Is Theory of Mind in Schizophrenia More Strongly Associated with Clinical and Social Functioning than with Neurocognitive Deficits?
Is Theory of Mind in Schizophrenia More Strongly Associated with Clinical and Social Functioning than with Neurocognitive Deficits?
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精神分裂症的心理理论与临床和社会功能的相关性是否比与神经认知缺陷的相关性更强？
DOI：
10.1159/000067062
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发表时间：
2002
期刊：
影响因子：
3.6
通讯作者：
M. Casacchia
中科院分区：
文献类型：
--
作者：
R. Roncone;I. Falloon;M. Mazza;A. de Risio;R. Pollice;S. Necozione;P. Morosini;M. Casacchia
本文探讨了精神分裂症门诊患者的心理理论与神经认知功能、临床功能和社会功能的相关性。有人假设，由于对环境和其他人的心理状态进行推断的能力是社会能力的关键组成部分，ToM的评估与当前社会功能的相关性比传统的神经认知测量更强。“独立评估者”评估了44名精神分裂症患者的心理理论、神经认知和临床变量以及社区功能。神经心理学的措施更密切相关的社区功能比精神症状。当智力的影响被控制时，这些联系仍然很明显。具有较高社会推理能力的患者比在社会认知方面表现出较低能力的患者具有更好的整体社区功能。在一个回归模型中，理解他人精神状态的能力（ToM-2）是全球社会功能的最佳预测因素之一，还有最近的疾病发作，良好的语言流畅性和低水平的消极和积极症状。这些结果与最近的其他研究结果一致。心理理论措施的社会认知可能是一个有用的除了神经心理学评估时，制定计划，减少临床损伤和改善社区功能的精神分裂症患者。需要进一步的研究来验证这些措施的价值，作为成功应用具体的心理社会康复策略的预测因素。
This paper examines the correlations between ‘Theory of Mind’ (ToM) and neurocognitive performance, together with clinical and social functioning, in out-patients with schizophrenic disorders. It was hypothesised that, since the ability to make inferences about the environment and about other peoples’ mental states is a key ingredient of social competence, the assessment of ToM would correlate more strongly with current social functioning than with more traditional neurocognitive measures. ‘Independent raters’ assessed Theory of Mind, neurocognitive and clinical variables as well as community functioning in 44 subjects with schizophrenia. The neuropsychological measures were more closely associated with community functioning than with psychiatric symptoms. These associations remained evident when the effects of intelligence were controlled. Patients with a higher level of competence in making social inferences had better overall community functioning than those who showed less ability in this aspect of social cognition. In a regression model, the capacity to comprehend other people’s mental states (ToM-2) was among the best predictors of global social functioning, together with recent onset of illness, good verbal fluency and low levels of negative and positive symptoms. These results are consistent with other recent findings. ToM measures of social cognition may be a useful addition to neuropsychological assessment when developing programmes for reducing clinical impairments and improving the community functioning of subjects with schizophrenic disorders. Further studies are needed to verify the value of these measures as predictors of the successful application of specific psychosocial rehabilitation strategies.
精神分裂症的持续和选择性关注。
DOI：
--
发表时间：
1992
期刊：
Progress in experimental personality & psychopathology research
影响因子：
--
作者：
Green,MF;Nuechterlein,KH;Gaier,DJ
通讯作者：
Gaier,DJ
抗精神病药物对精神分裂症认知功能的影响。
影响因子：
4.5
作者：
Cleghorn,JM;Kaplan,RD;Szechtman,B;Szechtman,H;Brown,GM
通讯作者：
Brown,GM
影响因子：
6.6
作者：
W. Spaulding;Shelley K. Fleming;D. Reed;M. Sullivan;D. Storzbach;M. Lam
通讯作者：
W. Spaulding;Shelley K. Fleming;D. Reed;M. Sullivan;D. Storzbach;M. Lam