精神分裂症患者童年创伤经历与眼区情绪识别的相关性  

Childhood trauma experience and its relation to the eye emotion recognition ability in patients with schizophrenia

作　　者：赵子丛[1] 董毅[1,2] 汪凯[1] 朱春燕[1] 谢雯[2] 程赓[2] 张爱国[2] 李倩倩[1] 

机构地区：[1]安徽医科大学医学心理学系,合肥230022 [2]安徽省精神卫生中心

出　　处：《中华行为医学与脑科学杂志》2012年第10期903-906,共4页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：国家自然基金项目（81171273）;安徽省高校省级自然科学研究重点项目（KJ2010A165）

摘　　要：目的探讨精神分裂症患者童年创伤经历及其与眼区情绪识别能力的关系。方法采用童年创伤经历问卷（CTQ）对71例精神分裂症患者作评估，同时作眼区基本情绪识别任务（EBEDT）测试，与52例健康对照者进行比较。结果患者组CTQ总分[（47．86±13．26）分]高于对照组[（34．27±7．27）分]，情感虐待、躯体虐待、性虐待、情感忽视和躯体忽视分量表分均高于对照组，差异具有统计学意义（P〈0．01）。患者组EBEDT总正确率[（73．42±11．86）％]低于对照组[（86．74±6．16）％]，总平均反应时[（4321．40±1956．83）ms]高于对照组[（2776．754-703．42）ms]，喜、惊、恐、悲、厌和怒六种情绪的正确率和平均反应时两组间差异均具有统计学意义（P〈0．01）。患者组CTQ总分与EBEDT总正确率及喜、惊、悲和怒眼区情绪识别的正确率呈负相关（分别为r=-0．390，r=-0．419，r=-0．451，r=-0．391，r=-0．344，P〈0．01）；正常对照者CTQ总分与EBEDT总分呈负相关。结论精神分裂症患者童年创伤水平与眼区情绪认知能力存在相关，提示早年的创伤经历可能会影响患者的社会认知功能。Objective To explore the childhood trauma experience and its relation to the eye emotion recognition ability in patients with schizophrenia. Methods Seventy-one schizophrenic patients and fifty-two healthy subjects were assessed with the Childhood Trauma Questionnaire （CTQ） and the Eye Basic Emotion Discrimination Task （EBEDT）. Results The CTQ total score in the patients group was significantly higher than those in the control group （47.86 ± 13.26 vs 34.27 ± 7.27, P 〈 0.01 ）. The subscores in emotional abuse, physical abuse, sexual abuse, emotional neglect and physical neglect of CTQ in the patients group were also significantly higher than those in the control group. （ all P〈 0.01 ）. Compared with controls, the patients had significantly lower total accura- cy（ （86.74 ~ 6. 16vs73.42 ~ 11.86）%, P 〈 0.01 ） and longer total reaction time （ （2776.75 ＋ 703.42 vs 4321.40 ± 1956.83 ） ms, P 〈 0.01 ） of EBEDT. The significant difference were also found on the accuracy and reaction time of the EBEDT six basic emotion between the two groups （all P 〈 0.01 ）. Correlation analysis indicated that CTQ total score were negatively correlated with the EBEDT total accuracy （ r= -0.390, P 〈 0.01 ）, and its sub-accuracy of happiness, surprise, sadness, and anger （ respectively r = - 0.419, r = - 0.451, r = - 0.391, r = - 0. 344, P 〈 0.01 ） in the patients group. The correlation between CTQ total score and EBEDT total accuracy was also found in the control group. Conclusion Childhood trauma is related to eye basic emotion recognition in schizophrenia patients, suggesting that the trauma during childhood can affect the social recognition ability.

关 键 词：精神分裂症 童年创伤 眼区 情绪 认知 

分 类 号：R749.3[医药卫生—神经病学与精神病学]