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정신분열병 환자의 사회인지 손상이 사회적 기능손상에 미치는 영향
나명현,오정은,강도형,노규식,이영호,권준수 大韓神經精神醫學會 2008 신경정신의학 Vol.47 No.1
Objectives : Both story and cartoon task are sensitive to evaluate social cognition deficit m schizophrenia. However it is unclear whether social cognition deficits indexed by these tasks of schizophrenia reflect social functioning in their real life. To this purpose, we investigated the effect of social cognitive deficits detected in schizophrenic patients on social functioning. Methods : Our investigation involved twenty-two schizophrenic patients and normal subjects. The story and cartoon tasks as mental state reasoning tasks and the 'Social Functioning Scale (SFS)' as a social functioning measure were administered for all subjects. Results : The schizophrenic patients with average level of intelligence and mild psychotic symptoms, regarded as almost remitted, showed significantly poor performance on all ofstory task, cartoon task, and SFS. However, after controlling IQ's effects, only the performances on the story task were significantly contributed to the performances on the SFS, especially on subscales of 'Withdrawal', 'Independence performance' and 'Independence competence'. Conclusion : These findings indicate that perfonnance of the story task is considered as a good predictor of social functioning for the schizophrenic patients in remission.
만화 과제를 이용한 정신분열병 환자의 사회인지 능력의 측정
오정은,나명현,하태현,신용욱,노규식,홍순범,이경진,신민섭,이영호,권준수 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.3
Objectives : This study is to investigate the hypothesis that schizophrenic patients have difficulty in inferring mental state of others. Methods : Twenty schizophrenic patients and twenty normal subjects were administered to the Cartoon Task required inferring the character's intention in a given context. Results : The schizophrenic patients showed a statistically significant impairment in the Cartoon Task. Both groups chose the card depicting a frequent everyday action significantly more rather than the similar card to the last picture in each story for wrong answers. Conclusion : These preliminary results suggest that schizophrenia is associated with a specific deficit of the cognitive ability referred to as social cognition, and this deficit can be detected not only in the acute phase as found in previous research studies, but also in remission. Also when subjects fail to appreciate what is going on in the minds of other people, they seem to rely on a socially familiar experience.