Huang Yu-Lien, Chen Tzu-Ting, Wang Wei-Shin, Kuo Che Yu, Yang Yen Kuang, Tseng Huai-Hsuan
Department of Psychology, Chung Shan Medical University, and Clinical Psychological Room, Chung Shan Medical University Hospital, Taichung, Taiwan (Huang); Department of Psychology, Fo Guang University, Yilan, Taiwan (Chen); Come a New Halfway House, Taoyuan, Taiwan (Wang); Department of Psychiatry, National Cheng Kung University Hospital (Kuo, Yang, Tseng), and Institute of Behavioral Medicine (Yang, Tseng), College of Medicine, National Cheng Kung University, Tainan, Taiwan.
J Neuropsychiatry Clin Neurosci. 2025 Summer;37(3):261-269. doi: 10.1176/appi.neuropsych.20240020. Epub 2025 Jan 10.
Social cognition is defined as the ability to construct mental representations about oneself, others, and one's relationships with others to guide social behaviors, including referring to mental states (cognitive factor) and understanding emotional states (affective factor). Difficulties in social cognition may be symptoms of schizophrenia. The authors examined associations between two factors of social cognition and specific schizophrenia symptoms, as well as a potential path from low-level affective perceptual social cognition to high-level social cognition, which may be associated with schizophrenia symptoms.
The authors compared IQ, executive function, and social cognition scores of 41 patients with schizophrenia with those of a community-based group of 30 healthy individuals by using the Diagnostic Analysis of Nonverbal Accuracy 2-Taiwan version, the Movie for the Assessment of Social Cognition-Taiwan version, and the Chinese version of the theory of mind task.
In analyses controlled for IQ and executive function scores, patients with schizophrenia were found to perform more poorly than individuals in the healthy comparison group on all social cognition tasks. Disorganized symptoms were associated with lower accuracy of recognizing happy and angry faces, a lower verbal theory of mind score, and altered low- and high-level social cognition scores. A potential causal link was identified between low-level affective perceptual social cognition and high-level social cognition, resulting in disorganized symptoms.
These results indicate distinct roles of two factors of social cognition in schizophrenia symptomatology and provide a new direction for alleviating symptoms of this disorder by enhancing social cognition.
社会认知被定义为构建关于自身、他人以及自身与他人关系的心理表征以指导社会行为的能力，包括涉及心理状态（认知因素）和理解情绪状态（情感因素）。社会认知困难可能是精神分裂症的症状。作者研究了社会认知的两个因素与特定精神分裂症症状之间的关联，以及从低水平情感感知社会认知到高水平社会认知的潜在路径，这可能与精神分裂症症状相关。
作者使用非言语准确性诊断分析2 - 台湾版、社会认知评估电影 - 台湾版以及中文版心理理论任务，将41例精神分裂症患者的智商、执行功能和社会认知得分与30名健康个体组成的社区对照组进行比较。
在控制智商和执行功能得分的分析中，发现精神分裂症患者在所有社会认知任务上的表现均比健康对照组个体差。紊乱症状与识别开心和愤怒面孔的准确性较低、言语心理理论得分较低以及低水平和高水平社会认知得分改变有关。在低水平情感感知社会认知和高水平社会认知之间确定了潜在的因果联系，导致紊乱症状。
这些结果表明社会认知的两个因素在精神分裂症症状学中的不同作用，并为通过增强社会认知来缓解该疾病症状提供了新方向。
