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精神分裂症患者的认知功能障碍及认知治疗的现状

  • 耿文博,张强,刘少文

* 通信作者: 张强, 单位:汕头大学精神卫生中心 515000

摘要

精神分裂症是一种长期的消耗性精神疾病,世界范围内有数千万人患此病,造成了沉重的社会负担,精神分裂症患者不仅存在阳性症状和阴性症状,而且普遍存在着不同程度的认知障碍,认知障碍是导致精神分裂症患者社会功能如职业、社交、经济等反面等受损的重 要原因,是预测精神分裂症患者能否重新融入社会的重要因子,因此改善认知功能是治疗精神分裂症的重要目标,由此出现了多种认知治疗

方法,包括药物治疗及非药物治疗,但各种认知治疗的效果仍具有争议,故本文对精神分裂症患者的认知障碍、认知障碍与社会功能的关系及认知治疗作一综述。

关键词:精神分裂症;认知障碍;社会功能;认知治疗

ABSTRACT

Schizophrenia is a long-term consumptive mental disease that affects tens of millions of people worldwide, causing a heavy social burden. Schizophrenic patients not only have positive and negative symptoms, but also generally exist various degrees of cognitive deficits, which is the important cause of social function impairment , such as occupation, interpersonal relationship, economy and so on.Cognitive function is an important factor to predict whether the schizophrenia patients can return back to society or not. Therefore, it is an important goal to improve cognitive function in the treatment of schizophrenia. As a result, a variety of cognitive treatments have emerged, including drug therapy and non-drug therapy. However, the effects of cognitive treatments are still controversial, so this article reviews cognitive deficit, the relationship between cognitive deficit and social function, and cognitive therapy in schizophrenic patients.

Key words: schizophrenia;cognitive deficient;social function;cognitive therapy

引用本文 / How to Cite This Article

耿文博,张强,刘少文.精神分裂症患者的认知功能障碍及认知治疗的现状[J]. 国际精神病学杂志, 2019, 46(3): 392-395

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