Quality versus quantity: Determining real-world social functioning deficits in schizophrenia.
Quality versus quantity: Determining real-world social functioning deficits in schizophrenia.
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DOI：
10.1016/j.psychres.2021.113980
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发表时间：
2021-07
影响因子：
11.3
通讯作者：
Minor KS
中科院分区：
文献类型：
--
作者：
Abel DB;Salyers MP;Wu W;Monette MA;Minor KS
社会功能障碍是精神分裂症的一个特征，精神分裂症与情绪障碍有关。研究人员使用生态瞬时评估(EMA)来衡量精神分裂症患者的社会和情绪功能。然而，很少有研究评估现实世界中社交互动的质量，目前还不清楚互动如何影响这一人群的情感体验。使用新型的被动采集音频数据的EMA，我们检测了38例精神分裂症患者和36例对照组的日常社会行为和情绪。与假设相反，两组人以相同的速度与他人互动，并表现出相似的积极情绪水平。然而，正如预期的那样，精神分裂症组表现出的高质量互动明显少于对照组，并报告了更多的负面情绪。社会环境与非社会环境对两组受试者的体验情绪均无影响。这是第一个被动评估精神分裂症患者社交质量的真实世界研究。尽管精神分裂症患者在互动次数上没有区别，但他们不太可能进行实质性的私人对话。由于高质量的互动与更好的社会结果有关，这一发现具有重要的潜在治疗意义。未来的研究应该调查不同类型社交活动的互动质量，以更细微地了解精神分裂症患者的社会功能障碍。
Social dysfunction is a hallmark of schizophrenia that is associated with emotional disturbances. Researchers have employed ecological momentary assessment (EMA) to measure social and emotional functioning in people with schizophrenia. Yet, few studies have evaluated quality of real-world social interactions, and it is unclear how interactions impact emotional experiences in this population. Using novel EMA that passively collects audio data, we examined daily social behavior and emotion in schizophrenia (n=38) and control (n=36) groups. Contrary to hypotheses, both groups interacted with others at the same rate and exhibited similar levels of positive emotion. However, as expected, the schizophrenia group exhibited significantly less high-quality interactions and reported more negative emotion than controls. Social versus non-social context did not influence experienced emotion in either group. This is the first real-world study to passively assess quality of social interactions in schizophrenia. Although those with schizophrenia did not differ in their number of interactions, they were less likely to engage in substantive, personal conversations. Because high-quality interactions are linked with better social outcomes, this finding has important potential treatment implications. Future research should investigate quality of interactions across different types of social activities to gain a more nuanced understanding of social dysfunction in schizophrenia.
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