Lim Keane, Lee Sara-Ann, Pinkham Amy E, Lam Max, Lee Jimmy
Research Division, Institute of Mental Health, Singapore.
Department of Psychology, Institute of Mental Health, Singapore.
Schizophr Res Cogn. 2019 Dec 10;20:100169. doi: 10.1016/j.scog.2019.100169. eCollection 2020 Jun.
Converging evidence has indicated that deficits in social cognition may manifest as poor functioning; therefore, social cognition has emerged as an important research area and treatment target. However, few studies have examined the psychometrics of multiple social cognition measures in an Asian population. This study aims to evaluate the psychometrics of measures indexing the four core social cognition domains.
Schizophrenia outpatients ( = 116) and healthy controls ( = 73) completed a battery of nine social cognitive measures, twice, four weeks apart. Psychometric properties were examined via test-retest reliability, internal consistency, utility as a repeated measure, time administration, and tolerability. Logistic regression was performed to identify psychometrically sound tasks that best discriminated case-control status. PCA was conducted to explore social cognition dimensional structure.
The Bell Lysaker Emotion Recognition Task (BLERT), Penn Emotion Recognition Task (ER40), and The Awareness of Social Inference Test, branch III (TASIT-3) showed strongest psychometrics. The Ambiguous Intentions and Hostility Questionnaire, Hostility Bias subscale (AIHQ-HB) showed slightly weaker properties, requiring further evaluation. The Hinting task, Mini Profile of Nonverbal Sensitivity (MiniPONS), Relationships Across Domains (RAD), Internal Personal and Situational Attributions Questionnaire (IPSAQ), and Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT) showed poorer psychometrics in our sample. PCA revealed a two-factor solution comprising social cognition skills and attributional style/bias.
Here, we examined the psychometric properties of a comprehensive social cognition battery based on the SCOPE study in an Asian schizophrenia population. Continued evaluation and standardization of social cognitive measures are needed to refine our understanding of this construct in schizophrenia.
越来越多的证据表明，社会认知缺陷可能表现为功能不良；因此，社会认知已成为一个重要的研究领域和治疗靶点。然而，很少有研究在亚洲人群中检验多种社会认知测量方法的心理测量学特性。本研究旨在评估索引四个核心社会认知领域的测量方法的心理测量学特性。
精神分裂症门诊患者（n = 116）和健康对照者（n = 73）完成了一组九项社会认知测量，分两次进行，间隔四周。通过重测信度、内部一致性、作为重复测量的效用、施测时间和耐受性来检验心理测量学特性。进行逻辑回归以确定能最佳区分病例对照状态的心理测量学上可靠的任务。进行主成分分析以探索社会认知维度结构。
贝尔-莱萨克情感识别任务（BLERT）、宾夕法尼亚情感识别任务（ER40）和社会推理意识测试第三分支（TASIT-3）显示出最强的心理测量学特性。模糊意图与敌意问卷敌意偏差子量表（AIHQ-HB）的特性稍弱，需要进一步评估。暗示任务、非言语敏感性简表（MiniPONS）、跨领域关系（RAD）、内部个人与情境归因问卷（IPSAQ）和梅耶-萨洛维-卡鲁索情商测试（MSCEIT）在我们的样本中显示出较差的心理测量学特性。主成分分析揭示了一个由社会认知技能和归因风格/偏差组成的双因素解决方案。
在此，我们基于亚洲精神分裂症人群的SCOPE研究，检验了一组综合社会认知测量方法的心理测量学特性。需要持续评估和规范社会认知测量方法，以完善我们对精神分裂症中这一结构的理解。
