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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.2
- 수록면
- 23 - 32 (10page)
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Objectives：This study evaluated consecutive response patterns on the first four trials of Wisconsin card sorting test(WCST), not just correct % of each card, in patients with deficit and non-deficit schizophrenia.
Methods：The subjects were 145 outpatients with schizophrenia diagnosed by DSM-IV. The deficit(n=37) and non-deficit(n=108) subgroups of the patients were evaluated by retrospective chart review based on the Schedule for the Deficit Syndrome(SDS). Given assign code ‘1’ to the correct responses and ‘0’ to the wrong responses of the WCST, the patients who responded as 1111, 0111, or 0011 on the first four trials were considered as good performers (n=33) and who responded other ways, such as 1010, 0101, etc. were poor performers(n=112).
Results：Patients with deficit schizophrenia had lower outcomes in % correct, categories achieved and conceptual level responses than patients with non-deficit schizophrenia. According to the first trials of WCST, poor performers had lower outcomes in all classical indices which were number of trials, % correct, categories achieved and conceptual level responses. Significantly more patients in the deficit group were classified as poor performers on the first four trials. The poor performers failed to chase up the good performers during the first ten trials. The sensitivity and specificity of poor/good performance criteria predicting deficit or non-deficit schizophrenia was 89.2% and 26.9%, respectively.
Conclusion：The response patterns of the first four trials in WCST could be an index reflecting the whole WCST performance and predict deficit symptoms better than non-deficit ones in schizophrenia.
Methods：The subjects were 145 outpatients with schizophrenia diagnosed by DSM-IV. The deficit(n=37) and non-deficit(n=108) subgroups of the patients were evaluated by retrospective chart review based on the Schedule for the Deficit Syndrome(SDS). Given assign code ‘1’ to the correct responses and ‘0’ to the wrong responses of the WCST, the patients who responded as 1111, 0111, or 0011 on the first four trials were considered as good performers (n=33) and who responded other ways, such as 1010, 0101, etc. were poor performers(n=112).
Results：Patients with deficit schizophrenia had lower outcomes in % correct, categories achieved and conceptual level responses than patients with non-deficit schizophrenia. According to the first trials of WCST, poor performers had lower outcomes in all classical indices which were number of trials, % correct, categories achieved and conceptual level responses. Significantly more patients in the deficit group were classified as poor performers on the first four trials. The poor performers failed to chase up the good performers during the first ten trials. The sensitivity and specificity of poor/good performance criteria predicting deficit or non-deficit schizophrenia was 89.2% and 26.9%, respectively.
Conclusion：The response patterns of the first four trials in WCST could be an index reflecting the whole WCST performance and predict deficit symptoms better than non-deficit ones in schizophrenia.
목차
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대상 및 방법
결과
고찰
참고문헌
참고문헌 (45)
참고문헌 신청
[단행본] - American Psychiatric Association / 2013 / American Psychiatric Association. DSM-5 Task Force. Diagnostic and statistical manual of mental disorders: DSM-5 / American Psychiatric Association
[학술지(정기간행물)] - Tandon R / 2009 / Schizophrenia, “just the facts” 4. Clinical features and conceptualization / Schizophr Res 110 : 1 ~ 23
[학술지(정기간행물)] - Gold JM / 2004 / Cognitive deficits as treatment targets in schizophrenia / Schizophr Res 72 : 21 ~ 28
[학술지(정기간행물)] - Lepage M / 2014 / Neurocognition: clinical and functional outcomes in schizophrenia / Can J Psychiatry 59 : 5 ~ 12
[학술지(정기간행물)] - Hunter R / 2012 / Negative symptoms and psychosocial functioning in schizophrenia: neglected but important targets for treatment / Eur Psychiatry 27 : 432 ~ 436
[학술지(정기간행물)] - Tandon R / 2009 / Schizophrenia, “just the facts” 4. Clinical features and conceptualization / Schizophr Res 110 : 1 ~ 23
[학술지(정기간행물)] - Gold JM / 2004 / Cognitive deficits as treatment targets in schizophrenia / Schizophr Res 72 : 21 ~ 28
[학술지(정기간행물)] - Lepage M / 2014 / Neurocognition: clinical and functional outcomes in schizophrenia / Can J Psychiatry 59 : 5 ~ 12
[학술지(정기간행물)] - Hunter R / 2012 / Negative symptoms and psychosocial functioning in schizophrenia: neglected but important targets for treatment / Eur Psychiatry 27 : 432 ~ 436
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UCI(KEPA) : I410-ECN-0101-2017-512-002188545