帕金森病患者的心理理论障碍  

Parklnson s disease Impaired theory of mind in ＇

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,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3期279-281,共3页Chinese Journal of Geriatrics

基　　金：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（20LOCl07）;安徽省高校省级自然科学基金项目（KJ20112198）

摘　　要：目的探讨帕金森病（PD）患者的心理理论（ToM）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Hoehn—Yahr分级量表对PD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，F=278．756，P〈0．001）和失言察觉任务成绩（29．0±4．0比41.2±4．4，F=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（F=3．508，P=0．069；F=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（TOM） in patients with Parkinsonrs disease. Methods A total of 19 patients with idiopathic PD and 20 demographic-matched health subjects were included in this study. They were assessed by 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 by the Hoehn and Yahr scale. Results Significant difference was found between PD group and health controls in task involving ToM social-perceptual component （mind Reading.. 17.1 ± 3.1 vs. 30.4 ± 1.7, F = 278. 756,P〈0. 001）, test involving social-cognitive component （Faux Pas Questions： 29.0±4.0 vs. 41.2±4.4,F=81. 647,P〈0. 001）. While the ability to identify sex and control questions of the Faux Pas showed no significant difference as 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]