Département de Psychiatrie et neurosciences, Faculté de médecine, Université Laval, Canada; Centre de recherche de l'Institut universitaire en santé mentale de Québec, Canada.
Centre de recherche de l'Institut universitaire en santé mentale de Québec, Canada; École de psychologie, Université Laval, Canada.
J Anxiety Disord. 2014 Mar;28(2):169-77. doi: 10.1016/j.janxdis.2013.09.005. Epub 2013 Oct 8.
Social cognition deficits are observed in a variety of psychiatric illnesses. However, data concerning anxiety disorders are sparse and difficult to interpret. This meta-analysis aims at determining if social cognition is affected in social phobia (SP) or posttraumatic stress disorder (PTSD) compared to non-clinical controls and the specificity of such deficits relatively to other anxiety disorders. The scoping review aims to identify research gaps in the field. Forty studies assessing mentalizing, emotion recognition, social perception/knowledge or attributional style in anxiety disorders were included, totalizing 1417 anxious patients and 1321 non-clinical controls. Results indicate distinct patterns of social cognition impairments: people with PTSD show deficits in mentalizing (effect size d = -1.13) and emotion recognition (d = -1.6) while other anxiety disorders including SP showed attributional biases (d = -0.53 to d = -1.15). The scoping review identified several under investigated domains of social cognition in anxiety disorders. Some recommendations are expressed for future studies to explore the full range of social cognition in anxiety disorders and allow direct comparisons between different disorders.
社会认知缺陷在各种精神疾病中都有观察到。然而，关于焦虑症的数据很少且难以解释。本荟萃分析旨在确定与非临床对照组相比，社交恐惧症 (SP) 或创伤后应激障碍 (PTSD) 是否存在社会认知障碍，以及这些缺陷相对于其他焦虑症的特异性。该范围综述旨在确定该领域的研究空白。共纳入 40 项评估焦虑症中心理理论、情绪识别、社会感知/知识或归因风格的研究，共纳入 1417 名焦虑症患者和 1321 名非临床对照组。结果表明存在不同的社会认知障碍模式：创伤后应激障碍患者在心理理论 (效应大小 d = -1.13) 和情绪识别 (d = -1.6) 方面存在缺陷，而包括 SP 在内的其他焦虑症则表现出归因偏差 (d = -0.53 至 d = -1.15)。范围综述确定了焦虑症中几个研究不足的社会认知领域。为未来的研究提出了一些建议，以探索焦虑症中社会认知的全貌，并允许在不同疾病之间进行直接比较。
