神经损伤与功能重建2025，Vol.20Issue(6)：311-315,5.DOI:10.16780/j.cnki.sjssgncj.20240926
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 Clinic-ally Stable Patients with Schizophrenia and Its Sex Difference
摘要
Abstract
Objective: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 attach-ment 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.关键词
精神分裂症/元认知/依恋关系Key words
schizophrenia/metacognition/attachment relationships分类
临床医学引用本文复制引用
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].神经损伤与功能重建,2025,20(6):311-315,5.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) （自然科学类）
