Is emotion processing a predictor of functional outcome in schizophrenia?
Is emotion processing a predictor of functional outcome in schizophrenia?
复制标题
DOI：
10.1093/oxfordjournals.schbul.a007021
复制
发表时间：
2003-01-01
影响因子：
6.6
通讯作者：
Brekke, JS
中科院分区：
文献类型：
--
作者：
Kee, KS;Green, MF;Brekke, JS
感知面部和声音情感表达能力的缺陷在精神分裂症中很常见。然而，对于这些缺陷如何影响功能结果的了解相对较少。本前瞻性研究调查了来自5个社区康复项目的94名临床稳定的精神分裂症门诊患者的情绪感知与心理社会功能方面的横断面和纵向关系，包括家庭关系、社会关系、工作功能和独立生活/自我护理。情绪感知（面部情绪、声音情绪和情感感知）和社会心理结果（Strauss和Carpenter结果量表和角色功能量表）在基线和12个月后进行评估。在12个月的横断面和前瞻性研究中发现，情绪感知与工作功能/独立生活之间存在显著关联。因果解释模型表明，情绪感知可能导致1年以上的工作功能/独立生活结果。当概念混乱在统计上得到控制时，结果仍然显著。我们没有发现男性和女性在情绪感知与工作功能/独立生活之间的相关性方面存在差异。社会功能/家庭关系与情绪感知之间的关联不显著。这些发现表明，情绪处理是严重精神疾病患者工作功能/独立生活的关键决定因素。
Deficits in the ability to perceive facial and vocal emotion expression are common in schizophrenia. However, relatively little is known about how such deficits might affect functional outcomes. This prospective study examined cross-sectional and longitudinal relationships between perception of emotion and aspects of psychosocial functioning, including family relationships, social relationships, work functioning, and independent living/self-care in 94 clinically stabilized schizophrenia outpatients from five community-based rehabilitation programs. Emotion perception (facial emotion, voice emotion, and affect perception) and psychosocial outcome (Strauss and Carpenter Outcome Scale and Role Functioning Scale) were assessed at baseline and after 12 months of psychosocial rehabilitation. Significant associations were found between perception of emotion and work functioning/independent living both cross-sectionally and prospectively over the 12 months. Causal explanatory models suggested that perception of emotion might cause work functioning/independent living outcome over 1 year. The results remained significant when conceptual disorganization was statistically controlled. We did not find differences between men and women in the correlations between emotion perception and work functioning/independent living. Associations between social functioning/family relationships and perception of emotion were not significant. These findings suggest that emotion processing is a key determinant of work functioning/independent living for individuals with serious mental illness.