Theory of Mind Deficit in Subjects with Alcohol Use Disorder: An Analysis of Mindreading Processes
Theory of Mind Deficit in Subjects with Alcohol Use Disorder: An Analysis of Mindreading Processes
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DOI：
10.1093/alcalc/agt148
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发表时间：
2014-05-01
影响因子：
2.8
通讯作者：
Tirassa, Maurizio
中科院分区：
文献类型：
--
作者：
Bosco, Francesca M.;Capozzi, Francesca;Tirassa, Maurizio
目的：探讨酒精使用障碍（AUD）患者的多维心理理论（ToM）能力。方法：采用半结构化访谈和一组简短的故事来调查参与者心理理论的不同组成部分，即第一与第三人称，自我中心与他者中心，第一与第二阶心理理论在22名AUD患者和相同数量的健康对照中。参与者被给予心理理论评估量表（Th.o.m.a.s.，Bosco等人，2009a）和奇怪的故事测试（Happ，et al.，1999年）。结果：AUD患者在所有ToM维度上的表现都比对照组差。组间差异的模式根据Th.o.m.a.s.而变化。调查的维度特别是AUD的人表现更差，在第三人称比第一人称的心理理论，并在allocentric比自我中心的角度。结论：这些发现支持了这一假设，即理解和归因心理状态的能力受损的AUD。未来的研究应侧重于不同的心理理论损伤的相关性作为预测治疗结果的酒精中毒，并根据心理理论评估的可能性，康复干预措施可能是多样化的。
Aim: The aim of the study was to investigate multidimensional Theory of Mind (ToM) abilities in subjects with alcohol use disorder (AUD). Method: A semi-structured interview and a set of brief stories were used to investigate different components of the participants' ToM, namely first- vs. third-person, egocentric vs. allocentric, first- vs. second-order ToM in 22 persons with AUD plus an equal number of healthy controls. Participants were administered the Theory of Mind Assessment Scale (Th.o.m.a.s., Bosco et al., 2009a) and the Strange Stories test ( Happ, et al., 1999). Results: Persons with AUD performed worse than controls at all ToM dimensions. The patterns of differences between groups varied according to the Th.o.m.a.s. dimension investigated. In particular persons with AUD performed worse at third-person than at first-person ToM, and at the allocentric than at the egocentric perspective. Conclusion: These findings support the hypothesis that the ability to understand and ascribe mental states is impaired in AUD. Future studies should focus on the relevance of the different ToM impairments as predictors of treatment outcome in alcoholism, and on the possibility that rehabilitative interventions may be diversified according to ToM assessment.