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目的：探讨精神病性症状对个体心理理论能力的影响。方法将99例患者根据疾病类型分为3组，抑郁症伴精神病性症状组31例、抑郁症不伴精神病性症状组35例、精神分裂症未缓解组33例，另抽取30名健康者设为对照组，分别采用故事‐图片法测量心理理论能力，阳性与阴性症状量表评定精神症状，汉密顿抑郁量表评定抑郁症状，并测量智商。结果4组一级心理理论任务成绩比较差异无显著性（P＞0．05）。在二级心理理论任务成绩上，抑郁症伴精神病性症状组与抑郁症不伴精神病性症状组、对照组比较差异有显著性（P＜0．01），与精神分裂症未缓解组比较差异无显著性（P＞0．05）；精神分裂症未缓解组与抑郁症不伴精神病性症状组、对照组比较差异有显著性（P＜0．01）；而抑郁症不伴精神病性症状组与对照组比较差异无显著性（P＞0．05）。结论精神病性症状可能是影响个体心理理论能力的主要因素。“,”Objective To explore the effects of psychotic symptoms on individual theory of mind (TOM ) ability .Methods Ninety‐nine patients were divided into three groups according to types of disease ,ones with depression accompanied by psychotic symptoms were 31 ,ones with depression without 35 ,ones with non‐remission schizophrenia 33 ,selected 30 healthy adults were assigned to control group ,TOM abilities measured with story‐image method , mental symptoms with the Positive and Negative Syndrome Scale (PANSS) ,depressive symptoms with the Hamilton Depression Scale (HAMD) ,and IQs with Wechsler Adult Intelligence Scale (WAIS) .Results There were no significant differences in first‐class TOM task achievements among 4 groups (P> 0 .05) .There were significant differences in second‐class TOM task a‐chievements among depression with psychotic symptom ,depression without and control group (P< 0 .01) ;there were significant differences among non‐remission schizophrenia , depression without and control group (P 0 .05) .Conclusion Psychotic symptoms can be the main factors influencing individual theory of mind ability .