帕金森病患者的心理障碍  

Impaired theory of mind in Parkinson＇ s disease

作　　者：蔡伟[1] 朱幼玲[1] 席春华[1] 汪凯[2] 

机构地区：[1]安徽医科大学第三附属医院合肥市第一人民医院神经内科,合肥230061 [2]安徽医科大学第一附属医院神经内科

出　　处：《中华老年医学杂志》2013年第2期142-144,共3页Chinese Journal of Geriatrics

基　　金：资金项目：合肥市第三周期医学重点学科（2010（科）09];国家自然科学基金资助项目（30870706）;安徽省卫生厅医学科研计划项目资助（2010C107）;安徽省高校省级自然科学基金项目（KJ2011Z198）

摘　　要：【摘要】目的探讨帕金森病（PD）患者的心理理论及其两亚成分加工特点。方法将19例PD患者以及与其人口学资料相匹配的20例健康对照组作为研究对象，采用眼区复杂情绪的识别和失言察觉（FauxPas）任务测试心理理论社会知觉加工和社会认知加工的能力，采用HoehnYahr分级量表对PI）患者的严重程度进行评定。结果与对照组相比，帕金森病组眼区复杂情绪的识别成绩（17．1±3．1比30．4±1．7，t=278．756，P％0．001）和失言察觉任务成绩（29．0±4_4．0比41．2±4．4，t=81．647，P％O．001）均显著低于对照组，而其性别判断和失言察觉的控制任务与对照组无差异（￡一3．508，P=0．069；r=-1．063，P=0．309）。结论PD患者在心理理论加工的两个亚成分上均存在损害。Objective To characterize social-perceptual component and social-cognitive component of theory of mind in patients with Parkinson＇s disease. Methods A total of 19 patients with idiopathic PD and 20 demographic-matched health subjects were included in this study. They were assessed using ＂Reading the Mind in the Eyes＂ and faux pas task involving ToM social perceptual component and social cognitive component. The severity of PD was assessed on the Hoehn and Yahr scale. Results Significant difference was found between PD group and health controls on task involving ToM social perceptual component （mind Reading： 17.1~3. 1 vs. 30.4~ 1.7 ,F：278. 756 ,P d0. 001） ,test involving social-cognitive component （Faux pas Questions：29.0~4.0 vs. 41.2i4.4,F ：81. 647,P＊（0. 001）. While the ability to identify sex and control questions of the faux pas showed no significant difference compared to health controls group （F= 3. 508, P= 0. 069; F= 1. 063, P = 0. 309）. Conclusions The ToM social-perceptual component and social-cognitive component are both impaired in patients with Parkinson＇s disease.

关 键 词：心理学理论 帕金森病 认知障碍 

分 类 号：R742.5[医药卫生—神经病学与精神病学]