Do People With Schizophrenia Enjoy Social Activities as Much as Everyone Else? A Meta-analysis of Consummatory Social Pleasure.
Do People With Schizophrenia Enjoy Social Activities as Much as Everyone Else? A Meta-analysis of Consummatory Social Pleasure.
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DOI：
10.1093/schbul/sbac199
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发表时间：
2023-02
影响因子：
6.6
通讯作者：
Danielle B. Abel;K. Rand;Michelle P. Salyers;Evan J. Myers;Jessica L. Mickens;K. Minor
中科院分区：
文献类型：
--
作者：
Danielle B. Abel;K. Rand;Michelle P. Salyers;Evan J. Myers;Jessica L. Mickens;K. Minor
精神分裂症的“情感悖论”表明，精神分裂症患者在报告预期和回顾性快乐时表现出缺陷;然而，在当下，完美的快乐在很大程度上是完整的。目前还不清楚这些发现如何扩展到社会情况。这项荟萃分析的目的是（1）确定精神分裂症患者和健康对照者之间的社交愉悦的平均差异，（2）检查这种影响的调节因素，包括研究设计和参与者的临床特征。设计：使用PsycINFO、Web of Science、Pubmed和EMBASE数据库进行文献检索。包括使用经验抽样方法和实验室社会模拟测量完善的社会快乐的研究。随机效应荟萃分析采用Hedge's g.结果26篇文献的Meta分析结果显示，精神分裂症患者在完成性社会快乐方面存在较小的显著缺陷（g =-0.38，90%CI [-0.53，-0.22]）。有显着的异质性的影响大小，大小是缓和的研究设计和类型的措施，用于评估社会的乐趣。结论：总体而言，精神分裂症患者似乎比对照组表现出更少的完美的社会快乐。然而，这种赤字小于预期和回顾性快乐的研究。因此，精神分裂症患者的社交愉悦感可能并不像传统的快感缺失研究所显示的那样受损。此外，在精神分裂症患者中观察到的快乐缺陷可能是由于他们日常社交体验的质量差异，而不是他们社交快乐能力的差异。研究结果对解决社会参与障碍、低快乐信念和认知补救治疗精神分裂症的临床干预具有重要意义。
BACKGROUND The "emotion paradox" of schizophrenia suggests people with schizophrenia demonstrate deficits when reporting anticipated and retrospective pleasure; yet, in-the-moment, consummatory pleasure is largely intact. It is uncertain how these findings extend to social situations. This meta-analysis aimed to (1) determine the mean difference in consummatory social pleasure between people with schizophrenia and healthy controls, and (2) examine moderators of this effect, including study design and clinical characteristics of participants. DESIGN A literature search using PsycINFO, Web of Science, Pubmed, and EMBASE databases was conducted. Studies measuring consummatory social pleasure using experience sampling methods and laboratory social simulations were included. Random effects meta-analyses were conducted using Hedge's g. RESULTS Meta-analysis of 26 studies suggests people with schizophrenia exhibited a small, significant deficit in consummatory social pleasure (g = -0.38, 90% CI [-0.53, -0.22]). There was significant heterogeneity in effect sizes; magnitude was moderated by study design and type of measure used to assess social pleasure. CONCLUSIONS Overall, people with schizophrenia seem to exhibit less consummatory social pleasure than controls. However, this deficit is smaller than in studies of anticipated and retrospective pleasure. Thus, consummatory social pleasure may not be quite as impaired in people with schizophrenia as traditional anhedonia research suggests. Moreover, pleasure deficits observed in people with schizophrenia may result from differences in the quality of their daily social experiences rather than differences in their capacity for social pleasure. Results have important implications for clinical interventions that address barriers to social engagement, low-pleasure beliefs, and cognitive remediation to treat schizophrenia.