Indirect task instructions better reveal theory-of-mind impairment, independent of executive dysfunction, in schizophrenia
Indirect task instructions better reveal theory-of-mind impairment, independent of executive dysfunction, in schizophrenia
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间接任务指令可以更好地揭示精神分裂症患者的心理理论障碍，与执行功能障碍无关
DOI：
10.1016/j.psychres.2017.06.064
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发表时间：
2017
影响因子：
11.3
通讯作者：
E. Connaughton
中科院分区：
文献类型：
--
作者：
R. Langdon;Michael H. Connors;E. Connaughton
心理理论（TOM）损伤与精神分裂症患者的执行能力缺陷显著相关，这与执行能力可以限制TOM任务表现的建议一致，并混淆了哪些患者将从有针对性的心理干预中获益最多。50名精神分裂症患者和30名健康对照者完成了一项执行测试和四项TOM任务，这些任务在产生因果错误信念推理的公开测量方面相似，但在使用间接（与更直接）指令方面不同。在精神分裂症患者中，只有使用间接指令引发自发错误信念推理的TOM任务显示出独立于执行功能障碍的损伤。
Theory of mind (TOM) impairments associate significantly with executive deficits in schizophrenia, consistent with the proposal that executive abilities can limit TOM task performance, and confounding identification of those patients who would benefit most from targeted mentalising interventions. 50 schizophrenia patients and 30 healthy controls completed an executive battery and four TOM tasks that were alike with regards generating overt measures of causal false-belief reasoning, but differed with regards using indirect (vs. more direct) instructions. Only the TOM tasks that used indirect instructions to elicit spontaneous false-belief inferences revealed impairment, independent of executive dysfunction, in the schizophrenia patients.