ABSTRACT
Research suggests that theory of mind (ToM) deficits are related to chronic psychosis and to first-episode psychosis (FEP) independently of other neurocognition domains. The aim of this study was to measure the differences in ToM area in a Spanish population of FEP sample (Nâ¯=â¯32) and in a healthy control group (Nâ¯=â¯32). A further aim was to describe the relationship between different domains of neurocognition, psychotic symptoms and social functioning with ToM in this sample. ToM was assessed with the MASC task. Estimated IQ with a short version of the WAIS III, Rey-Osterrieth Complex figure, Trail Making Test, Stroop test and Wisconsin Carting Sorting test were used to assess neurocognition. Psychotic symptoms were assessed with Community Assessment of Psychic Experiences (CAPE) in both groups and with PANSS scale in FEP group. GAF and Cannon-Spoor scales were used to measure social functioning before and after onset of psychosis. FEP showed important deficits in ToM domain compared to controls. A worse executive functioning was associated with worse scores in ToM task. However, no relation was found between positive or negative psychotic symptoms and ToM or social functioning and ToM. In our sample neurocognition tests were strongly related to ToM domain independently of other variables.
Subject(s)
Cognition/physiology , Mental Status and Dementia Tests , Psychiatric Status Rating Scales , Psychotic Disorders/diagnosis , Psychotic Disorders/psychology , Theory of Mind/physiology , Adolescent , Adult , Executive Function/physiology , Female , Humans , Male , Middle Aged , Neuropsychological Tests , Social Adjustment , Stroop Test , Trail Making Test , Young AdultABSTRACT
La comprensión grupal es esencial en el acercamiento al malestar psíquico que se realiza en nuestra institución desde sus inicios. Todos los programas psicoterapéuticos y de tratamiento que se ofrecen en el Servicio de Psiquiatría del Hospital de Basurto incluyen algún tipo de abordaje grupal, tanto en la Unidad de Hospitalización de Agudos como en los programas específicos de intervención, como la Unidad de Trastornos de la Conducta Alimentaria, los Programas de Trastornos de la Personalidad, Primeros Episodios, etc. Dentro de este contexto, los objetivos del presente trabajo son describir la experiencia de un taller de escritura creativa que se realiza de forma mensual en la Unidad de Hospitalización de Agudos del Hospital de Basurto. Se aporta la lectura grupoanalítica del mismo, así como una reflexión sobre los factores terapéuticos de la experiencia grupal. Previamente, se realizará una revisión no exhaustiva de la literatura alrededor del uso de la escritura y poesía en el ámbito de la salud mental. (AU)
Group understanding is essential in the approach to psychological suffering that is carried out in our institution from its beginnings. All psychotherapeutic and treatment programs offered at the Basurto Hospital Psychiatry Service include some kind of group work, both in the Acute Care Unit and in specific intervention programs such as the Eating Behavior Disorders Unit, Personality Disorder Programs, First Episodes, etc. Within this context, the objectives of this paper are to describe the experience of a creative writing workshop, which is carried out on a monthly basis in the Basurto Hospital Acute Psychiatric Unit. Group analytic interpretation is provided, as well as a reflection on the therapeutic factors of group experience. Previously, a non-exhaustive review of the literature regarding the use of writing and poetry in the field of mental health will be carried out. (AU)