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Published online by Cambridge University Press: 16 April 2020
Recently, we reported that patients with depression have theory of mind (ToM) deficit during remission from acute episodes. ToM deficit means difficulty in social adjustment and thus may indicate a poorer prognosis.
We evaluated ToM ability of 50 patients during remission from major depressive episodes. The patients were followed for 1 year and their outcome observed.
After 1 year, patients who had ToM deficit in a second order false question relapsed significantly more frequently as compared with patients who did not have a deficit (Fisher"s exact test pb0.0001; relative risk (RR)=8.105; CI 2.020, 32.524).
Significant differences were shown in scores of the Global Assessment of Functioning Scale (p< 0.0001) between the two groups.
Patients with ToM deficit in second order false belief during remission may be a high risk group for recurrence and lower social function 1 year after recovering from a major depressive episode.
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