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Abstract

第114巻第5号

Social Cognition of Schizophrenia : Bridging Gap between Brain Science and Psychosocial Intervention
Emi IKEBUCHI1, Kazuyuki NAKAGOME2, Satoru IKEZAWA3,4, Sachie MIURA5, Syudo YAMASAKI6, Takahiro NEMOTO7, Shin-Ichi HIDAI5, Tamiko MOGAMI8
1 Department of Psychiatry, Teikyo University School of Medicine
2 National Center of Neurology and Psychiatry
3 Yowa Hospital
4 Yale School of Medicine, Department of Psychiatry, Connecticut Mental Health Center
5 Department of Neuropsychiatry, Fukushima Medical University
6 Department of Youth Mental Health, Graduate School of Medicine, The University of Tokyo
7 Department of Neuropsychiatry, Toho University School of Medicine
8 Department of Clinical Psychology, Graduate School of Medical Sciences, Tottori University
Psychiatria et Neurologia Japonica 114: 489-507, 2012
Accepted in revised form: 4 February 2012.

 The concept and assessment tools for social cognition of schizophrenia were reviewed in order to bridge the gap between brain cognitive science and psycho-social intervention. Social cognition as well as neuro-cognition strongly influences social functioning, and the impact of neuro-cognition is mediated by social cognition. Neuronal networks of personal identification, facial perception, emotional identification, eye contact, “theory of mind”, mutual communication, and the decision-making process have been clarified recently.
 The results of face discrimination and emotion recognition tasks show impairment in persons with schizophrenia as compared with healthy controls, especially fear, dislike, and sad recognition tasks. It might be difficult for them to link ambiguous stimuli with specific emotions, and they have a tendency to recognize uncomfortable emotions easily. “Jumping to conclusions”tendency(JTC)was identified in previous research on delusion. JTC develops from information uptake bias and confidence bias,and they might be thought to be trait and state. Social problem-solving is the skill to use social cognition to comprehensively adjust to specific social situations,and processing skills of social problem-solving are related to divergent thinking. Rating scales and the results of previous studies on emotion recognition, social perception, attribution style, and “theory of mind”were summarized.
 Furthermore, psycho-social interventions to improve emotion recognition directly,JTC, and divergent thinking were reported. Interventions aiming at improving social cognition or meta-cognition directly have been recently developed, which might improve some components of social functioning that used to be difficult to improve. These concepts of social cognition and researches on brain science,assessment tools,and intervention methods would clarify the mechanisms of the effects of psycho-social interventions,improve their methodology, and help to develop new aspects of intervention.

Keywords:social cognition, schizophrenia, neuro-cognition, psycho-social intervention, cognitive behavioral therapy>
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