Comparison of social cognition using an adapted Chinese version of the Reading the Mind in the Eyes Test in drug-naive and regularly medicated individuals with chronic schizophrenia and healthy controls in rural China

被引：11

作者：

Deng, Fei ^{[1
,2
]}

Phillips, Michael R. ^{[1
,3
,4
,5
]}

Cai, Bing ^{[1
]}

Yu, Gary ^{[6
]}

Qian, Min ^{[7
]}

Grivel, Margaux M. R. ^{[8
]}

Chen, Hanhui ^{[1
]}

Ouyang, Xinyi ^{[1
]}

Xue, Fang ^{[1
]}

Zhao, Mingru ^{[9
]}

Kegeles, Lawrence S. ^{[4
,5
]}

Susser, Ezra S. ^{[3
,5
]}

Keshavan, Matcheri S. ^{[10
]}

Stone, William S. ^{[10
]}

Yang, Lawrence H. ^{[3
,8
]}

机构：

[1] Shanghai Jiao Tong Univ, Shanghai Mental Hlth Ctr, Sch Med, Shanghai, Peoples R China

[2] Univ Nottingham, Sch Econ, Ningbo, Zhejiang, Peoples R China

[3] Columbia Univ, Dept Epidemiol, Mailman Sch Publ Hlth, New York, NY 10032 USA

[4] Columbia Univ, Dept Psychiat, New York, NY 10027 USA

[5] New York State Psychiat Inst & Hosp, New York, NY 10032 USA

[6] NYU, Rory Meyers Coll Nursing, New York, NY USA

[7] Columbia Univ, Dept Biostat, Mailman Sch Publ Hlth, New York, NY USA

[8] NYU, Sch Global Publ Hlth, New York, NY USA

[9] Cent South Univ, Xiangya Sch Publ Hlth, Changsha, Hunan, Peoples R China

[10] Harvard Med Sch, Dept Psychiat, Beth Israel Deaconess Med Ctr, Boston, MA 02215 USA

来源：

PSYCHOLOGICAL MEDICINE | 2022年 / 52卷 / 15期

关键词：

China; low- and middle-income countries (LMIC); Reading the Mind in the Eyes Test (RMET); schizophrenia; social cognition; CLINICAL HIGH-RISK; 1ST-EPISODE SCHIZOPHRENIA; BIPOLAR DISORDER; MENTAL STATE; IMPAIRMENTS; PSYCHOSIS; SYMPTOMS; PEOPLE;

D O I：

10.1017/S003329172100043X

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Background Social cognition has not previously been assessed in treatment-naive patients with chronic schizophrenia, in patients over 60 years of age, or in patients with less than 5 years of schooling. Methods We revised a commonly used measure of social cognition, the Reading the Mind in the Eyes Test (RMET), by expanding the instructions, using both self-completion and interviewer-completion versions (for illiterate respondents), and classifying each test administration as 'successfully completed' or 'incomplete'. The revised instrument (RMET-CV-R) was administered to 233 treatment-naive patients with chronic schizophrenia (UT), 154 treated controls with chronic schizophrenia (TC), and 259 healthy controls (HC) from rural communities in China. Results In bivariate and multivariate analyses, successful completion rates and RMET-CV-R scores (percent correct judgments about emotion exhibited in 70 presented slides) were highest in HC, intermediate in TC, and lowest in UT (adjusted completion rates, 97.0, 72.4, and 49.9%, respectively; adjusted RMET-CV-R scores, 45.4, 38.5, and 34.6%, respectively; all p < 0.02). Stratified analyses by the method of administration (self-completed v. interviewer-completed) and by education and age ('educated-younger' v. 'undereducated-older') show the same relationship between groups (i.e. NC>TC>UT), though not all differences remain statistically significant. Conclusions We find poorer social cognition in treatment-naive than in treated patients with chronic schizophrenia. The discriminant validity of RMET-CV-R in undereducated, older patients demonstrates the feasibility of administering revised versions of RMET to patients who may otherwise be considered ineligible due to education or age by changing the method of test administration and carefully assessing respondents' ability to complete the task successfully.

引用

页码：3655 / 3667

页数：13

共 1 条

[1] Assessing social cognition in patients with schizophrenia and healthy controls using the reading the mind in the eyes test (RMET): a systematic review and meta-regression
Deng, Fei
Bueber, Marlys A.
Cao, Yourong
Tang, Jeff
Bai, Xinyu
Cho, Young
Lee, Jiwon
Lin, Zhuozhi
Yang, Qi
Keshavan, Matcheri S.
Stone, William S.
Qian, Min
Yang, Lawrence H.
Phillips, Michael R.
PSYCHOLOGICAL MEDICINE, 2024, 54 (05) : 847 - 873

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