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Efficacy of social cognition remediation programs targeting facial affect recognition deficits in schizophrenia: a review and consideration of high-risk samples and sex differences.

机译:针对面部的社会认知修复计划的效果影响精神分裂症的认知缺陷:高风险样本和性别差异的审查和考虑。

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摘要

Schizophrenia patients suffer from significant social functioning deficits. Social cognition, particularly facial affect recognition (FAR), is an important predictor of functional outcome. Recently, investigators developed numerous social cognition remediation programs targeting FAR deficits with the goal of improving social functioning and quality of life in schizophrenia patients. This article builds on Horan et al.'s (2008) comprehensive review and Kurtz and Richardson's (2012) meta-analysis of a broad range of social cognition remediations, by systematically reviewing efficacy of empirically based remediations in schizophrenia specifically targeting FAR (across 23 studies), and their potential functional benefits. We describe each FAR-based social cognition remediation program, which may aid clinical scientists and clinicians in selecting programs for further study and practice. We critically evaluate limitations of FAR remediation programs and applications. Our review concludes FAR remediation programs are strongly efficacious in improving FAR performance and functional status in schizophrenia. Importantly, we provide rationale for and recommend that future research consider (as yet underexplored) sexual dimorphisms in FAR remediation effects, and examine FAR remediation in clinical high-risk for psychosis populations. The goal is to mitigate deficits, perhaps hinder illness onset, and individually tailor treatments across the psychosis continuum in a way that maximally aids those in greatest need.
机译:精神分裂症患者患有明显的社会功能缺陷。社会认知,尤其是面部情感识别(FAR),是功能预后的重要预测指标。最近,研究人员针对FAR缺乏症开发了许多社交认知补救计划,旨在改善精神分裂症患者的社交功能和生活质量。本文基于系统地回顾了以经验为基础的矫正针对精神分裂症的针对性精神分裂症的治疗效果(跨23个领域,基于Horan等人(2008)的全面综述以及Kurtz和Richardson(2012)对广泛的社会认知矫正的荟萃分析)。研究)及其潜在的功能优势。我们描述每个基于FAR的社会认知补救计划,这可能有助于临床科学家和临床医生选择进一步研究和实践的计划。我们严格评估FAR修复程序和应用程序的局限性。我们的结论认为,FAR修复计划在改善精神分裂症的FAR表现和功能状态方面非常有效。重要的是,我们提供理由并建议未来的研究考虑(尚未充分研究)FAR修复效果中的性二态性,并检查精神病人群临床高风险中的FAR修复。目的是减轻赤字,可能会阻碍疾病的发作,并以最大程度地帮助最需要帮助的人的方式针对整个精神病连续性个体化治疗。

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