Social cognition in anorexia nervosa: evidence of preserved theory of mind and impaired emotional functioning.

Social cognition in anorexia nervosa: evidence of preserved theory of mind and impaired emotional functioning.
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DOI:
10.1371/journal.pone.0044414
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发表时间:
2012
期刊:
影响因子:
3.7
通讯作者:
Ardito RB
Ardito RB
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Adenzato M;Todisco P;Ardito RB

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迄今为止,少数几项研究调查了神经性厌食症(AN)患者在社会环境中的生存方式,其结果有些矛盾。我们进行了这项研究,以揭示新的光与AN患者的社会认知概况,分析心理理论和情绪功能。从以前的证据杏仁核的作用,在神经生物学的AN和社会认知,我们假设保存的心理理论和受损的情绪功能的AN患者。30名诊断为AN的妇女和32名教育和年龄匹配的妇女参与了这项研究。心理理论和情绪功能进行了评估与一组验证的实验任务。感知社会支持的测量也被用来测试这个维度和AN患者的社会认知概况之间的相关性。AN患者在评估情绪功能的任务上的表现显著差于健康对照组,而患者在心理理论任务上的表现与健康对照组相当。相关性分析显示,任何社会认知任务的得分与发病年龄或疾病持续时间之间都没有关系。社会支持和情绪功能之间的相关性被发现。后一个结果似乎表明社会支持在AN的治疗和恢复中的潜在作用。结果的模式遵循实验假设。它们可能有助于我们更好地了解AN患者的社会认知特征,并有助于根据AN患者实际感知其社会环境的方式制定有效的干预措施。
The findings of the few studies that have to date investigated the way in which individuals with Anorexia Nervosa (AN) navigate their social environment are somewhat contradictory. We undertook this study to shed new light on the social-cognitive profile of patients with AN, analysing Theory of Mind and emotional functioning. Starting from previous evidence on the role of the amygdala in the neurobiology of AN and in the social cognition, we hypothesise preserved Theory of Mind and impaired emotional functioning in patients with AN. Thirty women diagnosed with AN and thirty-two women matched for education and age were involved in the study. Theory of Mind and emotional functioning were assessed with a set of validated experimental tasks. A measure of perceived social support was also used to test the correlations between this dimension and the social-cognitive profile of AN patients. The performance of patients with AN is significantly worse than that of healthy controls on tasks assessing emotional functioning, whereas patients’ performance is comparable to that of healthy controls on the Theory of Mind task. Correlation analyses showed no relationship between scores on any of the social-cognition tasks and either age of onset or duration of illness. A correlation between social support and emotional functioning was found. This latter result seems to suggest a potential role of social support in the treatment and recovery of AN. The pattern of results followed the experimental hypothesis. They may be useful to help us better understand the social-cognitive profile of patients with AN and to contribute to the development of effective interventions based on the ways in which patients with AN actually perceive their social environment.
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