中华精神科杂志
中華精神科雜誌
중화정신과잡지
CHINESE JOURNA OF PSYCHIATRY
2008年
1期
41-44
,共4页
董毅%李晓驷%汪凯%蔡春岚%夏海涛%熊祖伦%部见亮%吴丽敏%朱道民
董毅%李曉駟%汪凱%蔡春嵐%夏海濤%熊祖倫%部見亮%吳麗敏%硃道民
동의%리효사%왕개%채춘람%하해도%웅조륜%부견량%오려민%주도민
精神分裂症%注意力%情绪%认知障碍
精神分裂癥%註意力%情緒%認知障礙
정신분렬증%주의력%정서%인지장애
Schizophrenia%Attention%Emotions%Cognition disorders
目的 探讨精神分裂症患者的注意网络功能和面孔情绪认知功能障碍及两者间的关系.方法 采用注意网络测验(ANT)和中国人面孔情绪测验(CFET)对50例未用抗精神病药的精神分裂症患者(患者组)进行评估,并与53名正常健康者(对照组)进行比较.结果 (1)ANT:患者组的平均反应时间[(743.0±97.0)ms]长于对照组[(668.9±95.8)ms,P＜0.01],定向网络效率[(30.1±30.7)ms]低于对照组[(49.6±21.3)ms,P＜0.01].(2)CFET:患者组和对照组的总分[分别为(75.46±13.28)分和(105.64±4.82)分]及对六种基本情绪的认知评分[分别为:喜(18.82±0.52)分和(19.81±0.39)分、怒(15.10±4.63)分和(18.23±1.37)分、悲(12.96±5.11)分和(18.17±1.52)分、惊(13.24±5.03)分和(18.77±1.12)分、怕(5.96±3.99)分和(15.11±2.15)分、厌(9.38±5.47)分和(15.47±2.18)分]差异均有统计学意义(P＜0.01).(3)Spearman相关分析:患者组ANT正确率与CFET总分呈正相关(r=0.285),ANT平均反应时间与CFET总分(r=-0.302)和对情绪怒的认知评分(r=-0.296)呈负相关,而ANT警觉效率评分与对情绪厌的认知评分(r=0.401)呈正相关(均P＜0.05).结论 精神分裂症患者存在注意定向功能障碍和广泛的情绪认知缺陷,注意功能与情绪认知总体水平存在相关.
目的 探討精神分裂癥患者的註意網絡功能和麵孔情緒認知功能障礙及兩者間的關繫.方法 採用註意網絡測驗(ANT)和中國人麵孔情緒測驗(CFET)對50例未用抗精神病藥的精神分裂癥患者(患者組)進行評估,併與53名正常健康者(對照組)進行比較.結果 (1)ANT:患者組的平均反應時間[(743.0±97.0)ms]長于對照組[(668.9±95.8)ms,P＜0.01],定嚮網絡效率[(30.1±30.7)ms]低于對照組[(49.6±21.3)ms,P＜0.01].(2)CFET:患者組和對照組的總分[分彆為(75.46±13.28)分和(105.64±4.82)分]及對六種基本情緒的認知評分[分彆為:喜(18.82±0.52)分和(19.81±0.39)分、怒(15.10±4.63)分和(18.23±1.37)分、悲(12.96±5.11)分和(18.17±1.52)分、驚(13.24±5.03)分和(18.77±1.12)分、怕(5.96±3.99)分和(15.11±2.15)分、厭(9.38±5.47)分和(15.47±2.18)分]差異均有統計學意義(P＜0.01).(3)Spearman相關分析:患者組ANT正確率與CFET總分呈正相關(r=0.285),ANT平均反應時間與CFET總分(r=-0.302)和對情緒怒的認知評分(r=-0.296)呈負相關,而ANT警覺效率評分與對情緒厭的認知評分(r=0.401)呈正相關(均P＜0.05).結論 精神分裂癥患者存在註意定嚮功能障礙和廣汎的情緒認知缺陷,註意功能與情緒認知總體水平存在相關.
목적 탐토정신분렬증환자적주의망락공능화면공정서인지공능장애급량자간적관계.방법 채용주의망락측험(ANT)화중국인면공정서측험(CFET)대50례미용항정신병약적정신분렬증환자(환자조)진행평고,병여53명정상건강자(대조조)진행비교.결과 (1)ANT:환자조적평균반응시간[(743.0±97.0)ms]장우대조조[(668.9±95.8)ms,P＜0.01],정향망락효솔[(30.1±30.7)ms]저우대조조[(49.6±21.3)ms,P＜0.01].(2)CFET:환자조화대조조적총분[분별위(75.46±13.28)분화(105.64±4.82)분]급대륙충기본정서적인지평분[분별위:희(18.82±0.52)분화(19.81±0.39)분、노(15.10±4.63)분화(18.23±1.37)분、비(12.96±5.11)분화(18.17±1.52)분、량(13.24±5.03)분화(18.77±1.12)분、파(5.96±3.99)분화(15.11±2.15)분、염(9.38±5.47)분화(15.47±2.18)분]차이균유통계학의의(P＜0.01).(3)Spearman상관분석:환자조ANT정학솔여CFET총분정정상관(r=0.285),ANT평균반응시간여CFET총분(r=-0.302)화대정서노적인지평분(r=-0.296)정부상관,이ANT경각효솔평분여대정서염적인지평분(r=0.401)정정상관(균P＜0.05).결론 정신분렬증환자존재주의정향공능장애화엄범적정서인지결함,주의공능여정서인지총체수평존재상관.
Objective To investigate the characteristics of attention network and facial emotion recognition and their association in patients with schizophrenia.Methods Fifty naive-medication schizophrenic patients and 53 healthy subjects were tested with the Attention Network Test(ANT)and the Chinese Facial Emotion Test(CFET).Resuits Compared with healthy subjects,schizophrenic patients showed significantly decreased orienting efficiency[(49.6±21.3)ms vs.(30.1±30.7)ms]and prolonged overall reaction time[(668.9±95.8)ms vs.(743.0±97.0)ms]of ANT performance,and significantly decreased score(P<0.01)in recognition of the six basic facial emotion of CFET performance.There was significant positive correlation(P<0.05)between the accuracy of ANT and the total score of CFET,negative correlation(P<0.05)between the overall reaction time of ANT and the total score or angry subscore of CFET,and a positive correlation(P<0.05)between the alerting subscore of ANT and disgust subscore of CFET in schizophrenic patients.Conclusion The results indicate some specific attention network and general emotion recognition deficits in schizophrenia,and attention may be associated with affect perception.
