Emotion awareness and regulation in individuals with schizophrenia: Implications for social functioning.

Emotion awareness and regulation in individuals with schizophrenia: Implications for social functioning.
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DOI:
10.1016/j.psychres.2012.05.029
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发表时间:
2012-12-30
影响因子:
11.3
通讯作者:
Gross, James J.
Gross, James J.
中科院分区:
医学2区
文献类型:
--
作者:
Kimhy, David;Vakhrusheva, Julia;Jobson-Ahmed, Lauren;Tarrier, Nicholas;Malaspina, Dolores;Gross, James J.

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成功的社会功能需要适应形式的情感意识和调节。然而,尽管有充分的证据表明精神分裂症患者的社会功能存在缺陷,但人们对这一人群的情绪意识和调节知之甚少。因此,我们比较了精神分裂症患者和健康对照组的情绪意识和调节,然后,在精神分裂症组中,我们检查了它们对社会功能的影响。44名精神分裂症患者和20名健康对照者完成了情绪意识、情绪调节和社会功能的测量,以及包括神经认知功能在内的控制措施。与对照组相比,精神分裂症患者在描述和识别自己的情绪方面表现出明显的缺陷,他们用更少的重新评估和更多的抑制来调节自己的情绪。在精神分裂症组中,更好的社会功能与识别能力有关,特别是描述情绪的能力,更好的情绪管理,以及更多地使用重新评估和更少地使用压抑。分层多元回归分析表明,在控制年龄和神经认知后,描述情感的困难占社会功能方差的35%。本研究强调了情绪意识和调节在精神分裂症中的重要性,指出它们对社会功能的重大影响超出了神经认知功能的影响。
Successful social functioning requires adaptive forms of emotion awareness and regulation. However, despite well-documented deficits in social functioning in individuals with schizophrenia, little is known about emotion awareness and regulation in this population. Therefore, we compared emotion awareness and regulation in individuals with schizophrenia and healthy controls, and then, within the schizophrenia group, we examined their impact on social functioning. Forty-four individuals with schizophrenia and 20 healthy controls completed measures of emotion awareness, emotion regulation, and social functioning, in addition to control measures, including neurocognitive functioning. Compared to controls, individuals with schizophrenia displayed significant deficits describing and identifying their emotions and used significantly less reappraisal and more suppression to regulate their emotions. Among the schizophrenia group, better social functioning was associated with the ability to identify, and in particular to describe emotions, better emotion management, as well as greater use of reappraisal and less use of suppression. A hierarchical multiple regression analysis indicated that, after controlling for age and neurocognition, difficulties describing feelings accounted for 35% of the social functioning variance. The present study highlights the importance of emotion awareness and regulation in schizophrenia, pointing to their substantial influence on social functioning above and beyond the impact of neurocognitive functioning.
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