Bora Emre, Eryavuz Ayse, Kayahan Bulent, Sungu Gulcin, Veznedaroglu Baybars
Ege University Medical School Psychiatry Department, 1833/1 Sokak no. 11/6, 35100, Karsiyaka, Izmir, Turkey.
Psychiatry Res. 2006 Dec 7;145(2-3):95-103. doi: 10.1016/j.psychres.2005.11.003. Epub 2006 Oct 30.
Few studies have directly investigated the relationship between theory of mind (ToM) deficits and social functioning in schizophrenia. At the same time, the impact of mental state decoding tasks on social dysfunction has also not yet been investigated. In this study, the relationship between theory of mind deficits and social functioning was investigated among 50 patients with schizophrenia. A mental state decoding task known as 'The Eyes test' and a mental state reasoning task 'The Hinting test' were applied to assess ToM abilities, while the Social Functioning Scale (SFS) was used to assess social functioning. Non-ToM neurocognitive tests were also given to the patients. Results of the study show how theory of mind and working memory performances of patients with good functional outcome proved to be significantly better than those of inadequately functioning patients. Results also indicate that performance on the Eyes test was the best predictor of social functioning and that negative symptoms also contributed to poor social functioning. It is concluded in this study that mental state decoding skills appear to be the most important cognitive mediator of social functioning.
很少有研究直接探究精神分裂症患者的心理理论（ToM）缺陷与社会功能之间的关系。与此同时，心理状态解码任务对社会功能障碍的影响也尚未得到研究。在本研究中，对50名精神分裂症患者的心理理论缺陷与社会功能之间的关系进行了调查。采用一种名为“眼神测试”的心理状态解码任务和一种心理状态推理任务“暗示测试”来评估心理理论能力，同时使用社会功能量表（SFS）来评估社会功能。还对患者进行了非心理理论神经认知测试。研究结果表明，功能良好的患者的心理理论和工作记忆表现明显优于功能欠佳的患者。结果还表明，眼神测试的表现是社会功能的最佳预测指标，并且阴性症状也导致了较差的社会功能。本研究得出结论，心理状态解码技能似乎是社会功能最重要的认知调节因素。
