Is nonverbal communication disrupted in interactions involving patients with schizophrenia?
Is nonverbal communication disrupted in interactions involving patients with schizophrenia?
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DOI：
10.1093/schbul/sbs091
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发表时间：
2013-09
影响因子：
6.6
通讯作者：
McCabe R
中科院分区：
文献类型：
--
作者：
Lavelle M;Healey PG;McCabe R
背景：非语言交流是成功的社会交往和人际关系融洽的重要特征。社会排斥是精神分裂症的一个特征。这项实验研究调查了精神分裂症患者在互动中未披露的存在是否改变了非语言交流(即说话者的手势和听者的点头)。方法：3D动作捕捉技术记录了20名患者(1名患者，2名健康受试者)和20名对照组(3名健康受试者)的互动。参与者对他们与每个互动伙伴的融洽经历进行了评分。评估患者的症状、社会认知和执行功能。检验了四个假设：(1)与对照组相比，患者的说话手势和听者点头的次数较少。(2)患者的症状严重程度增加、社会认知较差与患者的手势和点头动作减少有关。(3)患者的伴侣通过在说话时多做手势，在听时多点头来弥补患者减少的非语言行为。(4)患者的非言语行为减少、症状严重程度增加、社会认知较差与其他人与患者的关系较差有关。结果：患者说话时手势较少。阴性症状越多的患者作为听众点头的次数越少，而他们的伴侣似乎通过作为演讲者更多地打手势来弥补。有更多负面症状的患者在说话时也会更多地打手势，这与负面症状的增加和较差的社会认知有关，这与其他人经历的患者融洽程度较差有关。结论：患者的症状与患者及其伴侣的非言语行为有关。患者更多的消极症状和手势使用与较差的人际关系有关。这项研究提供了关于负面症状如何影响患者社交互动的具体证据。
Background: Nonverbal communication is a critical feature of successful social interaction and interpersonal rapport. Social exclusion is a feature of schizophrenia. This experimental study investigated if the undisclosed presence of a patient with schizophrenia in interaction changes nonverbal communication (ie, speaker gesture and listener nodding). Method: 3D motion-capture techniques recorded 20 patient (1 patient, 2 healthy participants) and 20 control (3 healthy participants) interactions. Participants rated their experience of rapport with each interacting partner. Patients’ symptoms, social cognition, and executive functioning were assessed. Four hypotheses were tested: (1) Compared to controls, patients display less speaking gestures and listener nods. (2) Patients’ increased symptom severity and poorer social cognition are associated with patients’ reduced gesture and nods. (3) Patients’ partners compensate for patients’ reduced nonverbal behavior by gesturing more when speaking and nodding more when listening. (4) Patients’ reduced nonverbal behavior, increased symptom severity, and poorer social cognition are associated with others experiencing poorer rapport with the patient. Results: Patients gestured less when speaking. Patients with more negative symptoms nodded less as listeners, while their partners appeared to compensate by gesturing more as speakers. Patients with more negative symptoms also gestured more when speaking, which, alongside increased negative symptoms and poorer social cognition, was associated with others experiencing poorer patient rapport. Conclusions: Patients’ symptoms are associated with the nonverbal behavior of patients and their partners. Patients’ increased negative symptoms and gesture use are associated with poorer interpersonal rapport. This study provides specific evidence about how negative symptoms impact patients’ social interactions.
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影响因子：
3.5
作者：
Drolet, AL;Morris, MW
通讯作者：
Morris, MW
影响因子：
3.6
作者：
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通讯作者：
Grube, Michael
影响因子：
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作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
Roberts, David L.
影响因子：
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作者：
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通讯作者：
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