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Gender Differences in Social Cognition in Patients With Schizophrenia of Recent Diagnosis and Healthy Controls Subjects

2018年1月29日 更新者:Sol Fernandez-Gonzalo、Corporacion Parc Tauli

Individuals with schizophrenia have important and persistent deficits in multiple neurocognitive domains as well as in the Social Cognition (SC). SC refers to the mental operations underlying social behavior, and it is understood as a multidimensional construct that comprises emotional processing (EP), social perspective and knowledge, attributional bias and theory of mind (ToM) or mentalizing. Mentalizing and EP skills have been the two most studied subdomains of SC in schizophrenia. Both domains have been found to be impaired in chronic schizophrenia patients as well as in patients in early stages of the illness. In this context, although negative symptoms may play and important role, females seem to perform better than males in ToM and EP tasks, suggesting the presence of gender differences in the SC skills in patients with schizophrenia. However, to our knowledge, there are no studies that have explored the gender-related differences between cognitive and affective ToM and its relationship with the EP performance in schizophrenia patients of recent diagnosis comparing with healthy subjects.

In this line, the main objective of this project is to analyze the influence of gender in the cognitive and affective ToM abilities, in a group of patients with schizophrenia in early stages of the illness comparing with healthy subjects. Secondarily, this study pretends to explore the association between EP skills and affective ToM tasks performance in males and females with and without recent diagnosis of schizophrenia.

研究概览

详细说明

50 patients (25 men and 25 women) will be recruited to participate in the study. Diagnosis of schizophrenia or schizoaffective disorder will be obtained through the medical records of each patient, and confirmed with the administration of the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) (American Psychiatric Association, 1994) by an expert psychiatrist. The same professional will confirm the inclusion and exclusion criteria, and administrate and correct the Positive and Negative Syndrome Scale (PANNS) of all patients. An expert neuropsychologist will administrate and correct the the abbreviated form of the Wechsler Adult Intelligence Scale (WAIS-III) and the ToM and EP tasks.

In a second phase, a total of 50 healthy people (25 men and 25 women), matched according to age and years of schooling with the previous group, will be recruited. An expert neuropsychologist will confirm the inclusion and exclusion criteria, and administrate and correct the Vocabulary subtests of the WAIS-III and ToM and EP tasks.

All of them will be informed about the characteristics of the study before participating, and will sign an informed consent approved by the ethical committee of the hospital. The subjects will participate voluntarily.

4 groups ANOVAs will be performed for studying differences in affective and cognitive ToM between the groups (1-Women With Recent Diagnosis of Schizophrenia; 2-Men With Recent Diagnosis of Schizophrenia; 3-Healthy Women; 4-Healthy Men). Linear regression models will be performed for exploring the relationship between gender, negative symptoms (only in the schizophrenia sample) and EP (independents variables) in affective ToM (dependent variable).

研究类型

观察性的

注册 (实际的)

80

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

    • Barcelona
      • Sabadell、Barcelona、西班牙、08208
        • Corporació Parc Tauli

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 至 45年 (成人)

接受健康志愿者

有资格学习的性别

全部

取样方法

非概率样本

研究人群

Females and males with and without schizophrenia of recent diagnosis.

描述

PARTICIPANTS WITH SCHIZOPHRENIA

Inclusion Criteria:

  • Patients meeting DSM-IV criteria for schizophrenia or schizoaffective disorder with less than 5 years of evolution of the disorder.
  • Being an outpatient for at least 4 weeks before the study (clinical stability).
  • No changes in the antipsychotic medication during the month before the study.
  • Score less than 4 in the P1, P2 and P3 items of the PANSS.
  • Score less than 4 in the Calgary Depression Scale.

Exclusion Criteria:

  • Intellectual disability (IQ<70).
  • History of brain damage.
  • History of substance abuse (except nicotine or caffeine) during the last 12 months before the study.

PARTICIPANTS WITHOUT SCHIZOPHRENIA

Inclusion Criteria:

• Healthy people over 18 years old.

Exclusion Criteria:

  • Sensory impairment: visual or hearing disabilities.
  • Intellectual disability (IQ<70).
  • History of neurologic disease.
  • History of psychiatric disorder.
  • History of substance abuse (except nicotine or caffeine) during the last 12 months before the study.

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 观测模型:病例对照
  • 时间观点:横截面

队列和干预

团体/队列
干预/治疗
Women schiz.
Women with recent diagnosis of schizophrenia
Men schiz.
Men with recent diagnosis of schizophrenia
Women healthy
Women without diagnosis of schizophrenia or other neurological and/or psychiatric diagnosis
Men healthy
Men without diagnosis of schizophrenia or other neurological and/or psychiatric diagnosis

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
Affective Theory of Mind
大体时间:Through study completion, an average of 6 months
Measured by: Reading the Mind in the Eyes test (RMET)
Through study completion, an average of 6 months
Cognitive Theory of Mind
大体时间:Through study completion, an average of 6 months
Measured by: False belief stories
Through study completion, an average of 6 months

次要结果测量

结果测量
措施说明
大体时间
Emotional Processing
大体时间:Through study completion, an average of 6 months
Measured by: Pictures of Facial Affect (POFA)
Through study completion, an average of 6 months
Psychosis Symptoms
大体时间:Through study completion, an average of 6 months
Measured by: Positive and Negative Syndrome Scale
Through study completion, an average of 6 months

其他结果措施

结果测量
措施说明
大体时间
Intelligence Quotient (IQ) in schizophrenia groups
大体时间:Through study completion, an average of 6 months
Measured by: The abbreviated form of the Wechsler Adult Intelligence Scale (WAIS-III) (Blyder et al., 2000)
Through study completion, an average of 6 months
Intelligence Quotient (IQ) in healthy groups
大体时间:Through study completion, an average of 6 months
Measured by: The Vocabulary subtest (WAIS-III) in healthy participants.
Through study completion, an average of 6 months

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

调查人员

  • 首席研究员:Sol Fernandez-Gonzalo, PhD、Corporació Parc Tauli

出版物和有用的链接

负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。

一般刊物

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始

2015年9月1日

初级完成 (实际的)

2016年7月1日

研究完成 (实际的)

2016年7月1日

研究注册日期

首次提交

2015年10月8日

首先提交符合 QC 标准的

2015年10月13日

首次发布 (估计)

2015年10月14日

研究记录更新

最后更新发布 (实际的)

2018年1月31日

上次提交的符合 QC 标准的更新

2018年1月29日

最后验证

2018年1月1日

更多信息

与本研究相关的术语

其他研究编号

  • 2015534

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

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