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Original article
DOI: 10.1016/j.rpsmen.2011.11.002
Adaptation of the Hinting Task theory of the mind test to Spanish
Adaptación al español de la prueba de teoría de la mente Hinting Task
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David Gil??
Corresponding author
crpsantpsico1@mennisant.com

Corresponding author.
, Mar Fernández-Modamio, Rosario Bengochea, Marta Arrieta
Centro Hospitalario Padre Menni, Santander, Cantabria, Spain
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Tables (6)
Table 1. Tests that evaluate theory of mind.
Table 2. Sample characteristics.
Table 3. Inter-rater reliability.
Table 4. Test–retest reliability.
Table 5. Comparison between control subjects and patients with schizophrenia and total score in the 10-story Hinting Task.
This is the first story. Listen closely.
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Abstract
Introduction

Many studies have found that patients with schizophrenia have a deficit in theory of mind. Some authors associate this deficit with the presence of symptoms, while others maintain that it can also be observed in patients in the remission phase. There is no reference test to assess theory of mind in schizophrenia, although one of the most used is the Hinting Task. The aim of the present study consists of adapting and validating, in Spanish, the 10 histories that make up this test.

Material and methods

The study was conducted on a sample of 39 control subjects and 40 patients with schizophrenia. The internal consistency and the between-observer reliability and test–retest were assessed in both sample groups. The performance of the patients and control subjects were also compared.

Results

Good reliability data was obtained in the inter-observer and test–retest in the two samples. On the other hand, the internal consistency was somewhat low for all of the 10 histories. For this reason, and starting from a previous study, a reduced version of 5 histories was prepared, which showed good internal consistency. The patients with schizophrenia obtained a significantly lower score than the control subjects in 8 out of the 10 histories.

Conclusions

The reduced Spanish version of the Hinting Task demonstrated good psychometric properties. When compared to the control group, the patients with schizophrenia had a deficit in theory of mind.

Keywords:
Theory of mind
Assessment
Schizophrenia
Social cognition
Resumen
Introducción

Numerosos estudios han encontrado que los pacientes con esquizofrenia realizan un manejo deficitario de la teoría de la mente. Algunos autores relacionan este déficit con la presencia de sintomatología, mientras que otros mantienen que también es observable en pacientes en fase de remisión. No existe una prueba de referencia para evaluar la teoría de la mente en esquizofrenia, si bien una de las más utilizadas es el Hinting Task. El objetivo del presente estudio consiste en adaptar y validar en español las 10 historias que componen esta prueba.

Material y métodos

El estudio se ha desarrollado con una muestra de 39 sujetos control y 40 pacientes con esquizofrenia. En ambas muestras se ha valorado la consistencia interna y la fiabilidad entre observadores y test-retest. Asimismo, se ha comparado el rendimiento de pacientes y sujetos control.

Resultados

Se obtuvieron buenos datos de fiabilidad entre observadores y test-retest en las dos muestras. Por su parte, la consistencia interna resultó algo baja para el total de las 10 historias. Por este motivo, y partiendo de un estudio anterior, se elaboró una versión reducida de 5 historias, que mostró una buena consistencia interna. Los pacientes con esquizofrenia obtuvieron una puntuación significativamente menor que los sujetos control en 8 de las 10 historias.

Conclusiones

La versión reducida en español del Hinting Task mostró buenas propiedades psicométricas. En comparación con el grupo control, los pacientes con esquizofrenia presentaron un déficit en teoría de la mente.

Palabras clave:
Teoría de la mente
Evaluación
Esquizofrenia
Cognición social

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