조현병 환자에서 음성증상과 사회인지의 연관성

Other Titles
The Relationship between Negative Symptoms and Social Cognition in Patient with Schizophrenia
Authors
현지원우정민정철호김희철김양태
Department
Dept. of Psychiatry (정신건강의학)
Issue Date
2016
Citation
생물치료정신의학, Vol.22(2) : 84-92, 2016
ISSN
1225-9454
Abstract
Objectives:Although negative symptoms play important role in daily functioning of patients with schizophrenia, it remains unclear which symptoms clearly related to each other, and whether these symptoms develop sequentially or simultaneously. The current study examined negative and positive symptoms along with social cognition ability, to determine which symptoms are more strongly correlated. We also examined two subdomains of negative symptom, motivation/ pleasure and expression, to investigate which subdomain has more strong correlation with social cognition. Methods:120 patients with schizophrenia were enrolled from three different hospitals. All patients were evaluated with Scale for the Assessment of Negative Symptoms(SANS), Positive And Negative Symptom Scale(PANSS), Clinical Assessment Interview for Negative Symptoms(CAINS), Korean Facial Expressions of Emotion(KOFEE) and Eyes task. Correlation analysis, structural equation modeling(SEM), and stepwise regression analysis were used to analyze data. Results:Social cognition was significantly correlated with negative symptoms rather than positive symptoms. Eyes task was negatively correlated with CAINS total score and both two subdomains. Although Eyes task was a significant predictor for both subscales of CAINS, it had more explanatory power for motivation/pleasure subdomain than expression subdomain. The results of SEM, model that KOFEE effects Eyes task and Eyes task effects each negative symptoms, motivation/pleasure, expression indicated most good fit. Conclusion:These findings confirmed the hypothesized relations that social cognition has more strong correlation with negative symptoms rather than positive symptoms. In addition these results provide empirical support for pathway which reduced social cognition ability impacts on developing negative symptoms.
Keywords
Negative symptom(음성증상)Social cognition(사회인지)Schizophrenia(조현병)
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/33358
Appears in Collections:
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Psychiatry (정신건강의학)
Keimyung Author(s)
정철호; 김희철; 김양태
Full Text
http://www.dbpia.co.kr/Journal/ArticleDetail/NODE06701644
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