Durham Veterans Affairs Health Care System, Durham, NC, USA; VA Mid-Atlantic Mental Illness Research, Education and Clinical Center, Durham, NC, USA.
School of Behavioral and Brain Sciences, University of Texas at Dallas, Richardson, TX, USA; Department of Psychiatry, University of Texas Southwestern Medical School, Dallas, TX, USA.
J Psychiatr Res. 2022 Jun;150:307-316. doi: 10.1016/j.jpsychires.2022.03.017. Epub 2022 Mar 22.
The aim of the present study was to develop an abbreviated social cognition (SC) battery for individuals with schizophrenia spectrum disorders (SSD) to reduce the heterogeneity of and increase the frequency of assessment of SC impairment. To this end, the present study utilized Item Response Theory to develop brief versions of SC tasks administered to individuals with SSD (n = 386) and individuals without a psychiatric diagnosis (n = 292) during the Social Cognition Psychometric Evaluation (SCOPE) Study. Seven brief measures of SC were evaluated (i.e., Ambiguous Intentions and Hostility Questionnaire [AIHQ], Bell Lysaker Emotion Recognition Task [BLERT], Penn Emotion Recognition Task, Reading the Mind in the Eyes Task, Hinting Task, Intentionality Bias Task, Relationships Across Domains Task), and the existing brief version of The Awareness of Social Inference Test was reviewed. Psychometric properties for each brief SC measure were evaluated and compared to the original measures. Based on psychometric properties and relationships with other measures of SC, neurocognition, and functioning, two brief tasks (AIHQ, BLERT) and the full-length Hinting task were recommended for inclusion in a brief battery of SC tasks from the SCOPE Study (BB-SCOPE). The resulting BB-SCOPE is efficient, with an estimated administration time of 15 min, and comprehensively assesses three domains of SC (i.e., attributional bias, emotion processing, theory of mind) to identify severe SC impairment. Scoring of BB-SCOPE is also straightforward and includes a recommended cut-point of 60 for identifying SC impairment.
本研究的目的是为精神分裂症谱系障碍(SSD)患者开发一种简化的社会认知(SC)测试,以减少 SC 损伤评估的异质性并增加评估频率。为此,本研究利用项目反应理论(IRT)为 SSD 患者(n=386)和无精神科诊断患者(n=292)开发了简短的 SC 任务版本,这些患者参加了社会认知心理计量评估(SCOPE)研究。评估了七种简短的 SC 测试(即:模糊意图和敌意问卷[AIHQ]、Bell Lysaker 情绪识别任务[BLERT]、宾夕法尼亚情绪识别任务、读心术任务、暗示任务、意图偏差任务、跨领域关系任务),并回顾了现有的《社会推理意识测试》简短版本。评估了每个简短 SC 测试的心理计量特性,并与原始测试进行了比较。基于心理计量特性以及与其他 SC、神经认知和功能测试的关系,推荐使用两个简短任务(AIHQ、BLERT)和完整的 Hinting 任务,纳入 SCOPE 研究的简短 SC 测试(BB-SCOPE)。由此产生的 BB-SCOPE 高效,估计管理时间为 15 分钟,全面评估了 SC 的三个领域(归因偏差、情绪处理、心理理论),以确定严重的 SC 损伤。BB-SCOPE 的评分也很简单,包括建议的 60 分作为识别 SC 损伤的得分。