The expression and experience of emotion in schizophrenia: a study of social interactions

The expression and experience of emotion in schizophrenia: a study of social interactions
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DOI:
10.1016/s0165-1781(03)00133-1
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发表时间:
2003-08-01
影响因子:
11.3
通讯作者:
Horan, WP
Horan, WP
中科院分区:
医学2区
文献类型:
--
作者:
Aghevli, MA;Blanchard, JJ;Horan, WP

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先前关于精神分裂症情绪表达和体验的研究表明,尽管患者对各种非社交刺激(例如电影剪辑、调味饮料)的情绪体验的自我报告相似,但与对照组相比,患者对外显的情绪显着减少。然而,目前尚不清楚精神分裂症患者情感体验和表达之间的这种脱节是否延伸到了人际领域。这项研究比较了 33 名精神分裂症患者和 15 名非精神病对照者在社交角色扮演过程中的情绪表达和体验。结果显示,患者的表达能力明显低于对照组,但两组报告的情绪体验水平相同。临床迟钝评级和面部表情的行为评级均与患者的情绪体验无关。这些结果将先前关于精神分裂症的表达/体验脱节的发现扩展到了社会领域。讨论了理解精神分裂症社会功能障碍的意义以及未来研究的方向。 (C) 2003 Elsevier Ireland Ltd. 保留所有权利。
Previous studies on emotional expression and experience in schizophrenia indicate that patient's show significantly fewer outward displays of emotion than controls despite similar self-reports of emotional experience in response to various non-social stimuli (e.g. film clips, flavored drinks). However, it is unclear if this disjunction between emotional experience and expression in schizophrenia extends to the interpersonal domain. This study compared 33 patients with schizophrenia and 15 non-psychiatric controls on emotional expression and experience during a social role play. Results showed that patients were significantly less expressive than controls but the two groups reported equal levels of emotional experience. Neither clinical blunting ratings nor behavioral ratings of facial expressivity were related to emotional experience in patients. These results extend prior findings of an expression/experience disjunction in schizophrenia to a social domain. Implications for understanding social dysfunction in schizophrenia and directions for future study are discussed. (C) 2003 Elsevier Ireland Ltd. All rights reserved.