Are Theory of Mind Deficits in Understanding Intentions of Others Associated With Persecutory Delusions?
Are Theory of Mind Deficits in Understanding Intentions of Others Associated With Persecutory Delusions?
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DOI：
10.1097/nmd.0b013e3181e4c8d2
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发表时间：
2010-07-01
影响因子：
1.9
通讯作者：
Lincoln, Tania Marie
中科院分区：
文献类型：
--
作者：
Mehl, Stephanie;Rief, Winfried;Lincoln, Tania Marie
本研究旨在探讨精神分裂症谱系障碍患者的心理理论推断他人意图能力与妄想的关系。在一项横断面设计中，急性迫害妄想（PD）患者（n = 33），缓解型迫害妄想（PD-rem）患者（n = 25）和非临床对照组（n = 58）完成了一项电影任务，其中他们必须推断人物的意图和情绪以及错误信念任务。观察者和患者对疼痛进行评分。与缓解妄想患者和对照组相比，PD患者推断意图的能力特别受损。即使在执行功能受到控制的情况下，推断意图的能力也能预测错觉的显著差异。模型解释的发展和维护妄想的影响进行了讨论。
The purpose of this study was to investigate the association of the Theory of Mind ability to infer intentions of others and delusions in patients with schizophrenia-spectrum disorders. In a cross-sectional design, patients with acute persecutory delusions (PD) (n = 33), patients with remitted persecutory delusions (PD-rem) (n = 25), and non-clinical controls (n = 58) completed a movie task, in which they had to infer the characters' intentions and emotions and a false-belief task. Delusions were rated by observers and by the patients. Patients with PD were specifically impaired in the ability to infer intentions compared with patients with remitted delusions and controls. The ability to infer intentions predicted a significant amount of variance in delusions, even when executive functioning was controlled. Implications for models explaining the development and maintenance of delusions are discussed.