本文選題：述情障礙　切入點(diǎn)：執(zhí)行功能　出處：《浙江大學(xué)》2012年博士論文

【摘要】：背景： 精神分裂癥是一個(gè)嚴(yán)重的精神障礙,終生患病率0.7%,我國(guó)現(xiàn)有患者780萬,其病因不明,機(jī)制不清,預(yù)后不良,社會(huì)影響巨大；進(jìn)一步了解其病因、病理、改善其預(yù)后等具有重大的科研價(jià)值和社會(huì)意義。情感癥狀是精神分裂癥核心癥狀之一,與患者的社會(huì)功能及預(yù)后密切相關(guān),因此情緒處理研究是本領(lǐng)域的重要課題。情緒處理過程包括情緒體驗(yàn)、表達(dá)與識(shí)別。面部情緒識(shí)別是情緒識(shí)別的核心,述情障礙則屬于情緒體驗(yàn)與情緒表達(dá)的異常,對(duì)面部情緒識(shí)別和述情障礙的深入研究是精神分裂癥情緒處理課題的重要組成部分。執(zhí)行功能作為高級(jí)認(rèn)知參與面部情緒識(shí)別的處理環(huán)節(jié),而人格障礙功能類型可能是分裂癥既往述情障礙研究結(jié)果不一致的重要解釋。因此,探求執(zhí)行功能和人格障礙功能類型分別作為面部情緒識(shí)別和述情障礙基礎(chǔ)存在的相關(guān)表現(xiàn),對(duì)精神分裂癥此類研究而言可能是有意義的視角。 目的： 1.研究精神分裂癥面部情緒識(shí)別與執(zhí)行功能的關(guān)系； 2.研究精神分裂癥述情障礙與人格障礙功能類型的關(guān)系； 3.探索精神分裂癥面部情緒識(shí)別與述情障礙的關(guān)系。 方法： 選取88名偏執(zhí)型精神分裂癥患者及75名健康被試,以the Japanese and Caucasian Facial Expressions of Emotion測(cè)試面部情緒識(shí)別,以the Wisconsin Card Sorting Test (WCST)測(cè)試執(zhí)行功能。且分別以the Toronto Alexithymia Scale (TAS)中文版及the Parker Personality measure (PERM)評(píng)測(cè)述情障礙與人格障礙功能類型。同時(shí)用the Positive and Negative Symptom Scale (PANSS), the Hamilton Depression Scale與the Hamilton Anxiety Scale評(píng)估臨床癥狀。 結(jié)果： 1.患者大多數(shù)面部情緒識(shí)別的準(zhǔn)確性和WCST成績(jī)均低于健康對(duì)照�；颊邔�(duì)厭惡、輕蔑識(shí)別準(zhǔn)確性與PANSS陰性癥狀負(fù)相關(guān),對(duì)恐懼識(shí)別準(zhǔn)確性與PANSS陽(yáng)性癥狀正相關(guān),而對(duì)驚訝識(shí)別準(zhǔn)確性與PNASS一般精神病理學(xué)癥狀負(fù)相關(guān)。WCST完成分類數(shù)可預(yù)測(cè)患者對(duì)輕蔑、厭惡、悲傷識(shí)別準(zhǔn)確性。 2.患者TAS情感辨別困難與情感描述困難因子及大多數(shù)PERM分量表得分均高于健康被試�；颊逷ERM反社會(huì)型人格障礙功能類型可預(yù)測(cè)TAS情感辨別困難,回避型人格障礙功能類型可預(yù)測(cè)情感描述困難；反之,情感辨別困難與情感描述困難因子可預(yù)測(cè)PERM人格障礙功能類型。 3.患者憤怒識(shí)別準(zhǔn)確性與情感辨別困難及情感描述困難呈負(fù)相關(guān),驚訝的識(shí)別準(zhǔn)確性與情感辨別困難負(fù)相關(guān)。 結(jié)論： 1.精神分裂癥患者執(zhí)行功能影響面部情緒識(shí)別,支持精神分裂癥面部情緒識(shí)別存在特異性損害的認(rèn)知環(huán)節(jié)。 2.精神分裂癥患者述情障礙存在人格障礙功能類型基礎(chǔ)。 3.精神分裂癥患者述情障礙與面部情緒識(shí)別相互影響。
[Abstract]:Background:. Schizophrenia is a serious mental disorder, lifetime prevalence is 0. 7%, there are 7.8 million patients in our country, its etiology is unknown, the mechanism is unclear, the prognosis is poor, and the social influence is enormous. It is of great scientific value and social significance to improve its prognosis. Emotional symptoms are one of the core symptoms of schizophrenia, which are closely related to the social function and prognosis of the patients. Therefore, the research of emotion processing is an important subject in this field. The process of emotion processing includes emotional experience, expression and recognition. Facial emotion recognition is the core of emotion recognition, and alexithymia is the abnormality of emotion experience and emotion expression. The in-depth study of facial emotion recognition and alexithymia is an important part of the subject of emotion processing in schizophrenia. The functional type of personality disorder may be an important explanation for the inconsistent results of the previous alexithymia study in patients with schizophrenia. Therefore, to explore the related manifestations of executive function and personality disorder as the basis of facial emotion recognition and alexithymia, respectively. This may be a meaningful perspective for such studies on schizophrenia. Objective:. 1. To study the relationship between facial emotion recognition and executive function in schizophrenia; 2. To study the relationship between alexithymia and personality disorder. 3. To explore the relationship between facial emotion recognition and alexithymia in schizophrenia. Methods:. 88 paranoid schizophrenic patients and 75 healthy subjects were tested for facial emotion recognition with the Japanese and Caucasian Facial Expressions of Emotion. The functional types of alexithymia and personality disorder were evaluated by the Toronto Alexithymia Scale and the Parker Personality measure PERM.The clinical symptoms were evaluated by the Positive Negative Negative Symptom Scale PANSS, the Hamilton Depression Scale and Scale Hamilton Scale respectively. The clinical symptoms were evaluated by using the Positive Negative Symptom Symptom Scale PANSS, the Hamilton Depression Scale and Scale Hamilton Anxiety Scale respectively. Results:. 1. The accuracy of facial emotion recognition and WCST scores of most patients were lower than that of healthy controls. The accuracy of disdain recognition was negatively correlated with the negative symptoms of PANSS, and the accuracy of recognition of fear was positively correlated with the positive symptoms of PANSS. The accuracy of surprise recognition was negatively correlated with the general psychopathological symptoms of PNASS. 2. The scores of TAS emotional discrimination difficulty, affective description difficulty factor and most of PERM subscale were higher than those of healthy subjects. PERM antisocial personality disorder function type could predict TAS affective discrimination difficulty. The function types of avoidance personality disorders can predict the difficulty of affective description, whereas the factors of emotional discrimination difficulties and affective description difficulties can predict the functional types of PERM personality disorders. 3.There was a negative correlation between the accuracy of anger recognition and the difficulty of emotion identification and the difficulty of emotion description, and the accuracy of surprised recognition was negatively correlated with the difficulty of emotion identification. Conclusion:. 1. The executive function of schizophrenia affects facial emotional recognition and supports the cognitive link of specific impairment of facial emotional recognition in schizophrenia. 2. Alexithymia in schizophrenic patients is based on the functional type of personality disorder. 3. The interaction between alexithymia and facial emotion recognition in schizophrenic patients.
【學(xué)位授予單位】：浙江大學(xué)
【學(xué)位級(jí)別】：博士
【學(xué)位授予年份】：2012
【分類號(hào)】：R749.3

【引證文獻(xiàn)】

相關(guān)碩士學(xué)位論文 前1條

1 王松云;小學(xué)教師情緒覺察的實(shí)證研究[D];上海師范大學(xué);2013年

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本文編號(hào)：1690388