Dergi Ara >>
Yıl:2017; Cilt: 54; Sayı: 2>> Özet
TAM METİN
Nöropsikiyatri Arşivi; 2017;54(2):162-167
Şizofreni Hastalarında Seçici Dikkat, Yanıt İnhibisyonu, Bilişsel Esneklik ve Zihin Kuramı
A Eşsizoğlu, F Köşger, FÖ Akarsu, Ö Özaydın, G Güleç
Eskişehir Osmangazi Üniversitesi, Eskişehir
Amaç: Bu çalışmanın amacı şizofreni hastalarında yürütücü işlevlerden olan seçici dikkat, yanıt inhibisyonu ve bilişsel esneklik işlevleri ile sosyal-bilişsel ve sosyal-algısal Zihin Kuramı (ZK) işlevleri arasındaki ilişkiyi ve şizofreni hastalarında seçici dikkat, yanıt inhibisyonu ve bilişsel esnekliğin ZK işlevleri açısından yordayıcı etken olup olmadığını incelemektir. Yöntem: Şizofreni tanısı bulunan 47 hasta ve 42 kişiden oluşmuş kontrol grubuna demografik bilgi formu, WKET, Stroop Testi, Gözler Testi, İmayı Anlama Testi; ayrıca şizofreni grubuna Pozitif ve Negatif Sendrom Ölçeği uygulandı. Bulgular: Şizofreni grubunun, Gözler Testi ve İmayı Anlama Testi’nden, kontrol grubuna göre anlamlı derecede düşük puan aldığı saptandı. Şizofreni grubunda Gözler Testi puanı ile yaş ve WKET perseveratif hata arasında anlamlı derecede negatif; eğitim süresi ve WKET tamamlanan kategori arasında anlamlı derecede pozitif korelasyon vardı. Şizofreni grubunun Gözler Testi’nden aldığı puanı yaş ve bilişsel esneklik işlevinin yordadığı saptandı. Sonuç: Şizofreni tanılı hastalarda sosyal işlevselliğin sağlanmasında önemli rolü olan sosyal-algısal ZK işlevi, bilişsel esneklikle yakından ilişkilidir ve bilişsel esneklikteki bozulma ZK işlevini yordayabilir.
Theory of Mind and Selective Attention, Response Inhibition, Cognitive Flexibility in Patients with Schizophrenia
Introduction: The aims of the current study are to investigate the relationship between selective attention, response inhibition, and cognitive flexibility that are among executive functions and sociocognitive and socioperceptual theory of mind (ToM) functions and also to investigate whether selective attention, response inhibition, and cognitive flexibility are predictive factors for ToM functions in patients with schizophrenia. Methods: Forty-seven patients diagnosed with schizophrenia and a control group consisting of 42 individuals were administered demographic information form, Wisconsin card sorting test (WCST), Stroop test, Eye test, Hinting test. Positive and negative syndrome scale was applied to the schizophrenia group. Results: In comparison to the control group, the schizophrenia group performed significantly worse on Eyes test and Hinting test. Eyes Test score and age, WCST perseverative error scores were significantly negatively correlated; education and WCST categories achieved scores were significantly positively correlated in patients with schizophrenia. Age and cognitive flexibility were found to predict the Eyes test score in patients with schizophrenia. Conclusions: ToM functions that are important in maintaining socioperceptual functioning are closely related with cognitive flexibility, and impairment in cognitive flexibility may predict the ToM functions in patients with schizophrenia.

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