Pijnenborg G H M, Withaar F K, Evans J J, van den Bosch R J, Timmerman M E, Brouwer W H
Department of Psychotic Disorders, GGZ Drenthe, Assen, The Netherlands.
J Int Neuropsychol Soc. 2009 Mar;15(2):239-47. doi: 10.1017/S1355617709090341. Epub 2009 Feb 10.
The objective of this study was to examine the unique contribution of social cognition to the prediction of community functioning and to explore the relevance of social cognition for clinical practice. Forty-six schizophrenia patients and 53 healthy controls were assessed with tests of social cognition [emotion perception and Theory of Mind (ToM)], general cognition, and, within the patient sample, psychiatric symptoms. Community functioning was rated by nurses or family members. Social cognition was a better predictor of community functioning than general cognition or psychiatric symptoms. When the contributions of emotion perception and ToM were examined separately, only ToM contributed significantly to the prediction of community functioning. Independent living skills were poor in patients with impaired social cognition. In controls, social cognition was not related to community functioning. ToM was the best predictor of community functioning in schizophrenia. However, to fully understand a patient's strengths and weaknesses, assessment of social cognition should always be combined with assessment of general cognition and psychiatric symptoms.
本研究的目的是检验社会认知对社区功能预测的独特贡献，并探讨社会认知与临床实践的相关性。对46名精神分裂症患者和53名健康对照者进行了社会认知测试（情绪感知和心理理论）、一般认知测试，并对患者样本进行了精神症状评估。社区功能由护士或家庭成员进行评分。与一般认知或精神症状相比，社会认知是社区功能更好的预测指标。当分别考察情绪感知和心理理论的贡献时，只有心理理论对社区功能的预测有显著贡献。社会认知受损的患者独立生活技能较差。在对照组中，社会认知与社区功能无关。心理理论是精神分裂症患者社区功能的最佳预测指标。然而，为了全面了解患者的优势和劣势，社会认知评估应始终与一般认知和精神症状评估相结合。
