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人格和常见精神障碍中社会认知的概念化和评估。

The conceptualization and assessment of social cognition in personality and common mental disorders.

机构信息

Department of Clinical Psychology, National Institute of Mental Health and Neurosciences, Bengaluru 560029, India.

Department of Clinical Psychology, National Institute of Mental Health and Neurosciences, Bengaluru 560029, India.

出版信息

Asian J Psychiatr. 2021 Nov;65:102829. doi: 10.1016/j.ajp.2021.102829. Epub 2021 Sep 10.

Abstract

Social Cognition is a crucial transdiagnostic construct with clinical and functional relevance across a range of neuropsychiatric disorders. Most research has focused on schizophrenia and autism spectrum disorders and has informed frameworks for assessing social cognition in schizophrenia. The current review focuses on the more recent developments pertaining to personality and common mental disorders (PCMDs). Two main questions are addressed: 1. What are the important domains and patterns of social cognition impairments among the personality and common mental disorders? 2. What are the trends in the assessment of social cognition among personality and common mental disorders? We synthesize research findings on the conceptualization of SC and the application of these frameworks for assessment with PCMDs. We have outlined a typology of criteria and guidelines for selecting and developing measures of SC in the PCMDs. We conclude that there is a need for a reconceptualization of social cognition or PCMDs with a focus on higher-order processes and suggest that mentalization could be a suitable framework to understand and examine social cognition in the PCMDs. Future efforts to develop, adapt and use more complex, nuanced, sensitive, and culturally valid measures of social cognition in interpersonal contexts can aid the detection of subtle, context-dependent, and dynamic impairments across these disorders. Social cognition is a promising transdiagnostic construct and warrants more conceptual clarity and research on the varied patterns of impairments across disorders.

摘要

社会认知是一种关键的跨诊断结构,与一系列神经精神障碍的临床和功能相关。大多数研究都集中在精神分裂症和自闭症谱系障碍上,并为评估精神分裂症中的社会认知提供了框架。本综述重点介绍了与人格和常见精神障碍(PCMDs)相关的更近期的发展。提出了两个主要问题:1. 人格和常见精神障碍中社会认知损伤的重要领域和模式是什么?2. 人格和常见精神障碍中社会认知评估的趋势是什么?我们综合了关于社会认知概念化以及将这些框架应用于 PCMD 的研究结果。我们已经概述了在 PCMD 中选择和开发社会认知测量的标准和指南的类型学。我们得出的结论是,需要重新概念化社会认知或 PCMD,重点是更高阶的过程,并建议心理化可以成为理解和检查 PCMD 中社会认知的合适框架。未来努力开发、改编和使用更复杂、细致、敏感和文化上有效的人际情境下的社会认知测量方法,可以帮助检测这些障碍中微妙的、依赖情境的和动态的损伤。社会认知是一种很有前途的跨诊断结构,需要更明确的概念和对不同障碍中损伤模式的研究。

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