强迫症前瞻记忆缺损性质及内表型研究
Study on prospective memory deficits of obsessive-compulsive disorder in the endophenotype framework
投稿时间:2021-02-25  修订日期:2021-06-13
DOI:
中文关键词:  强迫症  前瞻记忆  内表型
英文关键词:OCD  Prospective memory  Endophenotype
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作者单位地址
韦臻 南方医科大学附属深圳市妇幼保健院儿童心理与康复科 深圳市福强路3012号市妇幼保健院心理科
余嘉盛 华南师范大学心理学院/心理应用研究中心 
阮中强 华南师范大学心理学院/心理应用研究中心 
阳琼* 广州医科大学附属脑科医院情感障碍科 广东省广州市广州市荔湾区明心路36号广州医科大学附属脑科医院
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中文摘要:
      考察强迫症患者前瞻记忆功能缺损情况,并进一步考察强迫症患者未患病一级亲属的前瞻记忆功能,以验证前瞻记忆作为强迫症内表型的潜在可能。方法 选择25例年龄、受教育程度、性别、智商、婚姻状况相匹配的健康对照、25例强迫症患者和25例强迫症患者一级亲属,进行多试次设计的标准化前瞻记忆任务,将被试的正确反应率作为前瞻记忆功能的指标。结果 与健康对照组相比,强迫症患者组在基于事件和基于时间的前瞻记忆任务中的正确率均低于正常对照组,差异有统计学意义[(0.74±0.24) vs. (0.88±0.13), d=-0.140, P=0.044; (0.77±0.21) vs. (0.93±0.10), d=-0.164, P=0.011],强迫症患者一级亲属组在基于事件的前瞻记忆任务中的正确率也低于正常对照组,差异有统计学意义[(0.73±0.20) vs.(0.88±0.13), d=-0.144, P=0.036]。结论 强迫症患者前瞻记忆缺损较广泛,且前瞻记忆可能是强迫症的一种内表型。
英文摘要:
      Objective To investigate the prospective memory deficits of obsessive-compulsive disorder patients, and to further investigate the prospective memory function of unaffected first-degree relatives of obsessive-compulsive disorder patients to verify the potential of prospective memory as an internal phenotype of obsessive-compulsive disorder. Methods The 25 healthy control subjects, 25 OCD patients and 25 unaffected first-degree relatives (UFDR) matched for age, education, gender, IQ and marriage status were recruited. The standardized prospective memory paradigm with a multi-trial design was conducted and accuracy was used as an indicator of prospective memory function. Results OCD patients group had lower accuracy in both of the event-based prospective memory task and time-based prospective memory task [(0.74±0.24) vs. (0.88±0.13), d=-0.140, P=0.044; (0.77±0.21) vs. (0.93±0.10), d=-0.164, P=0.011] compared with the healthy control group. The UFDR group had lower accuracy in the event-based prospective memory task [(0.73±0.20) vs.(0.88±0.13), d=-0.144, P=0.036]. Conclusion OCD has extensive prospective memory deficit and prospective memory is an endophenotype of OCD, which means the prospective memory plays an important role in the occurrence and development of OCD.
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