强迫障碍DSM4-5的变化试卷.ppt

启示2：认识强迫症的认知损害 强迫症存在着抑制功能缺陷 Hartston and Swerdlow, 1999;Bannon et al., 2002, 2006; Penades et al., 2005, 2007;Chamberlain et al., 2006, 2007b. 设置转移 impairments in OCD in both affective and attentional shift domains as exemplified by the Object Alternation Task (OAT) and the CANTAB intra-dimensional/extra-dimensional (ID/ED) set shifting task, respectively (Veale et al., 1996; Abbruzzese et al., 1997; Aycicegi et al., 2003; Watkins et al., 2005;Chamberlain et al., 2006). 计划 Impairment on the Tower of London task has also been demonstrated in healthy first-degree relatives of OCD patients (Delorme et al., 2007). 决策 the Rogers et al. (1999) gamble task, decision-making has been repeatedly found to be intact inpatients with OCD despite impairment on other tasks(Watkins et al., 2005; Chamberlain et al., 2007a). L. Menzies et al. / Neuroscience and Biobehavioral Reviews 32 (2008) 525–549 强迫症认知-神经心理功能评估 注意力 Color Trails Test (CTT) Digit Span (WMS III) 智力 Matrix Test (WAIS III) 记忆力 Auditory Verbal Learning Test (AVLT) – verbal memory Complex Figure Test (CFT) – non-verbal memory 视觉空间功能 The Bender Gestalt Test (BGT) 执行功能 Tower of Hanoi Test (ToH) – planning Wisconsin Card Sorting Test (WCST) – set shifting Object Alternation Test (OAT) – alternation learning Iowa Gambling Task (IGT) – decision making Stroop Color-Word Test – conflict resolution and response inhibition Controlled Oral Word Association (COWA) Test– verbal fluency Five-point Test – figural fluency Verbal N-Back – verbal working memory Spatial Span (WMS III) – visuo-spatial working memory H. Kashyap et al. / Comprehensive Psychiatry 54 (2013) 533–540 OCD及其他焦虑障碍的认知损害 DEPRESSION AND ANXIETY 27 : 495–506 (2010) 相比其他的焦虑障碍疾病，OCD存在着明显的认知损害 小结及展望 强迫症不再归于焦虑障碍 强迫及其相关障碍的单列可以提高临床医师对此类疾病的重视、筛查及诊断 强迫症较其他精神障碍更多存在认知损害 认知损害是与疾病状态相关还是与患者的特质相关？ 临床研究数据还非常不充分 药物治疗对OCD认知损害的治疗效应？ * 人有了知识，就会具备各种分析能力， 明辨是非的能力。 所以我们要勤恳读书，广泛阅读， 古人说“书中自有黄金屋。 ”通过阅读科技书籍，我们能丰富知识， 培养逻辑思维能力； 通过阅读文学作品，我们能提高文学鉴赏水平， 培养文学情趣； 通过阅读报刊，我们能增长见识，扩大自己的知识面。 有