关键词: Emotional processing HIV Social cognition Stigma Theory of mind

来  源:   DOI:10.1007/s11065-024-09643-5

Abstract:
Social cognition-the complex mental ability to perceive social stimuli and negotiate the social environment-has emerged as an important cognitive ability needed for social functioning, everyday functioning, and quality of life. Deficits in social cognition have been well documented in those with severe mental illness including schizophrenia and depression, those along the autism spectrum, and those with other brain disorders where such deficits profoundly impact everyday life. Moreover, subtle deficits in social cognition have been observed in other clinical populations, especially those that may have compromised non-social cognition (i.e., fluid intelligence such as memory). Among people living with HIV (PLHIV), 44% experience cognitive impairment; likewise, social cognitive deficits in theory of mind, prosody, empathy, and emotional face recognition/perception are gradually being recognized. This systematic review and meta-analysis aim to summarize the current knowledge of social cognitive ability among PLHIV, identified by 14 studies focused on social cognition among PLHIV, and provides an objective consensus of the findings. In general, the literature suggests that PLHIV may be at-risk of developing subtle social cognitive deficits that may impact their everyday social functioning and quality of life. The causes of such social cognitive deficits remain unclear, but perhaps develop due to (1) HIV-related sequelae that are damaging the same neurological systems in which social cognition and non-social cognition are processed; (2) stress related to coping with HIV disease itself that overwhelms one\'s social cognitive resources; or (3) may have been present pre-morbidly, possibly contributing to an HIV infection. From this, a theoretical framework is proposed highlighting the relationships between social cognition, non-social cognition, and social everyday functioning.
摘要:
社会认知-感知社会刺激和协商社会环境的复杂心理能力-已成为社会功能所需的重要认知能力,日常运作,和生活质量。社会认知的缺陷已经在那些患有严重精神疾病的人中得到了很好的记录,包括精神分裂症和抑郁症。自闭症谱系中的人,以及那些患有其他脑部疾病的人,这些缺陷会严重影响日常生活。此外,在其他临床人群中也观察到了社会认知的微妙缺陷,尤其是那些可能损害了非社会认知的人(即,流体智能,如记忆)。在艾滋病毒感染者(PLHIV)中,44%的人经历过认知障碍;同样,心理理论中的社会认知缺陷,韵律,同理心,和情感面部识别/感知正在逐渐被识别。本系统评价和荟萃分析旨在总结PLHIV对社会认知能力的最新知识,由14项专注于PLHIV社会认知的研究确定,并提供了客观共识的调查结果。总的来说,文献表明,PLHIV可能存在发生微妙的社会认知缺陷的风险,这可能会影响他们的日常社会功能和生活质量.这种社会认知缺陷的原因尚不清楚,但可能是由于(1)与HIV相关的后遗症破坏了处理社会认知和非社会认知的相同神经系统而发展的;(2)与应对HIV疾病本身有关的压力压倒了一个人的社会认知资源;或(3)可能已经病前存在,可能导致艾滋病毒感染。由此,提出了一个理论框架,强调了社会认知之间的关系,非社会认知,和社会日常运作。
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