关键词: attributional bias bipolar disorder emotion recognition schizophrenia serious mental illness social cognition suicide theory of mind

来  源:   DOI:10.1093/schizbullopen/sgae007   PDF(Pubmed)

Abstract:
UNASSIGNED: People with serious mental illness (SMI; psychotic and affective disorders with psychosis) are at an increased risk of suicide, yet there is limited research on the correlates of suicide in SMI. Social cognitive impairments are common among people with SMI and several studies have examined social cognition and suicidal ideation (SI) and behavior. This systematic review aims to evaluate the links between various domains of social cognition, SI, and suicidal behavior in SMI.
UNASSIGNED: Electronic databases (PubMed and PsycInfo) were searched through June 2023. Records obtained through this search (N = 618) were screened by 2 independent reviewers according to inclusion criteria. Relevant data were extracted, and study quality was assessed.
UNASSIGNED: Studies (N = 16) from 12 independent samples were included in the systematic review (N = 2631, sample sizes ranged from N = 20 to N = 593). Assessments of social cognition and SI and behavior varied widely between studies. Broadly, effects were mixed. Better emotion recognition of negative affect was linked to SI and a history of suicide attempts, though there is little consistent evidence for the relationship of emotion recognition and SI or behavior. On the other hand, better theory of mind ability was linked to SI and a history of suicide attempts. Furthermore, negative attributional bias was linked to current SI, but not a history of SI or attempt.
UNASSIGNED: This review suggests mixed associations between social cognition, SI, and behavior in SMI. Future research should evaluate additional mediators and moderators of social cognition and suicide, employing prospective designs.
摘要:
患有严重精神疾病(SMI;精神病和情感障碍伴精神病)的人自杀风险增加,然而,关于SMI自杀相关因素的研究有限。社会认知障碍在SMI患者中很常见,一些研究已经检查了社会认知和自杀意念(SI)和行为。这篇系统的综述旨在评估社会认知的各个领域之间的联系,SI,和SMI的自杀行为。
电子数据库(PubMed和PsycInfo)搜索到2023年6月。通过该搜索获得的记录(N=618)由2个独立的审阅者根据纳入标准进行筛选。提取相关数据,并对研究质量进行评估。
来自12个独立样本的研究(N=16)包括在系统评价中(N=2631,样本量范围从N=20到N=593)。在研究之间,对社会认知,SI和行为的评估差异很大。广义上,效果喜忧参半。更好地识别负面情绪与SI和自杀未遂史有关,尽管几乎没有一致的证据表明情绪识别与SI或行为之间的关系。另一方面,更好的心理能力理论与SI和自杀未遂史有关。此外,负归因偏差与当前SI相关,但不是SI或尝试的历史。
这篇综述提出了社会认知之间的混合关联,SI,和SMI中的行为。未来的研究应该评估社会认知和自杀的其他中介和调节者,采用前瞻性设计。
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