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First- and Third-Person Perspectives in Psychotic Disorders and Mood Disorders with Psychotic Features

机译：具有精神病特征的精神病和情绪障碍的第一人称和第三人称视角

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摘要

Lack of insight, very frequent in schizophrenia, can be considered a deficit in Theory of Mind (ToM) performances, and is also found in other psychiatric disorders. In this study, we used the first- to third-person shift to examine subjects with psychotic and psychotic mood disorders. 92 patients were evaluated with SANS and SAPS scales and asked to talk about their delusions. They were asked to state whether they thought what they said was believable for them and for the interviewer. Two weeks later, 79 patients listened to a tape where their delusion was reenacted by two actors and were asked the same two questions. Some patients gained insight when using third-person perspective. These patients had lower SAPS scores, a lower score on SAPS item on delusions, and significant improvement in their SAPS delusion score at the second interview. Better insight was not related to a specific diagnostic group.
机译：精神分裂症中经常见到的缺乏洞察力，可以被认为是心理理论（ToM）表现的不足，在其他精神疾病中也可以发现。在这项研究中，我们使用了第一至第三人称移位来检查患有精神病和精神病性情绪障碍的受试者。对92例患者进行了SANS和SAPS量表评估，并要求谈论他们的妄想。他们被要求说出他们是否认为自己的话对他们自己和对面试官来说都是可信的。两周后，有79位患者听了一个录音带，其中两个演员再次表现出他们的妄想，并被问了同样的两个问题。使用第三人称视角时，一些患者获得了见识。这些患者的SAPS得分较低，错觉上的SAPS项目得分较低，并且在第二次访谈中其SAPS错觉得分显着改善。更好的见解与特定的诊断组无关。

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