神經社會認知功能簡式量表：在精神科專科醫院思覺失調症病人評估標準之初探

A Brief Neuro-Social Cognitive Function Scale: A Preliminary Investigation of Assessment Standards for Schizophrenic Patients in Psychiatric Speciality Hospitals

思覺失調症的社會認知研究，認為其影響出現在日常生活功能上，包括工具性活動、人際功能和職業成就，代表的是個體發展用來解決社會與適應問題的特定認知範疇。蔣世光等人(2016)的研究確認漢族的思覺失調症病人存在CNR(Cognitively Normal Range)和BNR(Below Normal Range)兩種亞型，假設針對40至50歲CNR的思覺失調症病人進行的鑑別及處遇，其老化的速度和生活品質可以更接近一般人。並在2021年發展出對兩種亞型有最佳的區辨力，具有臨床使用意義之簡短評估量表。目的：初步探索國內量表之評估標準，以提供國內精神醫療體系廣泛應用於醫療照護。方法：採用系統抽樣，計收177名個案，有效問卷為160位，年齡集中在50-70歲，整體而言屬於低教育程度的思覺失調症病人。結果：伴隨年齡增加受試者在注意力、工作記憶、執行功能，以及臉部表情辨識能力，能呈現明顯地退化現象。結論：本研究建立檢視量表之評估標準，且多項研究變項在65歲以上年齡組開始呈現明顯的退化，建議進行適當的認知刺激介入，並追蹤觀察是否可以延緩其退化速度。

Research into schizophrenia's social cognitive deficits highlights its impact on daily activities, social interactions, and vocational outcomes, reflecting specific adaptive cognitive processes. Chiang et al. (2016) identified two schizophrenia subtypes in Han Chinese populations-CNR (Cognitively Normal Range) and BNR (Below Normal Range)- and proposed targeted interventions for CNR patients aged 40-50 to slow cognitive decline and improve quality of life. A 2021 study introduced a concise, clinically relevant assessment scale with strong discriminatory power for these subtypes.
Objectives. To establish evaluation standards for domestic assessment scales and facilitate their application in mental health care.
Methods. Systematic sampling recruited 177 participants, with 160 valid responses, primarily chronic psychiatric patients aged 50-70 with lower educational level.
Results. Age-related declines were observed in attention, working memory, executive function, and facial expression recognition.
Conclusion. The study established evaluation standards and found significant cognitive deterioration in individuals aged 65 and older. It recommends cognitive stimulation interventions and longitudinal monitoring to slow decline.