精神分裂症患者共情能力与社会功能  

Relationship between empathy and social functioning in patients with schizophrenia

作　　者：程赓[1,2] 董毅[1,2] 汪凯[1] 朱春燕[1] 李文飞[2] 耿峰[1] 张凤凤[1] 陈新宇[3] 

机构地区：[1]安徽医科大学医学心理学系,230032 [2]合肥市精神病医院 [3]蚌埠医学院精神医学系

出　　处：《临床精神医学杂志》2010年第3期145-148,共4页Journal of Clinical Psychiatry

基　　金：国家自然科学基金项目(030670706);安徽省卫生厅医学科研项目(6806B068);安徽省高校自然科学研究项目(KJ2010A165)

摘　　要：目的:比较稳定期精神分裂症患者与正常对照者的共情能力,探讨患者共情能力与社会功能的关系。方法:采用人际反应指针量表(IRI-C)对103例稳定期精神分裂症患者(患者组)和88名正常对照者(对照组)进行评估,比较二者的共情能力;同时采用社会功能缺陷筛选量表(SDSS)、个体和社会功能量表(PSP)及阳性与阴性症状量表(PANSS)对患者组进行评估。结果:患者组IRI-C共情性关心分及共情总分平均为(14.7±4.0)分和(44.2±11.3)分,均较对照组的(16.0±4.5)分和(46.3±11.9)分显著为低(P<0.01或P<0.05)。控制年龄、症状后的IRI-C与SDSS偏相关分析显示,患者组IRI-C共情性关心分与SDSS中社会性退缩分(r=-0.421,P<0.01)、责任心和计划性分(r=-0.344,P<0.05)及总分(r=-0.335,P<0.05)分别呈负相关。控制症状后的IRI-C与PSP偏相关分析显示,患者组IRI-C观点采摘分(r=0.288,P<0.01)、共情性关心分(r=0.301,P<0.01)及IRI-C总分(r=0.268,P<0.01)与PSP总分均呈正相关。结论:精神分裂症患者存在共情能力障碍,其共情能力与其社会功能存在正相关。Objective：To compare empathy in stable outpatients with schizophrenia with that in normal controls and to explore the relationship between empathy and social functioning.Method：a total of 103 schizophrenic outpatients（study group）and 88 normal controls（control group）were assessed with the interpersonal reactivity index-C（IRI-C）and were compared in the empathy ability.The patients were also assessed with the social disability screening schedule（SDSS）,personal and social performance scale（PSP）,and positive and negative syndrome scale（PANSS）.Results：The empathy concern and total empathy scores were significantly lower for patients than those for controls（14.7±4.0 vs.16.0±4.5,P〈0.01;44.2±11.3 vs.46.3±11.9,P〈0.05,respectively）.Partial correlation（controlling for age and PANSS score）indicated that the empathy concern score showed negatively correlated with the social withdraw,responsibility and schedule and total SDSS scores respectively（r=-0.434,P〈0.01;r=-0.337,P〈0.05;r=-0.331,P〈0.05,respectively）in the patients.After total PANSS scores were controlled,the perspective taking,empathy concern and total empathy scores showed positively correlated with the total PSP score in the patients（r=0.288,P〈0.01;r=0.301,P〈0.01;r=0.268,P〈0.01,respectively）.Conclusion：The empathy ability in the outpatients with schizophrenia is lower than that in the controls.It shows positively correlated with social functioning moderately in the patients.

关 键 词：精神分裂症 共情能力 社会功能 

分 类 号：R749.3[医药卫生—神经病学与精神病学]