Department of Clinical and Health Psychology, Psychopathology and Neuropsychology Research Unit, Universitát Autónoma de Barcelona, Campus de Bellaterra, Edifici B, Cerdanyola de Valles, 08193, Barcelona, Spain.
Department of Psychobiology and Methodology of Health Sciences, Universitát Autónoma de Barcelona, Bellaterra, 08193, Barcelona, Spain.
J Autism Dev Disord. 2019 Aug;49(8):3376-3386. doi: 10.1007/s10803-019-04058-1.
The similarities between high functioning autism (HFA) and schizotypal-schizoid personality disorder (SSPD) in terms of social cognition and interpersonal deficits may lead to confusion in symptom interpretation, and consequently result in misdiagnosis. Thus, this study aims to investigate differences in mentalizing with particular interest on the socio-cognitive and socio-affective dimensions. Three Advanced Theory of Mind (ToM) tests were applied in 35 patients with HFA, 30 patients with SSPD and 36 healthy controls. Individuals with HFA showed greater impairment and no dissociation between affective and cognitive ToM components. Conversely, SSPD individuals displayed less difficulties but greater impairments on the cognitive component. Beyond the replicability of ToM impairment in HFA individuals, our findings suggest more impaired cognitive ToM in SSPD participants which further support the sequence of mentalizing development build upon different chronological stages.
高功能自闭症（HFA）和分裂样-分裂型人格障碍（SSPD）在社会认知和人际交往缺陷方面的相似之处可能导致症状解释的混淆，并因此导致误诊。因此，本研究旨在调查心理化方面的差异，特别关注社会认知和社会情感维度。在 35 名 HFA 患者、30 名 SSPD 患者和 36 名健康对照组中应用了三种高级心理理论（ToM）测试。HFA 患者表现出更大的损伤，情感和认知 ToM 成分之间没有分离。相反，SSPD 患者在认知成分上表现出较少的困难但较大的损伤。除了 HFA 个体的 ToM 损伤的可重复性之外，我们的研究结果表明 SSPD 参与者的认知 ToM 损伤更严重，这进一步支持了基于不同时间阶段构建的心理化发展序列。
