Factor Structure of Social Cognition in Schizophrenia: Is Empathy Preserved?
Factor Structure of Social Cognition in Schizophrenia: Is Empathy Preserved?
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DOI：
10.1155/2013/409205
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发表时间：
2013-01-01
影响因子：
2.4
通讯作者：
Bell, Andmorris D.
中科院分区：
文献类型：
--
作者：
Corbera, Silvia;Wexler, Bruce E.;Bell, Andmorris D.
社会认知障碍是精神分裂症的核心特征，与不良功能结局密切相关。本研究旨在确定社会认知的具体方面及其与社会功能，生活质量和神经认知的关系。采用社会认知测量方法对精神分裂症患者和健康对照组进行主成分分析，发现三个因素：人际不适、基本社会认知和共情。与对照组相比，患者在人际不适上得分较高，在基本社会认知上得分较低，但在共情上两组差异无统计学意义。较低的社会表现与患者的基本社会认知差和对照组的人际关系不适感高显着相关。虽然神经认知与两组的基本社会认知显著相关，但与移情无关。社会认知干预应强调改善基本的社会认知处理缺陷，管理人际关系的不适，并利用保留的同情心作为社会互动的潜在力量。
Social cognitive impairments are core features of schizophrenia and are closely associated with poor functional outcome. This study sought to identify specific aspects of social cognition and their relationships to measures of social function, quality of life, and neurocognition. Principal component analysis was performed using social cognitive measures in patients with schizophrenia and healthy matched controls and revealed three factors: Interpersonal Discomfort, Basic Social Cognition, and Empathy. Patients had higher scores on Interpersonal Discomfort and lower scores on Basic Social Cognition than controls, but the two groups were the same on Empathy. Lower social performance was significantly correlated with poor Basic Social Cognition in patients and with high Interpersonal Discomfort in controls. While neurocognition was significantly associated with Basic Social Cognition in both groups, it was not associated with Empathy. Social cognitive interventions should emphasize improving basic social cognitive processing deficits, managing Interpersonal Discomfort, and utilizing preserved capacity for empathy as a potential strength in social interactions.