Vicarious Embarrassment or "Fremdscham": Overendorsement in Frontotemporal Dementia.
Vicarious Embarrassment or "Fremdscham": Overendorsement in Frontotemporal Dementia.
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替代性尴尬或“Fremdscham”：额颞叶痴呆的过度认可。
DOI：
10.1176/appi.neuropsych.19030053
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发表时间：
2020
期刊：
影响因子：
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通讯作者：
Jimenez,ElviraE
中科院分区：
文献类型：
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作者：
Mendez,MarioF;Yerstein,Oleg;Jimenez,ElviraE
目的尴尬是违反社会规范的信号，而这种社会情绪的损害可能是行为变异额颞叶痴呆(BvFTD)社会功能障碍的主要原因。方法采用36个条目的困难量表对18例早期bvFTD患者和23例健康对照组进行自我报告的困难感测试，包括引起自己尴尬(“自我尴尬”)和给他人造成尴尬(“替代尴尬”)两个项目。并用社会常模问卷(SNQ)对两组进行比较。分析包括SNQ结果(总分、违反或违反错误、过度认可或过度遵守社会规则或过度遵守错误)与可承担性量表得分的相关性。结果bvFTD患者的总分或自我尴尬得分与HCS患者没有差异，但替代尴尬得分显著高于HCS患者。与HC组不同，替代尴尬的报告与bvFTD组患者的自我尴尬报告没有不同。在社交功能障碍和情绪迟钝的情况下，这些研究结果表明bvFTD患者依赖于他们自己的视角，以规则为基础的社会规范的应用来报告替代尴尬。对其他人难堪的报告的评估可能表明了一种早期的、以前未被认识到的检测bvFTD的临床措施。
ObjectiveThe experience of embarrassment signals violations in social norms, and impairment in this social emotion may underlie much of the social dysfunction in behavioral variant frontotemporal dementia (bvFTD). The authors investigated whether impaired self-awareness of embarrassment may distinguish patients with bvFTD early in the course of disease from healthy control subjects (HCs).MethodsSelf-reported embarrassment was examined among 18 patients with early bvFTD and 23 HCs by using the 36-item Embarrassability Scale, which includes items of situations eliciting embarrassment for oneself (“self-embarrassment”) and embarrassment for others (“vicarious embarrassment”). The two study groups were also compared with the Social Norms Questionnaire (SNQ). The analyses included correlations of SNQ results (total score, violations or “break” errors, and overendorsement of social rules or “overadhere” errors) with Embarrassability Scale scores.ResultsPatients with bvFTD did not differ from HCs on total or self-embarrassment scores but did have significantly higher vicarious embarrassment scores. Unlike in the HC group, reports of vicarious embarrassment did not differ from reports of self-embarrassment among patients in the bvFTD group. The Embarrassability Score further correlated with overadherence to norms on the SNQ.ConclusionsIn the presence of social dysfunction and emotional blunting, these findings suggest that patients with bvFTD rely on their own perspective for a rule-based application of social norms in reporting vicarious embarrassment. The assessment of reports of embarrassment for others may indicate an early and previously unrecognized clinical measure for detecting bvFTD.