Social Cognition in Schizophrenia and Autism Spectrum Disorders: A Systematic Review and Meta-Analysis of Direct Comparisons.

Social Cognition in Schizophrenia and Autism Spectrum Disorders: A Systematic Review and Meta-Analysis of Direct Comparisons.
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DOI:
10.3389/fpsyt.2018.00504
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发表时间:
2018
影响因子:
4.7
通讯作者:
Barahona-Corrêa JB
Barahona-Corrêa JB
中科院分区:
医学3区
文献类型:
--
作者:
Fernandes JM;Cajão R;Lopes R;Jerónimo R;Barahona-Corrêa JB

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背景:社会认知缺陷在精神分裂症和自闭症谱系障碍(ASD)中都是公认的。然而,目前还不太清楚这两种障碍之间的社会认知缺陷有何不同,以及这种差异背后可能存在哪些不同的机制。我们的目的是回顾直接比较精神分裂症和自闭症患者之间社会认知表现的研究的现有证据。方法:我们对Pubmed、Web of Science和Scope us上截至2018年5月22日的文献进行了系统的综述。搜索关键词包括“社会认知”、“心理理论”、“自闭症”、“阿斯伯格”、“精神病”和“精神分裂症”。两名研究人员根据PRISMA指南独立选择和提取数据。对社会认知任务的绩效进行了随机效应元分析,评价指标为:(1)情绪知觉;(2)心理理论;(3)情绪智力(Mayer-Salovey-Caruso情绪智力测验的情绪管理分数);(4)社交技能。结果:我们确定了19项符合荟萃分析的研究,包括1040名患者(558名精神分裂症患者和482名ASD患者)。八项研究提供了面部情绪感知的数据,证明患有精神分裂症的参与者比患有自闭症的参与者表现更好(赫奇斯的g=0.43;p=0.031)。在眼神读心测试(8项研究;赫奇斯的g=0.22;p=0.351)、其他心理理论任务(9项研究;赫奇斯的g=−0.03;p=0.903)、情绪智力(3项研究;赫奇斯的g=−0.17;p=0.490)和社交技能(3项研究;赫奇斯的g=0.86;p=0.056)方面,两组之间没有显著差异。参与者的年龄是情绪感知和RMET分析中效果大小的显著调节因素,在与年轻参与者的研究中观察到更大的差异有利于精神分裂症患者。结论:目前可用于评估社会认知的工具很难区分精神分裂症和自闭症患者。将行为任务与神经生理学评估相结合,可能更好地表征这两种疾病之间在社会认知方面的差异。
Background: Deficits in social cognition are well-recognized in both schizophrenia and autism spectrum disorders (ASD). However, it is less clear how social cognition deficits differ between both disorders and what distinct mechanisms may underlie such differences. We aimed at reviewing available evidence from studies directly comparing social cognitive performance between individuals with schizophrenia and ASD. Methods: We performed a systematic review of literature up to May 22, 2018 on Pubmed, Web of Science, and Scopus. Search terms included combinations of the keywords “social cognition,” “theory of mind,” “autism,” “Asperger,” “psychosis,” and “schizophrenia.” Two researchers independently selected and extracted data according to PRISMA guidelines. Random-effects meta-analyses were conducted for performance on social cognitive tasks evaluating: (1) emotion perception; (2) theory of mind (ToM); (3) emotional intelligence (managing emotions score of the Mayer-Salovey-Caruso Emotional Intelligence Test); and (4) social skills. Results: We identified 19 eligible studies for meta-analysis including a total of 1,040 patients (558 with schizophrenia and 482 with ASD). Eight studies provided data on facial emotion perception that evidenced a better performance by participants with schizophrenia compared to those with ASD (Hedges' g = 0.43; p = 0.031). No significant differences were found between groups in the Reading the Mind in the Eyes Test (8 studies; Hedges' g = 0.22; p = 0.351), other ToM tasks (9 studies; Hedges' g = −0.03; p = 0.903), emotional intelligence (3 studies; Hedges' g = −0.17; p = 0.490), and social skills (3 studies; Hedges' g = 0.86; p = 0.056). Participants' age was a significant moderator of effect size in emotion perception and RMET analyzes, with larger differences favoring patients with schizophrenia being observed in studies with younger participants. Conclusions: The instruments that are currently available to evaluate social cognition poorly differentiate between individuals with schizophrenia and ASD. Combining behavioral tasks with neurophysiologic assessments may better characterize the differences in social cognition between both disorders.
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