Abdi Zeinab, Sharma Tonmoy
Institute of Psychiatry, Kings College London, London, UK.
CNS Spectr. 2004 May;9(5):335-43. doi: 10.1017/s1092852900009317.
The study of social cognition in psychiatric disorders has become increasingly popular in recent years. This is due to the its proposed link to social functioning and the inability of general neurocognitive skills to explain the spectrum of impairments observed in patients. This article reviews research into two of the processes thought to underlie social cognition (emotion perception and theory of mind) in schizophrenia and autism. This is followed by a look at neuroimaging studies and their efforts to localize the neural correlates of emotion perception and theory of mind in the two disorders. We concluded that while a specific impairment in emotion perception and theory of mind skills cannot be generalized to all individuals with autism and schizophrenia, there are subpopulations that have lingering deficits of social cognition tasks. Neuroimaging work consistently points to the involvement of the fusiform gyrus and amygdala in emotion processing, while the medial prefrontal and frontal cortex are implicated in tasks invoking theory of mind. We propose that deficits of social cognition may benefit from cognitive remediation therapy and pharmacological cognitive enhancers.
近年来,对精神疾病中社会认知的研究越来越受欢迎。这是因为它与社会功能之间存在着潜在联系,而且一般神经认知技能无法解释在患者身上观察到的一系列损害。本文回顾了对精神分裂症和自闭症中被认为是社会认知基础的两个过程(情绪感知和心理理论)的研究。接下来是对神经影像学研究的探讨,以及它们为确定这两种疾病中情绪感知和心理理论的神经关联所做的努力。我们得出的结论是,虽然情绪感知和心理理论技能的特定损害不能一概而论地适用于所有自闭症和精神分裂症患者,但有一些亚群体在社会认知任务方面存在持续的缺陷。神经影像学研究一致表明,梭状回和杏仁核参与了情绪处理,而内侧前额叶和额叶皮层则与涉及心理理论的任务有关。我们认为,社会认知缺陷可能会从认知康复治疗和药理学认知增强剂中受益。