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社会认知与社会知识对早期精神病认知及社会功能的影响

Influence of social perception and social knowledge on cognitive and social functioning in early psychosis.

作者信息

Addington Jean, Saeedi Huma, Addington Donald

机构信息

Centre for Addiction and Mental Health, 250 College Street, Toronto, Ontario M5T 1R8, Canada.

出版信息

Br J Psychiatry. 2006 Oct;189:373-8. doi: 10.1192/bjp.bp.105.021022.

Abstract

BACKGROUND

Social cognition has been implicated in the relationship between cognition and social functioning.

AIMS

To test the hypothesis that social cognition mediates the relationship between cognitive and social functioning.

METHOD

This was a 1-year longitudinal cohort study comparing three groups: 50 people with first-episode psychosis, 53 people with multi-episode schizophrenia and 55 people without psychiatric disorder as controls. Participants were assessed on social perception, social knowledge, interpersonal problem-solving, cognition and social functioning.

RESULTS

There were significant associations between social cognition, cognition and social functioning in all three groups. Deficits in social cognition were stable over time. In the first two groups, controlling for social cognition reduced the relationship between cognitive and social functioning.

CONCLUSIONS

This study provides some evidence that social cognition mediates the relationship between cognitive and social functioning.

摘要

背景

社会认知与认知和社会功能之间的关系有关。

目的

检验社会认知介导认知与社会功能之间关系的假设。

方法

这是一项为期1年的纵向队列研究,比较了三组:50例首发精神病患者、53例多发作型精神分裂症患者和55例无精神障碍者作为对照。对参与者进行社会认知、社会知识、人际问题解决、认知和社会功能方面的评估。

结果

所有三组中,社会认知、认知和社会功能之间均存在显著关联。社会认知缺陷随时间稳定存在。在前两组中,控制社会认知可降低认知与社会功能之间的关系。

结论

本研究提供了一些证据表明社会认知介导了认知与社会功能之间的关系。

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