会功能发挥部分中介作用,效应值为33.00%[95%CI:(-0.017,0.812)]。结论自尊水平可直接影响偏执型精神分裂症患者的社会功能,也可以通过调节认知功能间接影响患者社会功能。护理人员应以积极心理学角度提高患者自尊水平,还可以将认知功能作为切入点改善患者社会功能,帮助患者早日回归社会。Objective To explore the effects of cognitive impairment on self-esteem and social function in patients with paranoid schizophrenia.Methods A total of 82 patients with paranoid schizophrenia treated in the Department Psychiatric of the Fuyang Third People’s Hospital,Anhui Province(hereinafter referred to as“our hospital”)from February 2020 to January 2022 were selected as the case group,and 110 healthy physical examinations in the Psychiatric Department of our hospital during the same period were selected as the healthy control group.The general information questionnaire,the MATRICS consensus cognitive battery(MCCB),the state self-esteem scale(SSES),and the personal and social performance scale(PSP)were used to investigate the patients.Pearson coefficient was used to analyze the relationship among cognitive function,self-esteem level and social function.The structural equation was constructed with AMOS 22.0,and the mediating effect was verified by Bootstrap with non-parametric percentage of deviation correction.Results The patients had cognitive impairment(56.17±7.24)points,self-esteem(54.54±5.62)points,and social function(70.13±3.40)points.The results of Pearson analysis showed that cognitive impairment was negatively correlated with self-esteem and social function(r=-0.986,-0.977,P<0.05),and self-esteem was positively correlated with social function(r=0.982,P<0.05).The Bootstrap intermediary effect validation results showed that the self-esteem to predict social function had a direct effect,direct effect was 67.00%(95%CI:0.254,0.542),and cognitive function defects in the level of self-esteem and social functions played a role of partial mediation,effect value of 33.00%(95%CI:0.017,0.812).Conclusion The level of self-esteem can directly affect the social function of patients with paranoid schizophrenia,and can also indirectly affect the social function of patients by regulating cognitive function.Nurses should improve patients’self-esteem from the perspective of positive psychology,and can also use co

关 键 词：认知功能缺陷 偏执型精神分裂症 自尊水平 社会功能 

分 类 号：R749.3[医药卫生—神经病学与精神病学]