Community, Culture & Mental Health Unit, School of Psychiatry and Clinical Neurosciences, University of Western Australia, Fremantle, Western Australia, Australia.
Curr Opin Psychiatry. 2013 Sep;26(5):429-32. doi: 10.1097/YCO.0b013e3283642cf1.
Social cognition training is an emerging intervention, which aims to ameliorate impairment in social interaction and improve functional outcomes in persons with a psychosis. This article reviews the research conducted on the impact of this intervention published in English language journals over the past 2 years.
Social cognition training comprises three types of programs; targeted, broad-based, and comprehensive - targeted programs being the most effective. Programs largely focus on the domains of facial affect, or emotion recognition (FAR), Theory of Mind (ToM), and attributional bias. There is some evidence that ToM is amenable to change, but not FAR and attributional bias.
Interventions designed to ameliorate impairment in social functioning largely involve a skills training laboratory model underpinned by social learning theory. The evidence for the effectiveness of current social cognition training strategies to improve functional outcome for persons with psychosis in general and schizophrenia in particular remains equivocal. Clearly, further work is required beyond the laboratory training model and future research may well benefit from the inclusion of longitudinal naturalistic studies.
社会认知训练是一种新兴的干预措施，旨在改善精神分裂症患者的社交互动障碍，并提高其功能结局。本文综述了过去 2 年中以英文发表的关于该干预措施的研究。
社会认知训练包括三种类型的方案：有针对性的、广泛的和全面的——有针对性的方案最有效。这些方案主要侧重于面部情感或情绪识别（FAR）、心理理论（ToM）和归因偏差领域。有一些证据表明 ToM 是可以改变的，但 FAR 和归因偏差不行。
旨在改善社交功能障碍的干预措施主要涉及以社会学习理论为基础的技能培训实验室模型。目前针对精神分裂症患者社会认知训练策略对改善功能结局的有效性的证据仍然存在争议。显然，除了实验室训练模式外，还需要进一步的工作，未来的研究可能会从包括纵向自然研究中受益。
