Nonverbal interpersonal sensitivity and persistence of depression: Perception of emotions in schematic faces

Nonverbal interpersonal sensitivity and persistence of depression: Perception of emotions in schematic faces
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DOI:
10.1016/s0165-1781(96)02930-7
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发表时间:
1996-10-16
影响因子:
11.3
通讯作者:
Jenner, JA
Jenner, JA
中科院分区:
医学2区
文献类型:
--
作者:
Bouhuys, AL;Geerts, E;Jenner, JA

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面部情绪表情的解码缺陷可能在抑郁症的持续中起作用。在一项前瞻性纵向研究中,33名抑郁症门诊患者(30名重度抑郁症患者,2名心境恶劣患者,1名循环胸腺障碍患者)在入院时(T-0)和6周和30周后,根据他们表达的情绪(恐惧、快乐、愤怒、悲伤、厌恶、惊讶、拒绝和邀请)判断图式面孔。在这三次中评估抑郁症的严重程度(BDI)。那些在T-0时感受到较少悲伤、拒绝或愤怒的患者,在6周(悲伤、愤怒)或30周(悲伤、拒绝、愤怒)后,不太可能表现出良好的抑郁病程。这些关系不能归因于最初的抑郁程度、年龄或性别。悲伤和被拒绝的感觉不会随着时间的推移而改变,因此可能具有类似性格的特质。抑郁症似乎在对(消极)面部信号不敏感的亚组中更持久。
Deficits ill the decoding of facial emotional expressions may play a role in the persistence of depression. In a prospective longitudinal study, 33 depressed outpatients (30 major depression, 2 dysthymia, and 1 cyclothymic disorder) judged schematic faces with respect to the emotions they expressed (fear, happiness, anger, sadness, disgust, surprise, rejection, and invitation) at admission (T-0) and again 6 and 30 weeks later. Severity of depression (BDI) was assessed at these three times. Those patients who perceived less sadness, rejection, or anger in faces at T-0 were less likely to show a favorable course of depression after 6 weeks (sadness, anger) or after 30 weeks (sadness, rejection, anger). These relationships could not be ascribed to initial levels of depression, age, or gender. The perception of sadness and rejection did not change over time, and therefore may have trait-like qualities. Depression appears to be more persistent in the subgroup that is hyposensitive to (negative) facial signals.