社交恐惧症患者社交焦虑、惧怕否定评价与面部表情识别相关性分析  

Correlation between facial expression recognition ability and social anxiety/fear of negative evaluation in patients with social anxiety disorder

作　　者：林子江[1] 林海西[1] 林雪丹 杨天兴 王常绿 杜松妹[1] 杨闯[1] 

机构地区：[1]温州医科大学附属第一医院精神卫生科,浙江温州325000 [2]台州市三门县中医院检验科,浙江台州317100 [3]台州市三门县中医院中西医结合病区

出　　处：《中华全科医学》2016年第4期625-628,共4页Chinese Journal of General Practice

基　　金：浙江省自然科学基金项目(LY14H090012);浙江省温州市科技计划项目(Y20140418)

摘　　要：目的分析社交恐惧症患者面部表情识别能力和社交焦虑、惧怕否定评价与面部表情识别相关性。方法采用社交焦虑量表、惧怕否定评价量表、面部表情强度识别测试分别对30例门诊社交恐惧症患者及30名正常人进行测定,并用独立样本的t检验对2组间结果进行比较,用相关分析分析三者之间的相关性。结果社交恐惧组在面部识别正确数上与对照组差异无统计学意义(P>0.05),社交恐惧组在面部正确反应时比对照组反应时要短(P<0.05);同类表情强度识别在2组间的正确数差异无统计学意义(P>0.05);社交恐惧被试对"高兴"的正确数要多于其他表情的正确数(P<0.05),其他表情之间差异无统计学意义;对照组组内对"高兴"的正确数同样要多于其他表情正确数(P<0.05),对"害怕"的准确数除了与"鄙视"的表情差异无统计学意义外,正确数要少于其他4种表情(P<0.05);用皮尔逊相关分析对三者进行两两相关分析可得:表情强度识别与社交焦虑程度相关系数(r=0.24,P=0.32)、表情强度识别与惧怕否定的相关系数(r=-0.10,P=0.68),2组相关系数均无统计学意义(P>0.05);社交焦虑与惧怕否定之间呈正相关,且有统计学意义(r=0.59,P<0.05)。结论社交恐惧症患者面部表情识别能力无下降,不存在面部表情的注意加工偏向;社交焦虑与面部表情识别能力、惧怕否定与面部表情识别能力不存在相关性。Objective To analyze the facial expression recognition ability of patients with social anxiety disorder and the correlation among social anxiety,fear of negative evaluation and facial expression recognition ability. Methods Thirty cases of social anxiety disorder and 30 normal persons were measured with the Social anxiety Scale,Fear of Negative Evaluation Scale and Facial Expression Recognition Test. The results were compared by independent Samples t-Test and their relationship by Pearson＇s correlation. Results There was no significant difference between the two groups on the correct numbers of facial expression recognition（ P〈0. 05）,but the reaction time of social phobia was shorter than that of the normal on the task（ P〈0. 05）;there was no significant difference between the two groups on the correct numbers of the same facial type expression recognition（ P〈0. 05）;there were more correct numbers on the＂happy＂facial type than other types in both groups（ P〈0. 05）;There was no significant correlation between social anxiety and facial expression recognition ability（ r = 0. 24,P = 0. 32）;there was no significant correlation between the fear of negative evaluation and facial expression recognition ability（ r =- 0. 10,P = 0. 68）,but social anxiety and fear of negative evaluation was significant related（ r = 0. 59,P〈0. 05）. Conclusion There is no significant decline in facial expression recognition ability of social phobias;there is no significant correlation among social anxiety,fear of negative evaluation and facial expression recognition ability.

关 键 词：社交恐惧症 社交焦虑 惧怕否定评价 面部表情识别 

分 类 号：R749.7[医药卫生—神经病学与精神病学]