精神分裂症患者疼痛共情能力的研究  

Empathy for pain in schizophrenia

作　　者：柏晓蒙 朱春燕[1] 董毅[2] 何孔亮[2] 陈新贵[3] 汪凯[1,3] 

机构地区：[1]安徽医科大学医学心理学系,合肥230032 [2]安徽省精神卫生中心,合肥230022 [3]安徽医科大学第一附属医院神经内科,合肥230022

出　　处：《安徽医科大学学报》2016年第11期1661-1664,共4页Acta Universitatis Medicinalis Anhui

基　　金：国家自然科学基金(编号:31571149);国家自然科学基金面上项目(编号:81171273)

摘　　要：目的研究精神分裂症患者的疼痛共情能力。方法选取42例精神分裂症患者和42例对照者,采用中文版人际反应指针量表(IRI-C)以及疼痛共情范式比较两组共情特质和疼痛共情能力。结果在IRI-C上,患者组观点采择、想象力、同情性关心及IRI-C总分均低于对照组,患者组判断疼痛图片的正确率低于对照组,判断疼痛和中性图片的反应时长于对照组,对疼痛图片评级得分低于对照组;患者组想象力、IRI-C总分与对疼痛评级呈正相关性;疼痛判断任务的正确率与阴性症状得分呈负相关性、与IRI-C总分呈正相关性。结论精神分裂症患者的疼痛共情能力存在缺陷。Objective To study the capability of empathy for pain in schizophrenia. Methods 42 schizophrenia patients and 42 healthy controls were recruited; Chinese version of interpersonal reactivity index（IRI-C） and empathy for pain paradigm were used to measure empathy trait and the capability of empathy for pain. Results In IRI- C, schizophrenia patients showed lower scores in factors of perspective taking, fantasy, empathy concern and the total points of IRI-C. Accuracy of painful pictures was significantly lower in patients. The correct reaction time for both painful and neutral pictures were significantly longer in patients ; score of rating the pain pictures was signifi- cantly lower in patients. Scores in factor of fantasy and the total points of IRI-C were positively correlated with score of rating the pain pictures. Accuracy of painful pictures was negatively correlated with Negative symptoms score and positively correlated with the total points of IRI-C. Conclusion Schizophrenia patients have deficit in the capability of empathy for pain.

关 键 词：精神分裂症 疼痛 情绪 共情 

分 类 号：R749.3[医药卫生—神经病学与精神病学]