心理理论和进食障碍中的中心连贯：同一枚硬币的两面？
Theory of mind and central coherence in eating disorders: two sides of the same coin?
机构信息
CONICET - Consejo Nacional de Investigaciones Científicas y Técnicas, Buenos Aires, Argentina; Department of Cognitive Neurology, Neuropsychology and Neuropsychiatry, Instituto de Investigaciones Neurológicas Raúl Carrea - FLENI, Buenos Aires, Argentina; Section of Eating Disorders, Hospital General Cosme Argerich, Buenos Aires, Argentina.
出版信息
Psychiatry Res. 2013 Dec 30;210(3):1116-22. doi: 10.1016/j.psychres.2013.08.051. Epub 2013 Sep 21.
The aim of this study was to evaluate central coherence and theory of mind (ToM) and explore the relationships between these domains in patients with eating disorders (ED). ToM and central coherence were assessed in 72 women [24 with anorexia nervosa (AN), 24 with bulimia nervosa (BN) and 24 healthy controls (HC)]. The Reading the Mind in the Eyes (RME) and the Faux Pas Test (FPT) to measure ToM, and the copy strategy of the Rey-Osterrieth Complex Figure Test to assess central coherence were used. It was observed that patients with ED had a decrease in central coherence skills compared with the control group; that patients with anorexia had a poor performance on RME ToM task compared with BN patients and HCs, and also that these measures were related in both clinical groups. The statistically significant correlation between them suggests that the central coherence and ToM measures might involve common cognitive processes. These results provide a better understanding of the nature of the socio-cognitive deficits observed in patients with eating disorders.
本研究旨在评估饮食障碍（ED）患者的中心连贯和心理理论（ToM），并探讨这两个领域之间的关系。共纳入 72 名女性（24 名神经性厌食症患者、24 名神经性贪食症患者和 24 名健康对照组）进行了 ToM 和中心连贯的评估。采用“读心测试”（RME）和“失礼测试”（FPT）评估 ToM，采用 Rey-Osterrieth 复杂图形测试的复制策略评估中心连贯。结果显示，与对照组相比，ED 患者的中心连贯技能下降；与 BN 患者和 HC 相比，厌食症患者在 RME ToM 任务中的表现较差，并且这两个临床组中的这些测量结果相关。它们之间的显著相关性表明，中心连贯和 ToM 测量可能涉及共同的认知过程。这些结果提供了对饮食障碍患者中观察到的社会认知缺陷本质的更好理解。
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