强迫障碍患者社会认知领域研究进展  

Advances in social cognition of obsessive-compulsive disorder

作　　者：王佳圆 胡晓华[2] Wang Jiayuan;Hu Xiaohua(Affiliated Wuhan Mental Health Center,Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430012,China;Department of Psychiatry,Wuhan Mental Health Center,Wuhan 430012,China)

机构地区：[1]华中科技大学同济医学院附属武汉精神卫生中心,武汉430012 [2]武汉市精神卫生中心精神科,武汉430012

出　　处：《中华行为医学与脑科学杂志》2023年第3期283-288,共6页Chinese Journal of Behavioral Medicine and Brain Science

摘　　要：强迫障碍(obsessive-compulsive disorder,OCD)主要临床特征表现为强迫思维和(或)强迫行为,由于其症状异质性强且影响范围广,通常会对患者的社会功能造成不同程度的损害。社会认知是个人对他人或自己的心理与行为的感知与判断过程;其核心是理解社会心理现象的信息加工过程及潜在机制。研究显示,社会认知缺陷会影响个体的社会功能,因此许多学者认为OCD患者的社会认知功能是受损的。本文通过收集整理相关文献发现,OCD患者不能准确感知社会线索;他们对自我及他人的情绪意识障碍,一般情况下不易引发情绪反应,即情绪体验能力受损,但又由于患者自身的情绪调节功能障碍,导致他们对能够诱发强迫症状的特殊事件反应过激;患者洞察他人心理状态的能力较差;目前针对患者生活事件归因的研究数量极少,尚不明确其归因风格特点。这些研究结果为OCD患者社会认知损伤特异性以及指导临床进行有效精准干预提供了初步的理论依据和参考。The main clinical features of obsessive-compulsive disorder(OCD)are obsessions and/or compulsions.Due to its symptoms are heterogeneous and have a wide range of influences,OCD usually causes different degrees of damage to patients'social functions.Social cognition is the process of perceiving and judging the psychology and behavior of others or oneself.Its core is to understand the information processing process and the underlying mechanism of social psychological phenomena.Studies have shown that social cognitive deficits can affect an individual's social function.Therefore,many scholars believe that the social cognitive function of OCD patients are impaired.Through collecting and sorting out relevant literature,we find that OCD patients can’t perceive social cues accurately,and they have trouble recognizing their own emotions and those of others.In general,they are not prone to emotional response,that is,their ability of emotional experience is impaired,while because of their own emotional regulation dysfunction,they overreact to special events that can induce the obsession and/or compulsion.The patients have poor insight into the mental states of others.The researches on attributions of life events are dificient,so their characteristics of attribution styles are not yet clear.These findings provide a preliminary theoretical basis and reference for the specificity of social cognitive impairment in patients with OCD and for guiding clinical effective and precise intervention.

关 键 词：强迫障碍 社会认知 面部表情识别 共情 述情障碍 情绪反应 情绪调节 心理理论 归因风格 

分 类 号：R749.7[医药卫生—神经病学与精神病学]