青少年精神分裂症患者冷热心理理论能力的研究

目的 通过考察青少年精神分裂症患者冷心理理论和热心理理论能力,探究青少年精神分裂症患者心理理论能力的认知特点.方法 在31名青少年分裂症患者和25名正常青少年对照被试中进行行为学测试（Yoni心理理论任务和眼区读心任务）,测定青少年分裂症患者在完成心理理论任务时的表现和认知特点.结果 ①在Yoni心理理论测试中,青少年精神分裂症患者（74.30±11.44）分]与正常青少年对照被试（83.16±10.07）分]心理理论总分比较,其差异有统计学意义（t=-2.983,P＜0.05）;受损主要体现在冷心理理论和热心理理论能力的得分上.②在青少年精神分裂症患者阳性亚组（69.85±12.66）分]和阴性亚组（78.18±8.92）分]的Yoni心理理论得分比较,其差异具有统计学意义（t=-2.104,P＜0.05）,主要体现在热心理理论能力的得分上的差异.③眼区读心任务中,青少年精神分裂症患者（17.59±3.13）分]和正常青少年（18.42±2.98）分]得分比较,差异无统计学意义（t=0.982,P＞0.05）.结论 青少年精神分裂症患者的冷热心理理论均受损,青少年精神分裂症阳性亚组相比于阴性亚组的心理理论能力受损更加严重,尤其表现在热心理理论能力上.

Study of cognitive and affective theory of mind in adolescents with schizophrenia

Objective To explore the theory of mind （TOM） between adolescent with schizophrenia and normal adolescent from hot TOM and cool TOM.Methods 37 adolescent schizophrenias and 25 normal adolescents were interviewed with the Chinese version of ＂YONI task＂,＂ Reading the Mind in the eyes＂ test and series of tests,then analyzed with adolescent schizophrenias cognitive features.Results ① Compared with the control group （83.16± 10.07）,the scores of YONI task in the adolescents with schizophrenia （74.30 ± 11.44） had statistically significant difference （t=-2.983,P〈0.05）,mainly the statistically significant difference existed in the groups in cool and hot TOM.②The differences between positive subtype （69.85± 12.66） and negative subtype （78.18±8.92） in scores were significant（t=-2.104,P〈0.05）,especially in the hot TOM.③In ＂Reading the Mind in the eyes＂ test,there was no statistically significant difference in scores（t=0.982,P〉0.05） between the control group （17.59±3.13） and the group of adolescents with schizophrenia（18.42±2.98）.Conclusion The adolescents with schizophrenia damage in hot TOM and cool TOM.The adolescents with schizophrenia in positive subtype are worse than the negative subtype,especially in the hot TOM.