Nice or effective? Social problem solving strategies in patients with major depressive disorder
Nice or effective? Social problem solving strategies in patients with major depressive disorder
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DOI：
10.1016/j.psychres.2015.05.015
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发表时间：
2015
影响因子：
11.3
通讯作者：
Suchan
中科院分区：
文献类型：
--
作者：
Schmidt;Juckel;Suchan
我们研究了28名重度抑郁症住院患者和28名健康对照者解决社会问题的不同方面。三个基于场景的测试评估了在困难的人际关系中推断故事人物心理状态的能力，自由地提出处理这种情况的好策略的能力，以及在不太理想的备选方案中确定最佳解决方案的能力。此外，还进行了评估注意力、记忆力、执行功能和移情特质的标准测试。与对照组相比，重度抑郁症患者表现出对其他人的变化讽刺言论的解释受损，但对其他人的变化行为背后的精神状态的解释没有受损。此外，重度抑郁症患者产生较少的策略是社会敏感和实际有效的同时，或至少只有社会敏感。总的来说，虽然在困难的社会情况下自由产生适当的策略受到损害，但在替代方案中对最佳解决方案的识别在MDD患者中幸免。较高的代际得分与较高的特质共情和认知灵活性得分相关。我们建议，在开发针对重度抑郁症患者社交技能受损的治疗方法时，应该考虑到这种特殊的损伤模式。
Our study addressed distinct aspects of social problem solving in 28 hospitalized patients with Major Depressive Disorder (MDD) and 28 matched healthy controls. Three scenario-based tests assessed the ability to infer the mental states of story characters in difficult interpersonal situations, the capacity to freely generate good strategies for dealing with such situations and the ability to identify the best solutions among less optimal alternatives. Also, standard tests assessing attention, memory, executive function and trait empathy were administered. Compared to controls, MDD patients showed impaired interpretation of other peoples׳ sarcastic remarks but not of the mental states underlying other peoples׳ actions. Furthermore, MDD patients generated fewer strategies that were socially sensitive and practically effective at the same time or at least only socially sensitive. Overall, while the free generation of adequate strategies for difficult social situations was impaired, recognition of optimal solutions among alternatives was spared in MDD patients. Higher generation scores were associated with higher trait empathy and cognitive flexibility scores. We suggest that this specific pattern of impairments ought to be considered in the development of therapies addressing impaired social skills in MDD.