CAJ | 학술논문

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[(2776.75±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.
목적 탐토정신분렬증환자동년창상경력급기여안구정서식별능력적관계.방법 채용동년창상경력문권(CTQ)대71례정신분렬증환자작평고,동시작안구기본정서식별임무(EBEDT)측시,여52례건강대조자진행비교.결과 환자조CTQ총분[(47.86±13.26)분]고우대조조[(34.27±7.27)분],정감학대、구체학대、성학대、정감홀시화구체홀시분량표분균고우대조조,차이구유통계학의의(P＜0.01).환자조EBEDT총정학솔[(73.42±11.86)％]저우대조조[(86.74±6.16)％],총평균반응시[ (4321.40±1956.83) ms]고우대조조[(2776.75±703.42) ms],희、량、공、비、염화노륙충정서적정학솔화평균반응시량조간차이균구유통계학의의(P＜0.01).환자조CTQ총분여EBEDT총정학솔급희、량、비화노안구정서식별적정학솔정부상관(분별위r=-0.390,r=-0.419,r=-0.451,r=-0.391,r=-0.344,P＜0.01)；정상대조자CTQ총분여EBEDT총분정부상관.결론 정신분렬증환자동년창상수평여안구정서인지능력존재상관,제시조년적창상경력가능회영향환자적사회인지공능.
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 accuracy( (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.