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目的探讨精神分裂症患者青少年亲属生态学执行功能特征,以及是否存在特定的侵害类型与该人群执行功能改变相关联。方法选取104名精神分裂症患者的青少年子女或同胞作为亲属组和193名正常青少年作为对照组,采用执行功能行为评定量表自评版(BRIEF-SR)和青少年侵害问卷自评版(JVQ)分别评估被试的生态学执行功能和侵害发生情况。结果亲属组在转换和任务完成因子上的得分高于对照组(均P<0.05);在亲属组中,经历一般侵害的青少年在计划/组织和任务完成因子上得分高于未经历一般侵害的被试(均P<0.05),经历儿童虐待的被试在抑制、情绪控制及材料组织因子上得分高于未经历儿童虐待的被试(均P<0.05)。结论精神分裂症患者的青少年亲属在转换和任务完成等执行功能成分上存在缺陷,一般侵害和儿童虐待与该人群执行功能改变有关。
Objective To explore the ecological executive function of relatives of teens with schizophrenia and whether there is a specific type of infringement associated with changes in the executive function of the population. Methods Totally 104 children with schizophrenia or their siblings were selected as relatives and 193 normal adolescents as control group. The children were divided into two groups: BRIEF-SR and JVQ, Evaluate the ecological function and infringement of subjects. Results Relatives group had higher scores on conversion and task completion than those in control group (all P <0.05). In relatives group, adolescents who experienced general abuse had higher scores on completion / task and task completion than those who did not experience general violation (All P <0.05), subjects who experienced child abuse scored higher in inhibition, emotional control and material-tissue factors than those who did not experience child abuse (all P <0.05). Conclusion The relatives of teenagers with schizophrenia are deficient in the executive function components such as conversion and task completion. The general abuse and child abuse are related to the changes in the executive function of this population.