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젊은 조현병 환자에서 공감경향과 마음이론기술: 자기보고 조현형차원 및 실행기능과의 연관성

Empathic Tendency and Theory of Mind Skills in Young Individuals with Schizophrenia: Its' Associations with Self-Reported Schizotypy and Executive Function

  • 김소연 (연세대학교 의과대학 세브란스병원 정신과학교실) ;
  • 공완지 (연세대학교 의과대학 세브란스병원 정신과학교실) ;
  • 구세준 (연세대학교 의과대학 의학행동과학연구소 자기, 정동 및 신경과학섹션) ;
  • 김혜리 (연세대학교 의과대학 의학행동과학연구소 자기, 정동 및 신경과학섹션) ;
  • 박혜윤 (연세대학교 의과대학 세브란스병원 정신과학교실) ;
  • 서은총 (연세대학교 의과대학 세브란스병원 정신과학교실) ;
  • 이은 (연세대학교 의과대학 세브란스병원 정신과학교실) ;
  • 안석균 (연세대학교 의과대학 세브란스병원 정신과학교실)
  • Kim, So Yeon (Department of Psychiatry, Yonsei University College of Medicine, Severance Hospital) ;
  • Kong, Wanji (Department of Psychiatry, Yonsei University College of Medicine, Severance Hospital) ;
  • Koo, Se Jun (Section of Self, Affect and Neuroscience, Institute of Behavioral Science in Medicine, Yonsei University College of Medicine) ;
  • Kim, Hyeri (Section of Self, Affect and Neuroscience, Institute of Behavioral Science in Medicine, Yonsei University College of Medicine) ;
  • Park, Hye Yoon (Department of Psychiatry, Yonsei University College of Medicine, Severance Hospital) ;
  • Seo, Eunchong (Department of Psychiatry, Yonsei University College of Medicine, Severance Hospital) ;
  • Lee, Eun (Department of Psychiatry, Yonsei University College of Medicine, Severance Hospital) ;
  • An, Suk Kyoon (Department of Psychiatry, Yonsei University College of Medicine, Severance Hospital)
  • 투고 : 2020.12.11
  • 심사 : 2021.03.28
  • 발행 : 2021.04.30

초록

Objectives: Social function deficit is known as a core feature of schizophrenia. This study aimed to investigate differences in empathic tendencies and theory of mind (ToM) skills between healthy controls and young individuals with schizophrenia, and to examine the associations between empathic tendencies, ToM skills and schizotypy, and executive function in schizophrenia. Methods: Thirty patients with schizophrenia and 30 healthy controls were enrolled and assessed using the interpersonal relationship index (IRI; perspective taking, fantasy, empathic concern, and personal distress subscales), ToM-Picture Story Task (ToM-PST; sequence and cognitive questionnaire), Wisconsin schizotypy scale (revised physical anhedonia and perceptual aberration), and Stroop tests for empathic tendencies, ToM skills, schizotypy, and executive function. Results: In individuals with schizophrenia, the IRI for perspective taking and ToM-PST score for cognitive function were lower, and the IRI for personal distress was higher than those in healthy controls. The IRIs for perspective taking and fantasy were related to revised physical anhedonia, and that for empathic concern was associated with revised physical anhedonia and perceptual aberration. The ToM-PST score for sequence was associated with the Stroop test score for schizophrenia. Conclusion: These findings indicate deficits in empathic tendencies and ToM skills, which may be independently and primarily associated with schizotypy and executive function in young individuals with schizophrenia.

키워드

과제정보

이 논문은 과학기술정보통신부의 재원으로 한국연구재단의 지원을 받아 수행된 연구임(No. 2017R1A2B3008214).

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