Department of Psychology, Macquarie University, NSW, 2109, Australia.
School of Psychology, Faculty of Science, University of New South Wales, NSW, 2052, Australia.
Neurosci Biobehav Rev. 2022 Jan;132:197-210. doi: 10.1016/j.neubiorev.2021.11.035. Epub 2021 Nov 22.
Deficits in interpersonal and social functioning are well established in females with Anorexia Nervosa (AN), and are thought to be key features involved in the onset and maintenance of the disease. Growing literature suggests these may be attributed to poor social cognitive processes. This systematic review evaluates whether differences in social cognition exist in adult females with AN. A total of 32 studies that compared females with AN against a healthy control group using social cognitive measures and/or questionnaires were analysed. The majority of studies were deemed to have a low or moderate risk of bias. Overall, empathy appears to be intact in AN, however greater emotion regulation difficulties, elevated alexithymia and reduced emotional awareness are evident in AN. Findings relating to emotion recognition and emotional Theory of Mind were inconsistent. The nature of the task appeared to influence the domains of cognitive ToM and social perception, warranting further research. These findings are discussed within the broader context of social cognitive models and AN rehabilitation.
人际和社交功能缺陷在神经性厌食症（AN）女性中得到了充分证实，并且被认为是疾病发生和维持的关键特征。越来越多的文献表明，这些缺陷可能归因于较差的社会认知过程。本系统评价评估了患有 AN 的成年女性是否存在社会认知差异。共有 32 项研究使用社会认知测量和/或问卷比较了 AN 女性与健康对照组之间的差异。大多数研究被认为存在低或中度偏倚风险。总体而言，AN 中的同理心似乎完好无损，但情绪调节困难、明显的述情障碍和情绪意识降低在 AN 中很明显。与情绪识别和情绪心理理论相关的发现不一致。任务的性质似乎影响认知心理理论和社会知觉的领域，需要进一步研究。这些发现是在社会认知模型和 AN 康复的更广泛背景下讨论的。
