Vance David E, Lee Junghee
School of Nursing.
Department of Psychiatry and Behavioral Neurobiology, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
AIDS. 2025 Oct 1;39(12):1688-1698. doi: 10.1097/QAD.0000000000004254. Epub 2025 Aug 28.
Social cognition refers to the ability to perceive social stimuli, interpret their meaning, and respond appropriately to navigate dynamic social environments, including various professional and personal relationships to secure interpersonal and external resources for effective social functioning. More basic, social cognition is the complicated ability to interact with others. Known to impact everyday functioning and quality of life, deficits in this essential ability have been well documented in schizophrenia, autism spectrum disorders, depression, and other mental health conditions. Studies in other clinical populations also indicate that even subtle deficits in social cognition can impact social everyday functioning. Such social cognitive abilities include emotional face recognition/perception, prosody, theory of mind, and empathy. This review aims to survey our current knowledge on social cognition in people with HIV (PWH), focusing on the following questions: Do people with HIV show impaired social cognition? Is social cognitive impairment of PWH related to neurocognitive impairment? Are social brain regions compromised in PWH? How is social cognition related to social experiences of PWH (e.g., stigma). These questions and more are explored, from which implications for future research are posited.
社会认知是指感知社会刺激、解读其含义并做出适当反应以在动态社会环境中导航的能力，包括各种职业和个人关系，以获取人际和外部资源以实现有效的社会功能。更基础的是，社会认知是与他人互动的复杂能力。已知这种基本能力会影响日常功能和生活质量，在精神分裂症、自闭症谱系障碍、抑郁症和其他心理健康状况中，这种能力的缺陷已有充分记录。对其他临床人群的研究也表明，即使是社会认知方面的细微缺陷也会影响社会日常功能。此类社会认知能力包括情绪面孔识别/感知、韵律、心理理论和同理心。本综述旨在调查我们目前对艾滋病毒感染者（PWH）社会认知的了解，重点关注以下问题：艾滋病毒感染者的社会认知是否受损？艾滋病毒感染者的社会认知障碍与神经认知障碍有关吗？艾滋病毒感染者的社会脑区是否受损？社会认知与艾滋病毒感染者的社会经历（如耻辱感）有何关系？本文探讨了这些及更多问题，并据此提出了对未来研究的启示。
