有攻击行为的双相障碍Ⅱ型患者认知功能特点
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国家自然科学基金项目(31360239)


Characteristics of cognitive function in bipolar disorder Ⅱ patients with aggressive behavior
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    摘要:

    目的 探讨有攻击行为双相障碍Ⅱ型患者的认知功能特点。方法 采用自编一般情况问卷、轻躁狂症状自评量表(HCL-32) 、修订版Barratt 冲动量表(BIS-11)、修改版外显行为攻击量表(MOAS)及威斯康星卡片分类测验(WCST) 对新疆维吾尔自治区人民医院临床心理科愿意接受研究的60 例双相障碍Ⅱ型患者进行调查,根据MOAS 分为攻击组和非攻击组,各30 例。结果 两组患者HCL-32 得分差异无统计学意义;攻击组运动冲动性评分高于非攻击组,WCST 测验中完成第一个分类所需应答数高于非攻击组,差异均有统计学意义(P <0.05)。结论 有攻击行为的双相障碍患者表现出更明显的运动冲动性;但在执行功能方面与无攻击行为患者差异不明显,攻击行为不能作为预测认知功能进一步损害的外在因素。

    Abstract:

    Objective To explore the cognitive function of bipolar disorder Ⅱpatients with aggressive behavior. Methods Sixty bipolar disorder Ⅱpatients in Department of Clinical Psychology,People’s Hospital of Xinjiang Uygur Autonomous Region were enrolled. Selfcompiled inventory, Hypomania Check List (HCL-32),Barratt Impulsivity Scale-11 (BIS-11),Modified Overt Aggression Scale (MOAS) and Wisconsin Card SortingTest (WCST) were tested. Patients were divided into aggressive group (n=30) and non-aggressive group (n=30)according to scores of MOAS. Results There was no significant difference in HCL-32 score between aggressivegroup and non-aggressive group. The scores of motor impulsiveness aspect in BSI-11 and the first classification in WCST of aggressive group were significantly higher than non-aggressive group (P <0.05). Conclusion Bipolardisorder patients with aggressive behavior show more obvious motor impulsive,but similar executive function with patients without aggressive behavior. Aggressive behavior can’t be regarded as an external factor to predict further damage of cognitive function.

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武伟敏 邹韶红.有攻击行为的双相障碍Ⅱ型患者认知功能特点[J].神经疾病与精神卫生,2017,17(1):
DOI :10.3969/j. issn.1009-6574.2017.01.005.

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  • 在线发布日期: 2017-07-07