文章摘要
叶玲飞 ，方文梅 ，孔慧 ，王悦 ，谢添琹,, ，李亦非,, ，董毅 ，朱道民.稳定期精神分裂症患者多种依恋关系与元认知功能的相关性及其性别差异[J].神经损伤功能重建,2025,(6):311-315
稳定期精神分裂症患者多种依恋关系与元认知功能的相关性及其性别差异
Correlation between Multiple Attachment Relationships and Metacognitive Function in Clinically Stable Patients with Schizophrenia and Its Sex Difference
  
DOI：
中文关键词: 精神分裂症  元认知  依恋关系
英文关键词: schizophrenia  metacognition  attachment relationships
基金项目:安徽省高等学校科 学研究项目（自然 科学类）（前额叶- 颞叶功能连接改变 介导的低睡眠效率 在抑郁症患者认知 障碍中的研究，No. 2023AH050585）
作者单位
叶玲飞1,2,3,4 ，方文梅1,2,3,4 ，孔慧1 ，王悦1,2,3,4 ，谢添琹2,3,4 ，李亦非2,3,4 ，董毅5 ，朱道民1,2,3,4 1. 安徽医科大学精 神卫生与心理科学 学院 2. 安徽医科大学附 属心理医院 3. 安徽省精神卫生 中心 4. 合肥市第四人民 医院 5. 安徽省芜湖安定 精神病医院 
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中文摘要:
      目的：本研究旨在探讨稳定期精神分裂症患者多种依恋关系与元认知功能的相关性及其性别差异。 方法：纳入在合肥市第四人民医院接受治疗的稳定期精神分裂症患者80例，其中男性45例，女性35例，分别 纳入男性组和女性组。采用印第安纳精神疾病访谈（IPII）及修订版元认知评估量表（MAS-A）评估所有研 究对象的元认知功能；采用亲密关系体验-关系结构量表（ECR-RS）评估所有研究对象的多种依恋关系。 采用独立样本t检验或Mann-Whitney U检验比较男性组与女性组元认知功能及ECR-RS评分间的差异，通 过偏相关分析探讨稳定期精神分裂症患者多种依恋关系与元认知功能的关联。结果：女性组的元认知总分 （t=－1.989，P＜0.05）及元认知去中心化（D）分（Z=－3.775，P＜0.001）高于男性组，差异具有统计学意义； ECR-RS量表总分及各因子分在2组间差异均无统计学意义（P＞0.05）。偏相关分析结果显示，校正年龄、病 程等因素后，恋人依恋（ECR-RS-3）领域的依恋焦虑与元认知去中心化（D）分（r=－0.250，P＜0.05）、元认知控 制（M）分（r=－0.292，P＜0.05）及元认知总分（r=－0.266，P＜0.05）结果呈显著负相关。亚组分析结果显示， 男性组中，恋人依恋焦虑与元认知去中心化（D）分有关；女性患者组中，恋人依恋焦虑与元认知控制（M）分有 关。结论：稳定期精神分裂症患者良好的异性亲密关系与自我和他人的认知理解能力及应对社会困境能力 密切相关，且依恋关系与元认知功能之间存在性别差异。
英文摘要:
      This study aimed to explore the correlation between multiple attachment relationships and metacognitive function in clinically stable patients with schizophrenia and its sex differences. Methods: Eighty stable schizophrenia patients (45 males and 35 females) treated in Hefei Fourth People's Hospital were enrolled and divided into male and female groups. The Indiana Psychiatric Illness Interview (IPII) and the abbreviated Metacognition Assessment Scale (MAS-A) were used to assess the metacognitive function of all participants. The Experiences in Close Relationships-Relationship Structures Scale (ECR-RS) was adopted to evaluate multiple attachment relationships. Independent samples t-test or Mann-Whitney U test was used to compare the differences in metacognitive function and ECR-RS scores between the male and female groups. Partial correlation analysis was conducted to explore the association between multiple attachment relationships and metacognitive function in clinically stable patients with schizophrenia. Results: The female group had significantly higher total metacognitive scores (t=－1.989, P<0.05) and decentration scores (D scores) (Z=－3.775, P<0.001) than the male group. There were no statistically significant differences in the total scores and factor scores of the ECR-RS scale between the two groups (P>0.05). Partial correlation analysis showed that attachment anxiety in the partner attachment domain (ECR-RS-3) was significantly negatively correlated with decentration scores (D scores) (r=－0.250, P<0.05), mastery scores (M scores) (r=－0.292, P<0.05), and total scores (r=－0.266, P<0.05) of metacognition when the age, course and other factors were statistically controlled. Subgroup analysis revealed that in the male group, partner attachment anxiety was related to decentration scores (D scores); while in the female group, partner attachment anxiety was associated with mastery scores (M scores). Conclusion: The better partner relationship in clinically stable patients results better cognitive understanding of self and others and the ability to cope with social dilemmas, and there are significant sex differences.
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