| The modern social is developing increasingly, and to people the pressure is unprecedented. Face to such a social environment, many factors can induct mental illness, such as the employment pressure, get married and support children, etc. Today we must focus on the social and economic development, but at the same time, we also should be more concerned about the men’s psychologically and spiritually healthy, so that the society can develop healthy. Psychiatric patients is a vulnerable group, but they are not a cumbersome to social, as long as access to good treatment and care, they also can stand on theirs own bottom. This study is to explore the schizophrenia patent’s cognition, empathy and their relationship with the social function, to provide some supports for the treatment and rehabilitation of schizophrenia.Objective:schizophrenia’s social dysfunction cause to their disability, and it is also important basis of the diagnosis of schizophrenia. The damage of cognition and empathy may be related to their social dysfunction. The purpose of this research is to understand their relationship, in order to provide some theoretical basis for the treatment and rehabilitation of patients with schizophrenia.Methods:In study one, we assessed in32schizophrenic patients and40healthy controls, with the Face emotion discrimination, Faux pas recognition task and Means-Ends Problem-Solving task. The difference of Mean between the two groups using independent-sample t test,and behavioral correlation between variables using Pearson correlation analysis.In study two, we assessed in69schizophrenic patients and70healthy controls, with the Interpersonal Reactivity Index-C, EPQ-RSC,TAS-20,SCSQ,SES. The difference of Mean between the two groups using independent-sample t test,and behavioral correlation between variables using Pearson correlation analysis.In study three, social function assessed by Social Function Handsome Select Scale and the Individual and the Social Function Scale. Social cognition and empathy ability is assessed as the same as the study one and study two. We observed the correlation between social cognition and empathy ability, the correlation social cognition and social functioning, and the correlation empathy ability and social functioning by Pearson correlation analysis.Results:In study one, schizophrenics performed significantly poorer in the Face emotion discrimination, Faux pas recognition task and Means-Ends Problem-Solving task. than controls. Correlation analysis showed that all social cognition task has a significant correlation with indicating that patients with schizophrenia cognitive impairment and clinical psychiatric symptoms.In study two, IRI-C, the total scores and the sub scores in perspective taking, fantasy and empathic concern were significantly lower than the healthy controls, respectively, but more self-related aversive feeling in response to the distress of others. Pearson correlation analysis showed that empathy ability has a significant correlation with personality self-esteem, alexithymia and coping styles. Stepwise multiple regression analysis showed that psychoticism, internal and external in EPQ, positive coping and negative coping in SCSQ, extraversion thinking in TAS as independent variables are included in the regression model, indicating that personality traits and coping style affect the ability of empathy.In study three, Pearson correlation analysis revealed significant relation between all social cognition tasks and empathy, all social cognition tasks has a significant correlation with particularly social functioning of SDSS and PSP in schizophrenics, IRI-C score has a significant correlation with particularly social functioning of SDSS and PSP in schizophrenics, indicating that the social cognition, empathy ability and social dysfunction of patients with schizophrenia has a close relationship. analysis revealed empathy was the intermediary variable between social cognition and social functionConclusions:The main results of this research are as the follow:1. Schizophrenics had deficits of social cognition, including social cues recognition ability and social problem solving ability. The social cognitive damage had not significantly correlation with gender, age, education level and course of disease, but had significantly correlation with negative symptoms and positives symptoms, the clinical symptoms affect their social cognition.2. Schizophrenics had a general impairment of empathy, including cognitive empathy and emotional empathy. The patient’s personality, such as personality traits, and coping styles affect the empathy ability. 3. Their had a significant correlation between the social cognition and empathy ability in schizophrenics, the different aspects of social cognition affect the empathy.4. Their had a significant correlation between the social cognition and social function in schizophrenics, social cognition impairment can lead to social dysfunction.5. Their had a significant correlation between the empathy ability and social function in schizophrenics, empathy defects can affect social dysfunction.6. Empathy was the intermediary variable between social cognition and social function. |
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