精神分裂症患者认知功能障碍程度与心理幸福感、缺陷感相关性研究  

A study on the correlation between the degree of cognitive dysfunction and psychological well-being and deficit in patients with schizophrenia

作　　者：殷巧灵 佘娟 潘梦茹 高梦婷 YIN Qiaoling;SHE Juan;PAN Mengru;GAO Mengting(Department of Psychiatry,Affiliated Brain Hospital of NanjingMedical University,Nanjing 210003,China)

机构地区：[1]南京医科大学附属脑科医院精神科,江苏南京210003

出　　处：《心理月刊》2025年第5期65-67,共3页

基　　金：南京医科大学科技发展基金项目(NMUB20220124)。

摘　　要：目的 探究精神分裂症患者认知功能障碍程度与心理幸福感、缺陷感的相关性。方法 选取2022年1月~2024年3月本院收治精神分裂症患者109例作为研究对象,依照蒙特利尔认知评估量表(MoCA)评分,将患者分为轻度障碍组和重度障碍组。采用主观幸福感量表(GWB)和缺陷感量表(FIS)评估患者幸福感和缺陷感。分析幸福感、缺陷感与认知功能障碍程度的相关性。结果 轻度障碍组GWB量表、FIS量表各领域评分及总分均高于对照组(P<0.05);Spearman秩相关分析显示,认知功能障碍程度与幸福感呈负相关(P<0.05),与缺陷感呈正相关(P<0.05)。结论 精神分裂症患者认知功能障碍程度与幸福感、缺陷感存在紧密关联,采取有效措施,改善患者认知功能,对提升心理幸福感、消除缺陷感可起到积极作用。Objective To explore the correlation between the degree of cognitive dysfunction and psychological well-being and feelings of inadequacy in patients with schizophrenia.Methods A total of 109 patients with schizophrenia admitted to our hospital from January 2022 to March 2024 were selected as subjects.According to the Montreal cognitive assessment(MoCA)scores,patients were divided into a mild impairment group and a severe impairment group.The general well-being schedule(GWB)and the feelings of inadequacy scale(FIS)were used to evaluate patients'well-being and feelings of inadequacy.The correlation between well-being,feelings of inadequacy,and cognitive dysfunction was analyzed.Results Scores on the GWB and FIS scales across all domains and total scores were higher in the mild impairment group than in the severe impairment group(P<0.05).Spearman rank correlation analysis showed that the degree of cognitive dysfunction was negatively correlated with well-being(P<0.05)and positively correlated with feelings of inadequacy(P<0.05).Conclusion The degree of cognitive dysfunction in patients with schizophrenia is closely related to their well-being and feelings of inadequacy.Effective measures to improve cognitive function could play a positive role in enhancing psychological well-beingandreducingfeelings of inadequacy.

关 键 词：精神分裂症 认知功能障碍 幸福感 缺陷感 

分 类 号：R749[医药卫生—神经病学与精神病学]