Theory of mind in schizophrenia: a critical review.
Theory of mind in schizophrenia: a critical review.
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DOI：
10.1080/13546800444000056
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发表时间：
2005-08-01
影响因子：
1.7
通讯作者：
McClure, John
中科院分区：
文献类型：
--
作者：
Harrington, Leigh;Siegert, Richard J;McClure, John
简介：Frith（1992）的精神分裂症神经心理学理论提出了一些基本的认知障碍，这些认知障碍是这种疾病特征性症状的基础。其中之一是正确解释和预测他人心理状态的能力受损，即所谓的心理理论（ToM）。已经有大量证据表明精神分裂症患者的心理理论受损。我们的目的是批判性地审查这个literation.Method：研究文献的叙述性回顾完成。对Medline和PsycInfo进行电子检索，以查找相关文章。相关文章的参考书目进行了仔细检查，在某些情况下，研究人员直接联系。结果：共30项研究，所有研究的某些方面，心理理论在精神分裂症患者的位置。这些进行了总结，并确定了这个主题的关键问题。结论：有相当多的证据表明，心理理论是受损的精神分裂症患者。然而，这也许是迄今为止关于这一专题的唯一明确的调查结果。需要进一步澄清的问题包括：赤字是一种状态还是一种特质？如何在精神分裂症研究中测量心理理论，以及某些症状或症状组是否与心理理论缺陷有关。对这些问题进行了审议，并对证据进行了评估。提出了今后研究的重点。
INTRODUCTION: Frith's (1992) neuropsychological theory of schizophrenia posits a number of fundamental cognitive impairments underpinning the characteristic symptoms of this disorder. One of these is an impairment in the ability to correctly interpret and predict the mental states of other people, so-called theory of mind (ToM). There is already a substantial body of evidence that ToM is impaired in people with schizophrenia. Our aim was to critically review this literature.METHOD: A narrative review of the research literature was completed. Electronic searches of both Medline and PsycInfo were conducted to locate relevant articles. The bibliographies of relevant articles were scrutinised and in some cases researchers were contacted directly.RESULTS: A total of 30 studies that all examined some aspect of ToM in people with schizophrenia were located. These were summarised and key issues on this topic were identified.CONCLUSIONS: There is considerable evidence that ToM is impaired in people with schizophrenia. However, this is perhaps the only unequivocal finding on the topic to date. Issues that demand further clarification include: Is the deficit a state or a trait? How to measure ToM in schizophrenia research, and whether certain symptoms or groups of symptoms are associated with the ToM deficit. These issues are considered and the evidence evaluated. Some priorities for future research are suggested.