{"title":"社交焦虑症和回避型人格障碍合并症的心智理论》(Theory of Mind in Social Anxiety Disorder and Avoidant Personality Disorder Comorbidity)。","authors":"Turkan Aghakishiyeva, Kadir Özdel","doi":"10.29399/npa.28368","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>The aim of this study was to examine Theory of Mind (ToM) abilities in patients with Social Anxiety Disorder (SAD) with and without Avoidant Personality Disorder (AvPD) comorbidity.</p><p><strong>Methods: </strong>A total of 55 patients with SAD, 25 patients with AvPD and SAD, who presented to the Diskapi Teaching and Research Hospital Psychiatry Outpatient Unit and were diagnosed with SAD according to the Structured Clinical Interview Diagnostic Criteria for DSM-5 and 30 healthy controls were included in the study. Sociodemographic data form for SAD, Autism Spectrum Quotient (ASQ), Liebowitz Social Anxiety Scale (LSAS), Reading the Mind in the Eyes Test (RMET), and Dokuz Eylül Theory of Mind Index (DEToMI) were used.</p><p><strong>Results: </strong>The ToM positive-emotion scores measured by the RMET were higher in the control group than in the SAD and SAD+AvPD groups. The ToM negative-emotion scores were lower in the SAD+AvPD group than in the SAD and control groups. The ToM neutral-emotion scores were similar in all three groups. There were statistically significant differences in favor of the control group in the total score of DEToMI and its subtests among the three groups. There was no difference among the three groups in the faux pas comprehension test.</p><p><strong>Conclusion: </strong>Our findings suggest that AvPD comorbidity is associated with a decrease in many ToM skills, both in decoding and reasoning, and that this decrease is mainly related to the perception of mental states with an emotional load. More specific methods are needed for ToM problems observed in patients with SAD and AvPD.</p>","PeriodicalId":51142,"journal":{"name":"Noropsikiyatri Arsivi-Archives of Neuropsychiatry","volume":null,"pages":null},"PeriodicalIF":1.0000,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10709699/pdf/","citationCount":"0","resultStr":"{\"title\":\"Theory of Mind in Social Anxiety Disorder and Avoidant Personality Disorder Comorbidity.\",\"authors\":\"Turkan Aghakishiyeva, Kadir Özdel\",\"doi\":\"10.29399/npa.28368\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>The aim of this study was to examine Theory of Mind (ToM) abilities in patients with Social Anxiety Disorder (SAD) with and without Avoidant Personality Disorder (AvPD) comorbidity.</p><p><strong>Methods: </strong>A total of 55 patients with SAD, 25 patients with AvPD and SAD, who presented to the Diskapi Teaching and Research Hospital Psychiatry Outpatient Unit and were diagnosed with SAD according to the Structured Clinical Interview Diagnostic Criteria for DSM-5 and 30 healthy controls were included in the study. Sociodemographic data form for SAD, Autism Spectrum Quotient (ASQ), Liebowitz Social Anxiety Scale (LSAS), Reading the Mind in the Eyes Test (RMET), and Dokuz Eylül Theory of Mind Index (DEToMI) were used.</p><p><strong>Results: </strong>The ToM positive-emotion scores measured by the RMET were higher in the control group than in the SAD and SAD+AvPD groups. The ToM negative-emotion scores were lower in the SAD+AvPD group than in the SAD and control groups. The ToM neutral-emotion scores were similar in all three groups. There were statistically significant differences in favor of the control group in the total score of DEToMI and its subtests among the three groups. 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More specific methods are needed for ToM problems observed in patients with SAD and AvPD.</p>\",\"PeriodicalId\":51142,\"journal\":{\"name\":\"Noropsikiyatri Arsivi-Archives of Neuropsychiatry\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.0000,\"publicationDate\":\"2023-11-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10709699/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Noropsikiyatri Arsivi-Archives of Neuropsychiatry\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.29399/npa.28368\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q4\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Noropsikiyatri Arsivi-Archives of Neuropsychiatry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.29399/npa.28368","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/1/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
摘要
导言:本研究旨在考察社交焦虑症(SAD)患者合并或不合并回避型人格障碍(AvPD)的心智理论(ToM)能力:本研究共纳入了 55 名 SAD 患者、25 名 AvPD 和 SAD 患者,他们都是到迪斯卡比教学与研究医院精神病学门诊部就诊并根据 DSM-5 结构化临床访谈诊断标准被诊断为 SAD 的患者,以及 30 名健康对照者。研究使用了 SAD 社会人口学数据表、自闭症谱系商数(ASQ)、利伯维茨社交焦虑量表(LSAS)、眼读心测试(RMET)和 Dokuz Eylül 心智理论指数(DEToMI):对照组通过 RMET 测定的 ToM 积极情绪得分高于 SAD 组和 SAD+AvPD 组。SAD+AvPD组的ToM负向情感得分低于SAD组和对照组。三组的 ToM 中性情绪得分相似。在 DEToMI 及其子测试的总分方面,三组之间的差异具有统计学意义,对照组更胜一筹。结论:我们的研究结果表明,AvPD 合并症与许多 ToM 技能(包括解码和推理)的下降有关,而这种下降主要与感知带有情绪负荷的心理状态有关。对于在自闭症和情感障碍患者中观察到的 ToM 问题,还需要更具体的方法。
Theory of Mind in Social Anxiety Disorder and Avoidant Personality Disorder Comorbidity.
Introduction: The aim of this study was to examine Theory of Mind (ToM) abilities in patients with Social Anxiety Disorder (SAD) with and without Avoidant Personality Disorder (AvPD) comorbidity.
Methods: A total of 55 patients with SAD, 25 patients with AvPD and SAD, who presented to the Diskapi Teaching and Research Hospital Psychiatry Outpatient Unit and were diagnosed with SAD according to the Structured Clinical Interview Diagnostic Criteria for DSM-5 and 30 healthy controls were included in the study. Sociodemographic data form for SAD, Autism Spectrum Quotient (ASQ), Liebowitz Social Anxiety Scale (LSAS), Reading the Mind in the Eyes Test (RMET), and Dokuz Eylül Theory of Mind Index (DEToMI) were used.
Results: The ToM positive-emotion scores measured by the RMET were higher in the control group than in the SAD and SAD+AvPD groups. The ToM negative-emotion scores were lower in the SAD+AvPD group than in the SAD and control groups. The ToM neutral-emotion scores were similar in all three groups. There were statistically significant differences in favor of the control group in the total score of DEToMI and its subtests among the three groups. There was no difference among the three groups in the faux pas comprehension test.
Conclusion: Our findings suggest that AvPD comorbidity is associated with a decrease in many ToM skills, both in decoding and reasoning, and that this decrease is mainly related to the perception of mental states with an emotional load. More specific methods are needed for ToM problems observed in patients with SAD and AvPD.
期刊介绍:
Archives of Neuropsychiatry (Arch Neuropsychiatry) is the official journal of the Turkish Neuropsychiatric Society. It is published quarterly, and four editions annually constitute a volume.
Archives of Neuropsychiatry is a peer reviewed scientific journal that publishes articles on psychiatry, neurology, and behavioural sciences. Both clinical and basic science contributions are welcomed. Submissions that address topics in the interface of neurology and psychiatry are encouraged. The content covers original research articles, reviews, letters to the editor, and case reports.