认知功能缺陷对偏执型精神分裂症患者自尊水平及社会功能的影响

doi:10.20047/j.issn1673-7210.2023.23.14

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Abstract Objective To explore the effects of cognitive impairment on self-esteem and social function in patients with paranoid schizophrenia. Methods A total of 82 patients with paranoid schizophrenia treated in the Department Psychiatric of the Fuyang Third People’s Hospital, Anhui Province (hereinafter referred to as “our hospital”) from February 2020 to January 2022 were selected as the case group, and 110 healthy physical examinations in the Psychiatric Department of our hospital during the same period were selected as the healthy control group. The general information questionnaire, the MATRICS consensus cognitive battery (MCCB), the state self-esteem scale (SSES), and the personal and social performance scale (PSP) were used to investigate the patients. Pearson coefficient was used to analyze the relationship among cognitive function, self-esteem level and social function. The structural equation was constructed with AMOS 22.0, and the mediating effect was verified by Bootstrap with non-parametric percentage of deviation correction. Results The patients had cognitive impairment (56.17±7.24) points, self-esteem (54.54±5.62) points, and social function (70.13±3.40) points. The results of Pearson analysis showed that cognitive impairment was negatively correlated with self-esteem and social function (r=-0.986, -0.977, P＜0.05), and self-esteem was positively correlated with social function (r=0.982, P＜0.05). The Bootstrap intermediary effect validation results showed that the self-esteem to predict social function had a direct effect, direct effect was 67.00% (95%CI：0.254, 0.542), and cognitive function defects in the level of self-esteem and social functions played a role of partial mediation, effect value of 33.00% (95%CI：0.017, 0.812). Conclusion The level of self-esteem can directly affect the social function of patients with paranoid schizophrenia, and can also indirectly affect the social function of patients by regulating cognitive function. Nurses should improve patients’ self-esteem from the perspective of positive psychology, and can also use cognitive function as a starting point to improve patients’ social function and help patients return to society as soon as possible.

Key words： Cognitive function defects Paranoid schizophrenia Self-esteem level Social function

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	GU Xiaomei　MA Rui　HU Xiaofei▲

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GU Xiaomei　MA Rui　HU Xiaofei▲. Effects of cognitive impairment on self-esteem and social function in patients with paranoid schizophrenia[J]. 中国医药导报, 2023, 20(23): 69-72.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2023.23.14 OR https://www.yiyaodaobao.com.cn/EN/Y2023/V20/I23/69

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