Динамика показателей социальных когниций и шкалы апатии у пациентов с расстройствами шизофренического спектра, прошедших метакогнитивный тренинг

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Кузнецов С.Ю., Кожевникова М.Ю., Мовина Л.Г., Папсуев О.О. Динамика показателей социальных когниций и шкалы апатии у пациентов с расстройствами шизофренического спектра, прошедших метакогнитивный тренинг // Российский психиатрический журнал. 2020. №6. С. 55-61.

Аннотация

В проспективном исследовании с целью оценки группы пациентов дневного стационара с параноидной шизофренией и шизоаффективным расстройством до и после проведения метакогнитивного тренинга использовали клинические шкалы PANSS, CDSS, AES-S, AES-C и методики Hinting Task и RAD-15. Полученные результаты демонстрируют улучшение показателей в доменах «внутренняя модель сознания другого» и «социальная перцепция». Выраженность апатии, оцениваемой клиницистом по шкале AES-C, уменьшилась, в то время как при оценке апатии пациентами по шкале AES-S изменений не зарегистрировано. Таким образом, метакогнитивный тренинг в рамках комплексной терапии положительно влияет на психическое состояние пациентов, приводит к улучшению социально-когнитивных функций и к снижению выраженности апатии.

Ключевые слова шизофрения; метакогнитивный тренинг; социальные когниции; апатия

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DOI: http://dx.doi.org/10.24411/1560-957Х-2020-10607

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