A systematic review of the impact of social cognitive deficits on psychosocial functioning in major depressive disorder and opportunities for therapeutic intervention

PSYCHIATRY RESEARCH

卷:274

Review

Weightman, Michael James¹  Knight, Matthew James¹  Baune, Bernhard Theodor^1,2,3 

[1] Univ Adelaide, Adelaide Med Sch, Discipline Psychiat, Adelaide, SA 5005, Australia

[2] Univ Melbourne, Melbourne Med Sch, Dept Psychiat, Melbourne, Vic 3010, Australia

[3] Univ Munster, Dept Psychiat, Munster, Germany

关键词: Social cognition;    Facial affect;    Theory of mind;    Depression;    Psychosocial function;    Treatment;    Anti-depressant;    Psychotherapy;   

DOI  :  10.1016/j.psychres.2019.02.035

来源: Elsevier

【 摘 要 】

Social cognition is the ability to identify, perceive and interpret socially relevant information from the external world. It is an important adaptive trait, but is frequently affected in major depressive disorder by a mood congruent interpretive bias. The present review examined the existing body of literature to determine (i) the impact social cognitive deficits in depression have on psychosocial functioning; and (ii) the utility of psycho tropic, psychological and procedural interventions employed to target these deficits. A total of 107 studies met inclusion criteria for review. Social cognitive performance was found to adversely impact depressed patients' psychosocial functioning across the key domains of general cognitive functioning and quality of life. Secondly, many current therapies were found to have a normalising effect on the social cognitive abilities of subjects with major depressive disorder, both at a neural and functional level. In particular, certain anti-depressant medications corrected facial affect recognition deficits, while several psychotherapeutic approaches improved impairments in theory of mind and negative interpretive bias.

【 授权许可】

Free