男性精神分裂症患者面部表情识别功能障碍的初步研究  被引量:2

A pilot study of discernment dysfunction in facial expression in male schizophreina

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作  者:陈瑜[1] 姚志剑[1] 谢世平[1] 杜经纶[1] 曹燕翔[1] 陈启豹[1] 

机构地区:[1]南京医科大学附属脑科医院精神科,210029

出  处:《临床精神医学杂志》2007年第5期298-300,共3页Journal of Clinical Psychiatry

基  金:国家自然科学基金资助项目(30500179);江苏省自然科学基金(青年科技创新人才技术带头人)项目(BK2005427);南京市医学重点科技发展项目(ZKX05003)

摘  要:目的:探讨男性精神分裂症患者面部表情识别功能特征及与疾病症状间的关系。方法:选择42例精神分裂症男性住院患者以及年龄、受教育年限与之相匹配的37名正常对照,采用中国面部表情视频系统(CFEVS)作为刺激实验材料,比较两组的面部表情识别功能,采用阳性与阴性症状量表(PANSS)评定精神症状。结果:男性患者识别各种面部表情的反应时间延长且正确率比正常组低,在识别中性表情时的表现最差;识别面部表情正确率与阳性症状严重程度呈负相关,与发病年龄、病程及阴性症状之间未发现联系。结论:男性精神分裂症患者存在明确的面部表情识别功能障碍,尤其辨别中性表情困难;该障碍呈非进行性特征,与阳性症状相关。Objective: To study the relationship between characteristics of discemment function in facial expression and symptom severity in male schizophrenia. Method: Chinese facial expression video system (CFEVS) as a stimulative experimental material and positive and negative syndrome scale (PANSS) were applied to test and compare discernment function in facial expression and mental symptoms between 42 male schizophrenic inpatients and 37 normal controls matched with patients about in age and education degree. Results:The male schizophrenia had a prolonged response time in discriminating various facial expressions and lower accuracy rate than normal controls, especially in recognizing neutral facial expression. The accuracy rate of discriminating facial expressions negatively correlated with severity of positive mental symptoms and, did not show association with onset age, duration of illness and negative mental symptoms, Conclusion: Male schizophrenia has deficits in discriminating facial expression, especially in identifying neutral facial expression, which is non-progression and correlation with positive symptoms.

关 键 词:精神分裂症 男性 面部表情识别 

分 类 号:R749.3[医药卫生—神经病学与精神病学]

 

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