Lo Panmi, Siu Andrew M H
Castle Peak Hospital, Hospital Authority, Hong Kong, China.
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, China.
Work. 2015;50(4):629-36. doi: 10.3233/WOR-141828.
Social-cognitive deficits have a significant impact on the community and vocational functioning of persons with schizophrenia.
This study aimed to explore the relationship between social-cognitive abilities and vocational functioning in a Chinese population.
We recruited 30 outpatients with schizophrenia to participate. We administered the Chinese Social Cognition and Screening Questionnaire (C-SCSQ) to assess Theory of Mind (ToM), attributional bias, and neurocognition; the Facial Expression Identification Test (FEIT) to assess emotion perception (EP) ability, and the Chinese Work Personality Profile (CWPP) to assess work performance in a simulated work setting.
ToM showed a significant negative correlation with attributional bias. The neurocognitive measure displayed a significant positive correlation with ToM and EP. The structural equation model was a good fit to the data (CFI=0.91, RMSEA=0.12), and showed that social-cognitive abilities had a significant impact (-0.41) on work performance. Of the four social-cognitive domains, ToM and paranoid attributional style (PAS) contributed significantly to variations in work performance. These results support the theory that social-cognitive abilities have an impact on work performance. ToM has a positive impact whereas PAS has an adverse effect.
Persons with schizophrenia present specific deficits in their social-cognitive abilities, which have significant impact on their work performance and employability.
社会认知缺陷对精神分裂症患者的社区生活和职业功能有重大影响。
本研究旨在探讨中国人群中社会认知能力与职业功能之间的关系。
我们招募了30名精神分裂症门诊患者参与研究。我们使用中国社会认知与筛查问卷（C-SCSQ）来评估心理理论（ToM）、归因偏差和神经认知；使用面部表情识别测试（FEIT）来评估情绪感知（EP）能力，并使用中国工作人格量表（CWPP）来评估模拟工作环境中的工作表现。
心理理论与归因偏差呈显著负相关。神经认知测量与心理理论和情绪感知呈显著正相关。结构方程模型与数据拟合良好（CFI = 0.91，RMSEA = 0.12），并表明社会认知能力对工作表现有显著影响（-0.41）。在四个社会认知领域中，心理理论和偏执归因风格（PAS）对工作表现的差异有显著贡献。这些结果支持了社会认知能力对工作表现有影响的理论。心理理论有积极影响，而偏执归因风格有不利影响。
精神分裂症患者在社会认知能力方面存在特定缺陷，这对他们的工作表现和就业能力有重大影响。
