Brockmeyer Timo, Pellegrino Judith, Münch Hannah, Herzog Wolfgang, Dziobek Isabell, Friederich Hans-Christoph
Department of General Internal Medicine and Psychosomatics, Heidelberg University Hospital, Center for Psychosocial Medicine, Heidelberg, Germany.
Department of Psychological Medicine, Section of Eating Disorders, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
Int J Eat Disord. 2016 Sep;49(9):883-90. doi: 10.1002/eat.22574. Epub 2016 Jun 17.
Building on recent models of anorexia nervosa (AN) that emphasize the importance of impaired social cognition in the development and maintenance of the disorder, the present study aimed at examining whether women with AN have more difficulties with inferring other people's emotional and nonemotional mental states than healthy women.
Social cognition was assessed in 25 adult women with AN and 25 age-matched healthy women. To overcome limitations of previous research on social cognition in AN, the processing of social information was examined in a more complex and ecologically valid manner. The Movie for the Assessment of Social Cognition (MASC) reflects complex real-life social interaction and allows for disentangling emotional and non-emotional mental state inference as well as different types of errors in mentalizing.
Women with AN showed poorer emotional mental state inference, whereas non-emotional mental state inference was largely intact. Groups did not differ in undermentalizing (overly simplistic theory of mind) and overmentalizing (overly complex or over-interpretative mental state reasoning). Performance in the MASC was independent of levels of eating disorder psychopathology and symptoms of depression and anxiety.
The findings suggest that AN is associated with specific difficulties in emotional mental state inference despite largely intact nonemotional mental state inference. Upon replication in larger samples, these findings advocate a stronger emphasis on socio-emotional processing in AN treatment. © 2016 Wiley Periodicals, Inc.(Int J Eat Disord 2016; 49:883-890).
基于近期强调社会认知受损在神经性厌食症（AN）的发展和维持中重要性的模型，本研究旨在检验患有AN的女性在推断他人的情绪和非情绪心理状态方面是否比健康女性有更多困难。
对25名成年AN女性和25名年龄匹配的健康女性进行社会认知评估。为克服先前关于AN社会认知研究的局限性，以更复杂且生态有效的方式检查社会信息处理。社会认知评估电影（MASC）反映了复杂的现实生活社会互动，并允许区分情绪和非情绪心理状态推断以及心理化中的不同类型错误。
患有AN的女性情绪心理状态推断较差，而非情绪心理状态推断基本完好。两组在心理化不足（过于简单的心理理论）和心理化过度（过于复杂或过度解释的心理状态推理）方面没有差异。MASC中的表现与饮食失调精神病理学水平以及抑郁和焦虑症状无关。
研究结果表明，尽管非情绪心理状态推断基本完好，但AN与情绪心理状态推断方面的特定困难有关。在更大样本中重复验证后，这些发现主张在AN治疗中更加强调社会情绪处理。©2016威利期刊公司（《国际进食障碍杂志》2016年；49:883 - 890）
