Piñón-Blanco Adolfo, Rodrigues Sonia, Teixeira Joana, Coutinho Catia, Faria Isabela, Murta Ilda, Tavares Ana Isabel, Iglesias-Rejas Luis, Carrera-Machado Indalecio, Garcia-Caballero Alejandro, Gutiérrez-Martínez Olga, Otero-Lamas Francisco, Spuch Carlos
Drug Dependency Assistance Unit of the City, Council of Vigo, CEDRO, Vigo, Spain.
RD24/0003/0024 Group, Red de investigación de atención primaria en adicciones (RIAPAD), Barcelona, Spain.
Front Psychiatry. 2025 May 27;16:1574483. doi: 10.3389/fpsyt.2025.1574483. eCollection 2025.
Substance use disorders are associated with impairments in various neuropsychological functions. We evaluated potential alterations in social cognition and differences between men and women in individuals with substance use disorders undergoing treatment at Addiction and Dependency Intervention Centers in Portugal.
The assessment utilized the Ekman 60 Faces Test (EFT), Interpersonal Reactivity Index (IRI), Hinting Task, and Ambiguous Intentions Hostility Questionnaire (AIHQ).
Results showed that 70.2% of participants exhibited social cognition impairments (50% of women and 79.5% of men). Compared to non-clinical populations, individuals with social cognition impairments displayed significant differences in recognizing emotions such as happiness, fear, sadness, disgust, anger, and in the total EFT score. Differences were also observed in the fantasy and personal distress dimensions of the IRI, as well as in hostility, intentionality, and aggression biases on the AIHQ. Slight differences were found between men and women, but were not statistically significant.
We discuss the clinical relevance of social cognition alterations and their potential utility in improving diagnostic and therapeutic processes for individuals with substance use disorders.
物质使用障碍与多种神经心理功能受损有关。我们评估了在葡萄牙成瘾与依赖干预中心接受治疗的物质使用障碍患者的社会认知潜在改变以及男女之间的差异。
评估采用了艾克曼60表情测试（EFT）、人际反应指数（IRI）、暗示任务和模糊意图敌意问卷（AIHQ）。
结果显示，70.2%的参与者存在社会认知障碍（女性为50%，男性为79.5%）。与非临床人群相比，存在社会认知障碍的个体在识别快乐、恐惧、悲伤、厌恶、愤怒等情绪以及艾克曼60表情测试总分方面存在显著差异。在人际反应指数的幻想和个人困扰维度以及模糊意图敌意问卷的敌意、意图和攻击偏差方面也观察到差异。男女之间存在细微差异，但无统计学意义。
我们讨论了社会认知改变的临床相关性及其在改善物质使用障碍患者诊断和治疗过程中的潜在效用。
