轻微精神病性综合征的社会认知特征及与社会功能的相关性

摘要

Objective To investigate the social cognition and its correlation with social function for attenuated psychosis syndrome (APS). Methods From August, 2014 to December, 2015, 39 patients with APS were recruited as research group. Another 40 normal healthy persons with similar gender, ages, and education levels were selected as control group. The Faux Pas Recognition Test (FPR) and Yoni Task Test were used to evaluate the social cognition, and Social Disability Screening Schedule (SDSS) was used to evaluate the social function. The correlation between FPR, Yoni Task Test and SDSS in the research group was analyzed. Results In FPR test, the faux pas questions score, control questions score and total score of FPR were significantly lower in the research group than in the normal control group (t>2.378, P<0.01). In Yoni Task Test, the cognitive theory of mind total score (Cog), cognitive theory of mind first-level score (Cog1) and cog-nitive theory of mind second-level score (Cog2), and affective theory of mind total score (Aff), affective theory of mind first-level score (Aff1) and affective theory of mind second-level score (Aff2) were significantly lower in the research group than in the normal control group (t>2.341, P<0.01). There was no significant difference in control theory of mind total score (Phy), control theory of mind first-level score (Phy1) and control theory of mind second-level score (Phy2) between two groups (t<1.430, P>0.05). The SDSS total score was signifi-cantly higher in the research group than in the normal control group (t=13.032, P<0.001). In the research group, FPR's faux pas questions score and FPR's total score were negatively correlated with SDSS score (r>0.473, P<0.01); in Yoni task test, Cog's total score and factor scores, Aff's total score and factor scores were negatively correlated with SDSS score (r>0.448, P<0.01). Conclusion Social cognition func-tion in APS is impaired. It is associated with social dysfunction in APS.%目的：探究轻微精神病性综合征(APS)患者社会认知功能特征及其与社会功能的相关性。方法2014年8月~2015年12月，选择本院39例APS患者作为研究组，选择同期性别、年龄、受教育年限相匹配的40名正常健康者作为对照组。采用失言察觉任务测试(FPR)、Yoni任务测试及社会功能缺陷筛选量表(SDSS)评估患者的社会认知功能和社会功能，并对研究组的FPR、Yoni任务测试评分与SDSS评分进行相关分析。结果研究组的FPR总分、失言故事分、控制故事分及Yoni任务测试的总冷心理理论(Cog)及其一级(Cog1)、二级(Cog2)理论，总热心理理论(Aff)及其一级(Aff1)、二级(Aff2)理论评分均低于对照组(t>2.341, P<0.05)，两组间的Yoni任务测试的总控制条件(Phy)、一级控制条件(Phy1)、二级控制条件(Phy2)评分均无显著性差异(t<1.430, P>0.05)。研究组的SDSS评分显著高于对照组(t=13.032, P<0.001)。研究组的FPR总分、失言故事分与SDSS评分均呈明显负相关(r>0.473, P<0.01)，Yoni任务测试的Cog、Cog1、Cog2、Aff、Aff1、Aff2评分与SDSS评分均呈明显负相关(r>0.448, P<0.01)。结论APS患者的社会认知功能明显受损，且与社会功能损害明显有关。