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[创伤性脑损伤患者的心理化缺陷]

[Mentalizing deficit among patients with traumatic brain injury].

作者信息

Tamás Viktória, Büki András, Herold Róbert

机构信息

Pécsi Tudományegyetem, KK, Idegsebészeti Klinika, Pécs.

Pécsi Tudományegyetem, Szentágothai János Kutatóközpont, Pécs.

出版信息

Ideggyogy Sz. 2021 Sep 30;74(9-10):295-307. doi: 10.18071/isz.74.0295.

Abstract

BACKGROUND AND PURPOSE

Mentalization or theory of mind as an aspect of our social cognition, is our ability to infer mental states of others (intentions, desires, thoughts, emotions) and to predict their behavior accordingly. This function significantly affects our participation and orientation in the social world and plays an important role in conversational situations, social interactions, social integ-ration and adaptation. The brain regions that serve as the basis for mind-reading function can be damaged as a consequence of traumatic brain injury, which frequently occurs among the younger population. Traumatic brain injury can cause focal or diffuse cerebral injuries, often leading to theory of mind deficit.

METHODS

In this topic such publications were researched that compared theory of mind ability between traumatic brain injury patients and control subjects (comparative case-control studies). We searched for the studies in the following internet based/online databases: PubMed, Web of Science, ScienceDirect, Google Scholar, APA PsycNET (PsycARTICLES) and EBSCO Host. The search was performed using the following key word combinations: theory of mind or mentalizing or social cognition AND traumatic brain injury or head/brain injury or diffuse axonal injury.

RESULTS

Based on the results of the included and processed studies (21 pc), traumatic brain injury often leads to mentalization deficit with different severity.

CONCLUSION

With this present review we aim to draw attention to the fact that the appearance and severity of mind reading dysfunction can considerably affect the outcome of the disease, the length of rehabilitation time and the prognosis of traumatic brain injury patients. Besides this, with this review, we aim to take sides in whether theory of mind ability is domain-specific or domian-general based on studies including traumatic brain injury patients.

摘要

背景与目的

心理化或心理理论作为我们社会认知的一个方面,是我们推断他人心理状态(意图、欲望、思想、情感)并据此预测其行为的能力。这一功能显著影响我们在社会世界中的参与和定位,在对话情境、社会互动、社会融合及适应中发挥重要作用。作为读心功能基础的脑区可能因创伤性脑损伤而受损,创伤性脑损伤在年轻人群中经常发生。创伤性脑损伤可导致局灶性或弥漫性脑损伤,常引发心理理论缺陷。

方法

在本课题中,我们检索了比较创伤性脑损伤患者与对照受试者心理理论能力的相关出版物(比较性病例对照研究)。我们在以下基于互联网的/在线数据库中搜索研究:PubMed、科学网、ScienceDirect、谷歌学术、美国心理学会心理学文摘数据库(PsycARTICLES)和EBSCO Host。搜索使用了以下关键词组合:心理理论或心理化或社会认知与创伤性脑损伤或头部/脑损伤或弥漫性轴索损伤。

结果

基于纳入和处理的研究结果(21篇),创伤性脑损伤常导致不同严重程度的心理化缺陷。

结论

通过本综述,我们旨在提请注意这样一个事实,即读心功能障碍的出现和严重程度会显著影响疾病的转归、康复时间的长短以及创伤性脑损伤患者的预后。除此之外,通过本综述,我们旨在根据纳入创伤性脑损伤患者的研究,对心理理论能力是领域特定还是领域通用的问题表明立场。

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