Stratta Paolo, Riccardi Ilaria, Mirabilio Daniela, Di Tommaso Silvia, Tomassini Annerita, Rossi Alessandro
Dipartimento di Salute Mentale, ASL 4, L'Aquila, Italy.
Eur Arch Psychiatry Clin Neurosci. 2007 Sep;257(6):337-9. doi: 10.1007/s00406-007-0729-z. Epub 2007 Apr 26.
Irony is a form of speech used to convey feelings in an indirect way. Patients with schizophrenia demonstrated an impaired irony processing, associated with poor theory-of-mind. We investigated irony appreciation in a sample of 20 subjects with schizophrenic disorder by using cartoon images. The primary aim was to examine the association between Positive and Negative Symptoms Scale (PANSS) scores (i.e. positive, negative and cognitive) and irony visual joke appreciation. The group performed significantly worse in the Theory of Mind (ToM) condition than in the physical one. We report a significant relationship between ToM performances with PANSS positive and cognitive symptoms but not with negative symptom scores. Average humour score significantly correlated with positive symptoms, i.e. more severe symptoms, less funny the cartoon, while the difficulty in understanding the jokes was related to PANSS cognitive cluster score, i.e. more cognitive symptoms, less difficult the ToM jokes. Our results offer evidence for a compromised ToM capability in appreciating visual jokes linked to specific symptomatology.
反讽是一种用于以间接方式传达情感的言语形式。精神分裂症患者表现出反讽处理能力受损，这与心理理论能力差有关。我们通过使用卡通图像对20名精神分裂症患者样本进行了反讽理解研究。主要目的是检验阳性和阴性症状量表（PANSS）评分（即阳性、阴性和认知症状评分）与反讽视觉笑话理解之间的关联。该组在心理理论（ToM）条件下的表现明显比在物理条件下差。我们报告了ToM表现与PANSS阳性和认知症状之间存在显著关系，但与阴性症状评分无关。平均幽默评分与阳性症状显著相关，即症状越严重，卡通越无趣，而理解笑话的困难程度与PANSS认知集群评分有关，即认知症状越多，ToM笑话越不难理解。我们的结果为在理解与特定症状学相关的视觉笑话方面ToM能力受损提供了证据。
