The College of William & Mary, Psychology Department, Williamsburg, VA 23187-8795, USA.
Psychiatry Res. 2009 Dec 30;170(2-3):157-60. doi: 10.1016/j.psychres.2009.01.023. Epub 2009 Nov 10.
This study investigated the relationship between deficits in social cognition and the dimensional descriptors for schizophrenia. Social cognitive functioning was measured using patient narratives describing card arrangements using the picture arrangement subtest of the Weschler Adult Intelligence Scale-Revised. Stories were rated for number of normative themes, number of words, coherence, plausibility of attributions of emotions, and plausibility of attributions of intentions. Symptoms of Psychoticism were positively related to all ratings except of the plausibility of attributions of intentions. Ratings of story coherence, number of normative ideas, plausibility of attributions of intentions, and plausibility of attributions of emotions were negatively related to symptoms of disorganization. There was a negative relationship between negative symptoms and all rating categories except story coherence. Results indicate that it could be productive to attempt to tailor psychosocial interventions to the dominant symptom picture of patients with schizophrenia in order to improve aspects of social cognitive functioning.
本研究调查了社会认知缺陷与精神分裂症维度描述符之间的关系。使用韦氏成人智力量表修订版图片排列子测验,通过患者叙述来衡量社会认知功能。对故事进行了规范性主题数量、单词数量、连贯性、情感归因的合理性以及意图归因的合理性的评分。精神病特质症状与除归因意图合理性评分外的所有评分均呈正相关。故事连贯性、规范性想法数量、归因意图合理性和归因情感合理性的评分与思维紊乱症状呈负相关。阴性症状与除故事连贯性外的所有评分类别均呈负相关。结果表明,尝试根据精神分裂症患者的主要症状图来定制心理社会干预措施,可能有助于改善社会认知功能。