不同干预方式对精神分裂症患者情绪识别能力的效果比较  

Effectiveness of different intervention methods in emotion recognition among patients with schizophrenia

作　　者：苏彤彤 李杰 Su Tongtong;Li Jie(Psychotherapy Center,Tongliao Third People's Hospital,Tongliao 028000,China;Department of Psychology,Xilingol League Anshen Hospital,Xilinhot 026000,China;School of Psychology,Inner Mongolia Normal University,Hohhot 010000,China)

机构地区：[1]通辽市第三人民医院心理治疗中心,028000 [2]锡林郭勒盟安神医院心理科,锡林浩特026000 [3]内蒙古师范大学心理学院,呼和浩特010000

出　　处：《神经疾病与精神卫生》2025年第2期91-97,共7页Journal of Neuroscience and Mental Health

摘　　要：目的探讨具身情绪训练和社会认知交互训练中情绪训练部分对精神分裂症患者情绪识别能力的干预效果。方法选取2022年1—4月于锡林郭勒盟安神医院住院的45例精神分裂症患者为研究对象。采用随机数字表法将研究对象分为具身情绪组15例、情绪训练组15例与空白对照组15例。进行了为期5周,每周3次的干预,其中具身情绪组接受具身情绪训练,情绪训练组接受情绪训练,空白对照组不接受干预。在治疗前后使用情绪识别任务对患者的情绪识别能力进行评估。采用Friedman方差分析比较三组间前后测情绪识别正确率的差异,使用广义估计方程模型对三组患者的情绪识别正确率进行重复测量分析。结果Friedman方差分析结果显示,积极情绪面孔中情绪训练组的患者后测正确率中位数(0.95)高于前测(0.80),差异有统计学意义(Z=5.333,P<0.05);消极情绪面孔中情绪训练组的患者后测正确率中位数(0.80)高于前测(0.55),差异有统计学意义(Z=14.000,P<0.05);消极情绪面孔中空白对照组的患者后测正确率中位数(0.50)低于前测(0.70),差异有统计学意义(Z=8.067,P<0.05)。广义估计方程模型结果显示,在中性和消极的情绪效价中,时间×组别的交互效应达到显著水平(Wald χ^(2)=11.631,P<0.05;Wald χ^(2)=49.740,P<0.05)。积极和消极的情绪效价中训练后正确率高于训练前(均P<0.05);组别的单独效应分析中,在中性情绪效价中,具身情绪组正确率高于空白对照组(P<0.05)。结论社会认知交互训练中的情绪训练部分可以改善精神分裂症的情绪识别能力,具身情绪训练可以维持患者中性情绪识别能力,避免了衰退趋势。Objective To explore the effects of embodied emotion training and the emotion training of social cognitive interaction training on emotion recognition in schizophrenic patients.Methods A total of 45 patients with schizophrenia in Xilingol League Anshen Hospital from January to April 2022 were selected for the study.The randomized numerical table method was used to divide study subjects into 15 cases in embodied emotion group,15 cases in emotion training group and 15 cases in blank control group.The intervention was carried out for a period of five weeks,three times per week.Among them,the embodied emotion group received embodied emotion training,the emotion training group received emotion training,and the blank control group did not receive any intervention.Before and after treatment,patients'emotion recognition skills were assessed using the Emotion Recognition Task.Friedman ANOVA was used to compare the differences in correct emotion recognition rates on pre-and post-tests between the three groups,and a repeated-measures analysis was performed using generalized estimating equations modeling to analyze the correct emotion recognition rates of the three groups of patients.Results Friedman ANOVA showed that the median correct posttest rate of patients in emotion training group in positive mood faces(0.95)was higher than that in the pretest(0.80),and the difference was statistically significant(Z=5.333,P<0.05).The median correct posttest rate of patients in emotion training group in negative mood faces(0.80)was higher than that in the pretest(0.55),and the difference was statistically significant(Z=14.000,P<0.05).The median correct posttest rate of patients in blank control group in negative emotional faces(0.50)was lower than that of the pretest(0.70),and the difference was statistically significant(Z=8.067,P<0.05).Generalized estimating equation modeling revealed a significant level of the time×group effect in the neutral and negative emotion valences(Wald χ^(2)=11.631,P<0.05;Wald χ^(2)=49.740,P<0.05).Further

关 键 词：精神分裂症 情绪识别 具身认知 面部表情 

分 类 号：R749.3[医药卫生—神经病学与精神病学]