School of Psychology & Centre for Neuroimaging & Cognitive Genomics, National University of Ireland, Galway, Ireland.
School of Psychology & Centre for Neuroimaging & Cognitive Genomics, National University of Ireland, Galway, Ireland.
Eur Psychiatry. 2018 Sep;53:123-133. doi: 10.1016/j.eurpsy.2018.06.006.
To present a systematic review of the literature on the associations between early social environment, early life adversity, and social cognition in major psychiatric disorders, including schizophrenia, bipolar disorder, borderline personality disorder, major depressive disorder and posttraumatic stress disorder.
Relevant studies were identified via electronic and manual searches of the literature and included articles written in English and published in peer-reviewed journals up to May 2018. Quality assessment was performed using the quality evaluation scale employed in previous systematic reviews.
A total of 25 studies were included in the systematic review with the quality assessment scores ranging from 3 to 6 (out of 6). The vast majority of the studies reviewed showed a significant association between early childhood social experience, including both insecure attachment and adversity relating to neglect or abuse, and poorer social cognitive performance.
We discuss these findings in the context of an attachment model, suggesting that childhood social adversity may result in poor internal working models, selective attention toward emotional stimuli and greater difficulties with emotional self-regulation. We outline some of the steps required to translate this understanding of social cognitive dysfunction in major psychiatric disorders into a target for interventions that mitigate the adverse effects of childhood maltreatment and poor parental attachment on social cognition.
对精神疾病（包括精神分裂症、双相情感障碍、边缘型人格障碍、重性抑郁障碍和创伤后应激障碍）中早期社会环境、早期生活逆境与社会认知之间关联的文献进行系统综述。
通过电子和手动文献检索，检索截至 2018 年 5 月发表在同行评议期刊上的英文文献，确定相关研究。使用先前系统综述中使用的质量评估量表进行质量评估。
共纳入 25 项系统评价研究，质量评估分数为 3 至 6 分（满分 6 分）。综述的绝大多数研究表明，儿童早期社会经历（包括不安全依恋以及与忽视或虐待有关的逆境）与较差的社会认知表现之间存在显著关联。
我们根据依恋模型讨论了这些发现，表明儿童期社会逆境可能导致内部工作模式不良、对情绪刺激的选择性注意以及情绪自我调节困难增加。我们概述了将精神疾病中社会认知功能障碍的这一理解转化为干预目标的一些步骤，以减轻儿童期虐待和不良父母依恋对社会认知的不利影响。
