CAJ | 학술논문

目的探讨右侧颞叶脑梗死后患者的社会认知能力.方法将右侧颞叶脑梗死患者15例以及健康对照组20名作为研究被试者,采用失言察觉任务以及眼区复杂情绪识别任务,测试右侧颞叶脑梗死患者的社会认知能力.结果在失言察觉任务中,右侧颞叶脑梗死组的总失言相关任务得分(分)明显低于健康对照组(分别为28.6±6.1、36.4±4.3),差异有统计学意义(U =41.00,P＜0.01),而在失言察觉任务的控制问题与对照(分别为9.86±0.35、10.00±0.00)差异无统计学意义(U=130.00,P=0.097).在眼区情绪识别任务中,右侧颞叶脑梗死组患者的眼区复杂情绪的识别总得分(分)明显低于健康对照组(分别为17.13±6.41、29.75±2.07),差异有统计学意义(U=0.00,P＜0.01),而在眼区情绪任务中的性别判断差异无统计学意义(分别为30.37±1.16、31.35±1.08；U=106.00,P=0.129).结论右侧颞叶脑梗死患者存在社会认知的加工障碍.研究提示,右侧颞叶不仅参与了言语相关的社会认知加工,同时参与了非言语相关的社会认知加工.
목적 탐토우측섭협뇌경사후환자적사회인지능력.방법 장우측섭협뇌경사환자15례이급건강대조조20명작위연구피시자,채용실언찰각임무이급안구복잡정서식별임무,측시우측섭협뇌경사환자적사회인지능력.결과 재실언찰각임무중,우측섭협뇌경사조적총실언상관임무득분(분)명현저우건강대조조(분별위28.6±6.1、36.4±4.3),차이유통계학의의(U =41.00,P＜0.01),이재실언찰각임무적공제문제여대조(분별위9.86±0.35、10.00±0.00)차이무통계학의의(U=130.00,P=0.097).재안구정서식별임무중,우측섭협뇌경사조환자적안구복잡정서적식별총득분(분)명현저우건강대조조(분별위17.13±6.41、29.75±2.07),차이유통계학의의(U=0.00,P＜0.01),이재안구정서임무중적성별판단차이무통계학의의(분별위30.37±1.16、31.35±1.08；U=106.00,P=0.129).결론 우측섭협뇌경사환자존재사회인지적가공장애.연구제시,우측섭협불부삼여료언어상관적사회인지가공,동시삼여료비언어상관적사회인지가공.
Objective To investigate the ability of social cognition in patients with right temporal lobe infarction.Methods Fifteen patients with temporal lobe infarction (TLI) and 20 healthy controls (HC) were examined with the recognition of faux pas and reading the mind in the eyes tasks for assessing the ability of social cognition.Results The TLI group performed significantly worse when compared with the HC group (28.6 ± 6.1,36.4 ± 4.3 respectively) as revealed in the total faux pas-related scores (U =41.00,P ＜0.01).For the control question,there was no significant difference between the TLI group and the HC group (9.86 ±0.35,10.00 ± 0.00 ; U =130.00,P =0.097).In the reading the mind in the eyes task,patients with TLI performed worse than the HC group(17.13 ±6.41,29.75 ±2.07 respectively),and the difference had statistical significance (U =0.00,P ＜ 0.01).But there was no significant difference in gender recognition judgment (30.37 ± 1.16,31.35 ± 1.08 respectively; U =106.00,P =0.129).Conclusions The right temporal lobe involves in social cognition.Moreover,the right temporal lobe not only involves in the verbal related social cognitive processing,but also involves in the no-verbal related social cognitive processing.