Çelik Samet, Arslan Leyla, Özarslan Caner, Mart Mehmet
Department of Psychology, Bartin University, Bartin, Türkiye.
Independent Researcher, Bartin, Türkiye.
Psychiatry Investig. 2025 Jun;22(6):687-698. doi: 10.30773/pi.2024.0356. Epub 2025 Jun 16.
The Social Attribution Task-Multiple Choice (SAT-MC) battery is one of tests used to evaluate social cognitive capacity. This study aimed to examine the reliability and validity of the SAT-MC for the first time in healthy adults and in individuals diagnosed with schizophrenia, then to investigate the effect on SAT-MC performance of clinical variables in schizophrenia patients.
The study included 207 volunteers; 157 healthy adults, and 50 individuals diagnosed with schizophrenia. All the study participants were applied with the Raven Standard Progressive Matrices Test (RSPM), the Reading the Mind in the Eyes Test (RMET), and the SAT-MC.
The results of the analyses showed that the SAT-MC had content and criteria validity in both the individuals diagnosed with schizophrenia and in the healthy control group. Internal consistency of test was calculated as McDonald's omega coefficient 0.81, and the test-retest reliability was found to be 0.75. Hierarchical multivariate regression analysis showed a predictive effect of RSPM and RMET on the SAT points.
The results of this study demonstrated that SAT was valid and reliable in evaluating social attribution skills in both a healthy and a schizophrenia sample group. Social attribution skill was found to be related to the perceptual reasoning and abstract thinking skills of neurocognition. The social cognition dimension was determined to be related to the theory of mind skills. Insufficient social attribution skills, seen especially in schizophrenia patients, can lead to social withdrawal and isolation by disrupting interactions and relationships with others.
社会归因任务-多项选择(SAT-MC)测验组是用于评估社会认知能力的测试之一。本研究旨在首次检验SAT-MC在健康成年人及精神分裂症患者中的信效度,然后调查精神分裂症患者临床变量对SAT-MC表现的影响。
该研究纳入207名志愿者;157名健康成年人和50名精神分裂症患者。所有研究参与者均接受瑞文标准渐进矩阵测验(RSPM)、解读眼神中的心思测验(RMET)和SAT-MC测验。
分析结果显示,SAT-MC在精神分裂症患者和健康对照组中均具有内容效度和标准效度。测验的内部一致性以麦克唐纳ω系数0.81计算,重测信度为0.75。分层多元回归分析显示RSPM和RMET对SAT分数有预测作用。
本研究结果表明,SAT在评估健康样本组和精神分裂症样本组的社会归因技能方面是有效且可靠的。发现社会归因技能与神经认知的感知推理和抽象思维技能相关。确定社会认知维度与心理理论技能相关。尤其是在精神分裂症患者中观察到的社会归因技能不足,可能会通过扰乱与他人的互动和关系而导致社交退缩和孤立。