Social functioning mediated the relationship between childhood emotional neglect and cognitive deficits in patients with schizophrenia

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect Pub Date : 2025-02-01 DOI:10.1016/j.chiabu.2024.107200

Maoxing Zhong , Peng Cheng , Zhening Liu, Feiwen Wang, Jie Yang

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引用次数: 0

Abstract

Background

Childhood maltreatment is frequently reported to be associated with cognitive deficits in patients with schizophrenia, but research on the childhood neglect subtype in childhood maltreatment is limited.

Objective

This study sets out from the impact of childhood neglect on cognitive impairment in schizophrenia, and explores the interrelationship of childhood neglect, social functioning, resilience, and cognitive functioning.

Participants and setting

Two-hundred and thirty-two patients who met the DSM-IV criteria for schizophrenia were recruited at the Second Xiangya Hospital of Central South University.

Method

The Childhood Trauma Questionnaire (CTQ), Social and Occupational Functioning Assessment Scale (SOFAS), Connor-Davidson Resilience Scale (CD-RISC), and Digit Symbol Substitution Test (DSST) were used to assess childhood emotional and physical neglect, social functioning, resilience, and cognitive functioning respectively.

Result

The results indicate that (1) both emotional neglect (Spearman's r = −0.167, p = 0.015) and physical neglect (Spearman's r = −0.263, p < 0.001) are associated with cognitive deficits in patients with schizophrenia; (2) social functioning partially mediated the cognitive impairment in schizophrenia that related to emotional neglect (βtotal = −0.15, SE = 0.07, 95 % CI: LL = -0.31 ~ UL = -0.03); (3) resilience is associated with emotional neglect (Spearman's r = −0.244, p = 0.002) and appears to be independent of cognitive impairment (Spearman's r = −0.006, p = 0.942).

Conclusion

Social functioning is a significant mediating factor between childhood emotional neglect and cognitive impairment in patients with schizophrenia. This suggests that interventions aimed at improving social functioning may help ameliorate cognitive deficits in patients with schizophrenia who have high levels of emotional neglect scores.

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社会功能在精神分裂症患者童年情绪忽视与认知缺陷的关系中起中介作用。

背景：儿童虐待经常被报道与精神分裂症患者的认知缺陷有关，但对儿童虐待中儿童忽视亚型的研究有限。目的：本研究从童年忽视对精神分裂症认知功能障碍的影响出发，探讨童年忽视与社会功能、心理弹性和认知功能之间的相互关系。对象和环境：在中南大学湘雅二医院招募符合DSM-IV精神分裂症标准的232例患者。方法：采用儿童创伤问卷（CTQ）、社会与职业功能评估量表（SOFAS）、康诺-戴维森弹性量表（CD-RISC）和数字符号替代测验（DSST）分别对儿童的情绪和身体忽视、社会功能、弹性和认知功能进行评估。结果：结果表明：(1)情绪忽视（Spearman’s r = -0.167, p = 0.015）和身体忽视（Spearman’s r = -0.263, p）在儿童情绪忽视与精神分裂症患者认知功能障碍之间起着重要的中介作用。这表明，旨在改善社会功能的干预措施可能有助于改善情绪忽视得分较高的精神分裂症患者的认知缺陷。

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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来源期刊

Child Abuse & Neglect Multiple-

CiteScore

7.40

自引率

10.40%

发文量

397

期刊介绍： Official Publication of the International Society for Prevention of Child Abuse and Neglect. Child Abuse & Neglect The International Journal, provides an international, multidisciplinary forum on all aspects of child abuse and neglect, with special emphasis on prevention and treatment; the scope extends further to all those aspects of life which either favor or hinder child development. While contributions will primarily be from the fields of psychology, psychiatry, social work, medicine, nursing, law enforcement, legislature, education, and anthropology, the Journal encourages the concerned lay individual and child-oriented advocate organizations to contribute.