Динамика показателей социальных когниций и шкалы апатии у пациентов с расстройствами шизофренического спектра, прошедших метакогнитивный тренинг
Рекомендуемое оформление библиографической ссылки:
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.
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
1. Shmukler AB. Social'noe funkcionirovanie i kachestvo zhizni psihicheski bol'nyh [PhD thesis]. [Moscow (Russia)]: GNCz social'noj i sudebnoj psihiatrii im. V.P. Serbskogo; 1999. 336 p. Russian. 2. Kir'janova EM, Sal'nikova LI. Social'noe funkcionirovanie i kachestvo psihicheski bol'nyh – vazhnejshij pokazatel' jeffektivnosti psihiatricheskoj pomoshhi. Social'naja i klinicheskaja psihiatrija [Social and Clinical Psychiatry]. 2010;20(3):73–5. Russian. 3. Vishnevskaja OA, Gvozdeckij AN, Petrova NN. Social'noe funkcionirovanie bol'nyh paranoidnoj shizofreniej v remissii. Social'naja i klinicheskaja psihiatrija [Social and Clinical Psychiatry]. 2012;22(4):30–6. Russian. 4. Gurovich IJa, Papsuev OO, Minjacheva MV, Movina LG. Social'nye kognicii pri shizofrenii i rasstrojstvah shizofrenicheskogo spectra. Doktor.Ru. 2014;6-1(94):81–7. Russian. 5. Adolphs R. The neurobiology of social cognition. Curr Opin Neurobiol. 2001;11(2):231–9. DOI: https://doi.org/10.1016/s0959-4388(00)00202-6; PMID: 11301245 6. Lutova NB, Vid VD. Sovremennaja dilemma terapii shizofrenii: nejrokognicii i social'nye kognicii. Obzor psihiatrii i medicinskoj psihologii. 2019;(3):3–9. Russian. 7. Wiener D, Rybakowski J. Disturbances of social cognition in schizophrenia. Psychiatr Pol. 2006;40(2):205–18. PMID: 17037097 8. Bora E, Yucel M, Pantelis C. Theory of mind impairment in schizophrenia: metaanalysis. Schizophr Res. 2009;109(1–3):1–9. DOI: https://doi.org/10.1016/j.schres.2008.12.020 9. Corcoran R, Mercer G, Frith CD. Shizophrenia, symptomatology and social inference: investigating “theory of mind” in people with schizophrenia. Schizophr Res. 1995;17(1):5–13. DOI: https://doi.org/10.1016/0920-9964(95)00024-g 10. Savla GN, Vell L, Armstrong CC, et al. Deficits in domains of social cognition in schizophrenia: a meta-analysis of the empirical evidence. Schizophrenia Bull. 2013;39(5):979–92. DOI: https://doi.org/10.1093/schbul/sbs080 11. Pinkham AE, Penn DL, Greene MF, еt al. Social Cognition Psychometric Evaluation: Results of the Initial Psychometric Study. Schizophr Bull. 2016;42(2):494–504. DOI: https://doi.org/10.1093/schbul/sbv056 12. Couture SM, Penn DL, Roberts DL. The functional significance of social cognition in schizophrenia: a review. Schizophrenia Bulletin. 2006;32(1):44–63. DOI: https://doi.org/10.1093/schbul/sbl029 13. Heinrichs RW, Zakzanis KK. Neurocognitive deficit in schizophrenia: a quantitative review oftheevidence. Neuropsychology. 1998;12(3):426–45. DOI: https://doi.org/10.1037//0894-4105.12.3.426 14. Bechi M, et al. Theory of mind and emotion processing training for patients with schizophrenia: preliminary findings. Psychiatry research. 2012;198(3):371–7. DOI: https://doi.org/10.1016/j.psychres.2012.02.004 15. Kaneko K. Negative symptoms and cognitive impairments in schizophrenia: two key symptoms negatively influence in social functioning. Yonago Acta Med. 2018;61(2):91–102. DOI: https://doi.org/10.33160/yam.2018.06.001 16. Kirkpatrick B, Fenton WS, Carpenter JrW, Marder SR. The NIMH-MATRICS consensus statement on negative symptoms. Schizophr Bull. 2006;32(2):214–9. DOI: https://doi.org/10.1093/schbul/sbj053 17. Bleuler E. Dementia praecox or the group of schizophrenias. Vertex. 2010;21(93):394–400. 18. Kraepelin E. Dementia Praecox and Paraphrenia / M.R. Robertson, ed. N.Y.: Krieger Publishing, 1919. 331р. 19. Bischof M, Obermann C, Hartmann MN, et al. The brief negative symptom scale: validation of the german translation and convergent validity with self-rated anhedonia and observer-rated apathy. BMC Psychiatry. 2016;16(1):415. DOI: https://doi.org/10.1186/s12888-016-1118-9 20. Jang SK, Choi HI, Park S, et al. A two-factor model better explains heterogeneity in negative symptoms: evidence from the positive and negative syndrome scale. Front Psychol. 2016;7:707. DOI: https://doi.org/10.3389/fpsyg.2016.00707 21. Strauss GP, Horan WP, Kirkpatrick B, et al. Deconstructing negative symptoms of schizophrenia: avolition-apathy and diminished expression clusters predict clinical presentation and functional outcome. J Psychiatr Res. 2013;47(6):783−790. DOI: https://doi.org/10.1016/j.jpsychires.2013.01.015 22. Ang MS, Rekhi G, Lee J. Validation of the Brief Negative Symptom Scale and its association with functioning. Schizophr Res. 2019;208:97−104. DOI: https://doi.org/10.1016/j.schres.2019.04.005 23. Harvey PD, Khan A, Keefe RSE. Using the positive and negative syndrome scale (PANSS) to define different domains of negative symptoms: prediction of everyday functioning by impairments in emotional expression and emotional experience. Innov Clin Neurosci. 2017;14(11–12):18−22. 24. Gurovich IJa, Shmukler AB. Psihosocial'naja i kognitivnaja terapija i reabilitacija psihicheskih bol'nyh. Prakticheskoe rukovodstvo. Moscow; Medpraktika-M, 2015. 420 р. Russian. 25. Moritz S, Woodward TS. Metacognitive training for schizophrenia patients (MCT): a pilot study on feasibility, treatment adherence, and subjective efficacy. German Journal of Psychiatry. 2007;10(3):69–78. 26. Addington D, Addington J, Maticka-Tyndale E. Assessing depression in schizophrenia: the Calgary Depression Scale. Br J Psychiatry. 1993;163(22):39–44. 27. Kay SR, Fiszbein A, Opler LA. The Positive and Negative Syndrome Scale (PANSS) for schizophrenia. Schizophr Bull. 1987;13(2):261–276. DOI: https://doi.org/10.1093/schbul/13.2.261 28. Minjacheva MV, Gladishev IO, Kisel'nikva KG, et al. Opyt primenenija shkaly ocenki apatii u pacientov s rasstrojstvami shizofrenicheskogo spektra. Social'naja i klinicheskaja psihiatrija [Social and Clinical Psychiatry]. 2018;28(4):17–25. Russian. 29. Marin RS, Biedrzycki RC, Firinciogullari S. Reliability and validity of the Apathy Evaluation Scale. Psychiatr Res. 1991;38(2):143–162. DOI: https://doi.org/10.1016/0165-1781(91)90040-v 30. Corcoran R, Mercer G, Frith CD. Shizophrenia, symptomatology and social inference: investigating “theory of mind” in people with schizophrenia. Schizophr Res. 1995;17(1):5–13. DOI: https://doi.org/10.1016/0920-9964(95)00024-g 31. Sergi MJ, Fiske AP, Horan WP, et al. Development of a measure of relationship perception in schizophrenia. Psychiatry Research. 2009;166(1):54–62. DOI: https://doi.org/10.1016/j.psychres.2008.03.010 32. Papsuev OO, Movina LG, Semenova ND, et al. Kompleksnyj podhod k social'no-kognitivnym vmeshatel'stva pri rabote s bol'nymi shizofreniej [Complex approach to social cognitive interventions in patients with schizophrenia]. Social'naja i klinicheskaja psihiatrija [Social and Clinical Psychiatry]. 2015;25(1):36–44. Russian. 33. Rocha NBF, Queiros C. Metacognitive and social cognition training (MSCT) in schizophrenia: a preliminary efficacy study. Schizophrenia Research. 2013;150(1):64–8. DOI: https://doi.org/10.1016/j.schres.2013.07.057 34. Pankowski D, Kowalski J, Gaweda L. The effectiveness of metacognitive training for patients with schizophrenia: a narrative systematic review of studies published between 2009 and 2015. Psychiatr Pol. 2016;50(4):787–803. PMID: 27847929; DOI: https://doi.org/10.12740/PP/59113
DOI: http://dx.doi.org/10.24411/1560-957Х-2020-10607
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