精神分裂症现实监控缺陷的研究进展

Research progress on the deficiency of reality monitoring in schizophrenia

现实监控过程对于维持日常生活的正常运行不可或缺,它能帮助人们识别自身的想法、感受和想象,并将它们与真实的经历或由他人讲述的事件区分开来。现实监控出现错误时,往往是将内部生成的事件错误识别为真实的,涉及的范围从混淆真实与想象的经历到精神病性症状(如幻听)的出现,其程度的不同取决于现实监控的能力。精神分裂症患者的现实监控能力明显受损,通过现实监控研究可以更好地理解精神分裂症的脑机制和寻找新干预靶点。因此,现对精神分裂症现实监控缺陷的研究进展进行综述。

The reality monitoring is essential to keeping our daily lives in balance.It can help us identify our thoughts,feelings and imaginations,and distinguish them from real experiences or events told by others.When the reality monitoring errors occur,individual often misidentifies internal generated events as real,ranging from experiences of confusing reality with imagination to psychotic symptoms such as auditory hallucination,the degree of which depends on the reality-monitoring ability.The reality-monitoring ability of patients with schizophrenia is obviously impaired.Research on reality monitoring can help us better understand the brain mechanism of schizophrenia and find new targets for intervention.Therefore,this paper will review the research progress on the deficiency of reality monitoring in schizophrenia.