Relationship Between Cognitive and Daily Living Functions and Insight in Patients with Schizophrenia.

IF 2.4 4区医学 Q2 PSYCHIATRY

Psychiatry-Interpersonal and Biological Processes Pub Date : 2025-05-30 DOI:10.1080/00332747.2025.2509466

Sung-Jin Kim, Do-Un Jung, Jung-Joon Moon, Yeon-Sue Kim

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引用次数: 0

Abstract

Objective: To investigate the relationships between insight, cognition, and daily living functions in patients with schizophrenia.

Method: Fifty-six clinically stable patients with schizophrenia were evaluated for clinical symptoms using the Positive and Negative Syndrome Scale (PANSS) and Apathy Evaluation Scale (AES). Self-rated insight was assessed using the Insight Scale for Psychosis (ISP), while the interviewer-rated insight was determined by the PANSS item G12 score. The MATRICS Consensus Cognitive Battery (MCCB) and the University of California San Diego Performance-based Skills Assessment (UPSA) were used to assess participants' cognitive and daily living functions. We also performed correlation and linear regression analyses.

Results: The MCCB's social cognition domain and several UPSA components-communication, comprehension/planning, household skills, and total score-correlated significantly with interviewer-rated insight. In the linear regression analysis, communication and comprehension/planning domains of UPSA significantly predicted interviewer-rated insight after adjusting for additional variables.

Conclusions: This study demonstrated significant correlations between insight and both cognitive and daily living functions in patients with schizophrenia. Social cognition, communication, and comprehension abilities were associated with insight and should be factored in when implementing rehabilitation, including psychoeducation.

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精神分裂症患者认知、日常生活功能与洞察力的关系

目的：探讨精神分裂症患者洞察力、认知能力与日常生活功能的关系。方法：采用PANSS和AES量表对56例临床稳定的精神分裂症患者进行临床症状评估。自评洞察力使用精神病洞察力量表（ISP）进行评估，而访谈者评估洞察力由PANSS项目G12得分确定。使用矩阵共识认知电池（MCCB）和加州大学圣地亚哥分校基于绩效的技能评估（UPSA）来评估参与者的认知和日常生活功能。我们还进行了相关和线性回归分析。结果：MCCB的社会认知领域和UPSA的几个组成部分——沟通、理解/计划、家庭技能和总分与访谈者评价的洞察力显著相关。在线性回归分析中，在调整了其他变量后，UPSA的沟通和理解/规划领域显著地预测了访谈者评价的洞察力。结论：本研究表明，洞察力与精神分裂症患者的认知和日常生活功能之间存在显著相关性。社会认知、沟通和理解能力与洞察力有关，在实施康复包括心理教育时应予以考虑。

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

Psychiatry-Interpersonal and Biological Processes 医学-精神病学

CiteScore

2.70

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Internationally recognized, Psychiatry has responded to rapid research advances in psychiatry, psychology, neuroscience, trauma, and psychopathology. Increasingly, studies in these areas are being placed in the context of human development across the lifespan, and the multiple systems that influence individual functioning. This journal provides broadly applicable and effective strategies for dealing with the major unsolved problems in the field.