University of Alcalá, IRyCIS, Madrid, Spain; Príncipe de Asturias University Hospital, Alcalá, Madrid, Spain; CIBERSAM (Biomedical Research Networking Centre in Mental Health), Madrid, Spain.
University Complex of Ferrol, A Coruña, Spain.
J Psychiatr Res. 2021 Oct;142:101-109. doi: 10.1016/j.jpsychires.2021.07.029. Epub 2021 Jul 23.
Training in Affect Recognition (TAR) is a "targeted" and computer-aided program that has been shown to effectively attenuate facial affect recognition deficits and improve social functioning in patients with schizophrenia. Social Cognition and Interaction Training (SCIT) is a group "broad-based" intervention, that has also been shown to improve emotion recognition, theory of mind (ToM), and social functioning. To date, no study has compared the efficacy of two different social cognitive interventions.
We aim to compare the efficacy of TAR and SCIT on schizophrenia patients' performance on facial affect recognition, theory of mind, attributional style and social functioning before, after treatment, and three months thereafter.
One hundred outpatients with a diagnosis of schizophrenia were randomly assigned to the TAR or SCIT condition and completed pre- (T0) and posttreatment (T1) assessments and a 3-month follow up (T2) of emotion recognition (ER-40), theory of mind (Hinting Task), attributional style (AIHQ) and social functioning (PSP).
The entire sample, receiving TAR or SCIT, showed improvements in theory of mind, attributional style, clinical symptoms and social functioning. This effect was maintained at three-months. The TAR intervention was more efficacious than the SCIT program in improving the recognition of facial emotions (ER-40). The TAR intervention also demonstrated a lower drop-out rate than the SCIT intervention.
There were improvements in social cognition, symptomatology and functioning of patients in the entire sample, receiving SCIT or TAR. Both TAR and SCIT appear as valuable treatments for people with schizophrenia and social cognitive deficits.
情感识别训练（TAR）是一种“针对性”的计算机辅助程序，已被证明可有效减轻精神分裂症患者的面部情感识别缺陷，并改善其社交功能。社会认知与互动训练（SCIT）是一种“基础广泛”的团体干预方法，也已被证明可改善情绪识别、心理理论（ToM）和社交功能。迄今为止，尚无研究比较两种不同社会认知干预措施的疗效。
我们旨在比较 TAR 和 SCIT 对精神分裂症患者面部情感识别、心理理论、归因方式和社交功能的疗效，分别在治疗前（T0）、治疗后（T1）和治疗后 3 个月（T2）进行评估。
100 名确诊为精神分裂症的门诊患者被随机分配至 TAR 或 SCIT 组，并完成了治疗前（T0）和治疗后（T1）评估以及 3 个月（T2）的情绪识别（ER-40）、心理理论（暗示任务）、归因方式（AIHQ）和社交功能（PSP）的随访。
接受 TAR 或 SCIT 的整个样本在心理理论、归因方式、临床症状和社交功能方面均有所改善。这种效果在 3 个月时仍能维持。与 SCIT 方案相比，TAR 干预在改善面部表情识别（ER-40）方面更有效。TAR 干预的脱落率也低于 SCIT 干预。
接受 SCIT 或 TAR 的整个样本在社会认知、症状和功能方面均有所改善。TAR 和 SCIT 似乎都是治疗精神分裂症和社会认知缺陷患者的有效方法。
