Social cognition and levels of personality organization in patients with somatoform disorders: a case-control study.

J Nerv Ment Dis

*Altrecht Psychosomatic Medicine Eikenboom, Zeist, the Netherlands; †Department of Psychology, University of Leuven, Leuven, Belgium; ‡Department of Clinical and Health Psychology, Leiden University, Leiden, the Netherlands; §Altrecht Center for Psychodiagnostic Assessment, Zeist, the Netherlands; and ∥Research Department of Clinical, Educational and Health Psychology, University College London, London, UK.

Published: March 2014

AI Article Synopsis

  • A study analyzed social cognition and personality organization (PO) levels in 163 patients with severe somatoform disorders (SFDs) and 151 psychiatric control patients (PSA).
  • The findings showed that while SFD patients had issues with cognitive aspects of social cognition, these were not worse than those in the PSA controls.
  • SFD patients also displayed lower emotional investment in social interactions but higher emotional tone compared to the PSA group, suggesting that emotional investment impairments may be unique to SFD cases.

Article Abstract

Social cognition and its association with level of personality organization (PO) were examined in 163 patients with severe somatoform disorders (SFDs) and 151 psychiatric (PSA) control patients. Social cognition was measured with the Social Cognition and Object Relations Scale, which assessed both affective and cognitive facets of social cognition. Levels of PO were assessed using theory-driven profiles of the Dutch Short Form of the Minnesota Multiphasic Personality Inventory (MMPI). The SFD patients exhibited impairments in the cognitive facets of social cognition but not more so than the PSA controls. The results for the affective aspects indicated that the SFD patients exhibited lower levels of emotional investment yet higher affect tone in interactions than the PSA controls. In contrast to the control group, level of PO was not associated with social cognition in SFD. Together, the results indicated that impairments in complexity of mental representations are not specific to SFD patients, yet impairments in emotional investment may be specific to SFD.

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Source
http://dx.doi.org/10.1097/NMD.0000000000000097DOI Listing

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