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精神分裂症患者心智理论评估与干预的研究进展

Advances in assessment and intervention of theory of mind in patients with schizophrenia

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【作者】 梁洺瑜; 赵伟; 王玉玲; 刘志华; 张俊峰;

【Author】 Liang Mingyu;Zhao Wei;Wang Yuling;Liu Zhihua;Zhang Junfeng;School of Nursing and Health,Zhengzhou University;

【通讯作者】 赵伟;

【机构】 郑州大学护理与健康学院; 郑州市第八人民医院护理部; 郑州市严重精神障碍管理治疗工作办公室; 郑州市第八人民医院精神科;

【摘要】 精神分裂症患者心智理论受损是导致其社会功能障碍的关键因素。心智理论受损使精神分裂症患者难以理解他人的心理状态,不能正确推测他人的思维和判断其可能行为,严重影响患者的语言沟通、人际交往和学习工作。该文对精神分裂症患者心智理论的研究现状进行综述,介绍失言识别测试、心智理论图片故事任务、暗示任务等评估工具的临床应用及优缺点,并详述国内外提升心智理论的干预方法,如阅读文学小说、连环画和视频干预、情绪和心智理论模仿训练等,旨在为今后开展精神分裂症患者临床护理干预提供参考。

【Abstract】 The impaired ability of theory of mind in schizophrenic patients is a key factor leading to their social dysfunction.The impaired of theory of mind makes it difficult for schizophrenic patients to understand the mental state of others, and they cannot correctly speculate on the thinking of others and judge their possible behaviors, which seriously affects their verbal communication, interpersonal interaction, study and work.This article reviews the current status of research on the theory of mind in schizophrenic patients and introduces the clinical application and advantages and disadvantages of assessment tools such as the Faux Pas Recognition Test, Theory of Mind Picture Stories Task, and Hinting Task, etc.This article also details the interventions improving theory of mind at home and abroad, such as the reading of literary novels, comic book and video interventions, and emotional and theory of mind imitation training, etc., so as to provide references for conducting clinical intervention for patients with schizophrenia.

【基金】 河南省医学教育研究项目(WJLX2023089)
  • 【文献出处】 护理学杂志 ,Journal of Nursing Science , 编辑部邮箱 ,2025年03期
  • 【分类号】R473.74
  • 【下载频次】473
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