Feyer Frida K, Andersson Stein, Büchmann Camilla B, Melle Ingrid, Andreassen Ole A, Vaskinn Anja
Norwegian Centre for Mental Disorders Research, Oslo University Hospital, Ullevål Hospital.
Department of Psychology.
J Nerv Ment Dis. 2020 Sep;208(9):701-705. doi: 10.1097/NMD.0000000000001185.
Lack of clinical insight in patients with schizophrenia is an obstacle to optimal treatment. Social cognition is one of several variables central to insight deficits in schizophrenia. The aim of this study was to investigate clinical insight in relation to one domain of social cognition, social perception, while controlling for effects of nonsocial cognition and symptom severity. Clinical insight was measured in 55 patients with schizophrenia or schizoaffective disorder, using the Birchwood Insight Scale. Relationships across domains were used to assess social perception. Social perception predicted one of three subscales of clinical insight, "awareness of illness," and was the only unique contributor to this subscale. This indicates that social perception is linked to clinical insight through awareness of illness. More research is needed to fully understand the relationship between social and nonsocial cognition and symptoms in relation to clinical insight.
精神分裂症患者缺乏临床洞察力是实现最佳治疗的障碍。社会认知是精神分裂症洞察力缺陷的几个核心变量之一。本研究的目的是在控制非社会认知和症状严重程度影响的同时，调查与社会认知的一个领域即社会感知相关的临床洞察力。使用伯奇伍德洞察力量表对55例精神分裂症或分裂情感性障碍患者的临床洞察力进行了测量。通过各领域之间的关系来评估社会感知。社会感知预测了临床洞察力三个子量表之一“疾病意识”，并且是该子量表唯一的独特贡献因素。这表明社会感知通过疾病意识与临床洞察力相关联。需要更多研究来全面理解社会认知与非社会认知以及与临床洞察力相关的症状之间的关系。
