中华行为医学与脑科学杂志
中華行為醫學與腦科學雜誌
중화행위의학여뇌과학잡지
CHINESE JOURNAL OF BEHAVIORAL MEDICINE AND BRAIN SCIENCE
2014年
8期
676-679
,共4页
胡颖%蒋玉宝%马慧娟%余凤琼%汪凯
鬍穎%蔣玉寶%馬慧娟%餘鳳瓊%汪凱
호영%장옥보%마혜연%여봉경%왕개
癫痫%认知%情绪%社会认知
癲癇%認知%情緒%社會認知
전간%인지%정서%사회인지
Epilepsy%Cognition%Emotion%Social Cognition
目的 研究原发性癫痫患者情绪加工和社会认知功能,并探讨其相关影响因素.方法 经神经心理学背景测试后对70例不同脑区痫样放电的原发性癫痫患者和153例健康对照进行眼区基本情绪(喜、怒、悲、恐、厌、惊)和复杂情绪识别评分比较.结果 原发性癫痫组在六种眼区基本情绪识别正确数、总情绪识别正确数及眼区复杂情绪识别正确数[分别喜(19.3±2.0)分、怒(17.9±2.0)分、悲(18.1±2.3)分、恐(16.4±1.9)分、厌(17.6±2.1)分、惊(18.3±1.5)分、总基本情绪(107.7±8.1)分、复杂情绪(23.3±4.2)分]上均显著低于健康对照组[分别喜(19.9±0.2)分、怒(18.9±1.0)分、悲(19.2±1.0)分、恐(17.6±1.3)分、厌(18.6±1.2)分、惊(19.1±1.1)分、总基本情绪(113.4±3.4)分、复杂情绪(27.1±2.8)分],差异均有统计学意义(均P＜0.05);在男女性别判断任务上与健康对照组差异无统计学意义(P＞0.05);癫痫组眼区基本和复杂情绪识别得分之间存在正相关(r=0.444,P=0.000),基本情绪识别得分与正序、逆序数字广度得分正相关(P＜0.05),复杂情绪识别与逆序数字广度、Stroop效应相关(P＜0.05),同时基本和复杂情绪都与贝克抑郁评分和汉密尔顿焦虑评分负相关(均P＜0.05).结论 原发性癫痫病人存在情绪加工和心理理论受损,执行功能和焦虑抑郁水平可能是影响社会认知能力的因素.
目的 研究原髮性癲癇患者情緒加工和社會認知功能,併探討其相關影響因素.方法 經神經心理學揹景測試後對70例不同腦區癇樣放電的原髮性癲癇患者和153例健康對照進行眼區基本情緒(喜、怒、悲、恐、厭、驚)和複雜情緒識彆評分比較.結果 原髮性癲癇組在六種眼區基本情緒識彆正確數、總情緒識彆正確數及眼區複雜情緒識彆正確數[分彆喜(19.3±2.0)分、怒(17.9±2.0)分、悲(18.1±2.3)分、恐(16.4±1.9)分、厭(17.6±2.1)分、驚(18.3±1.5)分、總基本情緒(107.7±8.1)分、複雜情緒(23.3±4.2)分]上均顯著低于健康對照組[分彆喜(19.9±0.2)分、怒(18.9±1.0)分、悲(19.2±1.0)分、恐(17.6±1.3)分、厭(18.6±1.2)分、驚(19.1±1.1)分、總基本情緒(113.4±3.4)分、複雜情緒(27.1±2.8)分],差異均有統計學意義(均P＜0.05);在男女性彆判斷任務上與健康對照組差異無統計學意義(P＞0.05);癲癇組眼區基本和複雜情緒識彆得分之間存在正相關(r=0.444,P=0.000),基本情緒識彆得分與正序、逆序數字廣度得分正相關(P＜0.05),複雜情緒識彆與逆序數字廣度、Stroop效應相關(P＜0.05),同時基本和複雜情緒都與貝剋抑鬱評分和漢密爾頓焦慮評分負相關(均P＜0.05).結論 原髮性癲癇病人存在情緒加工和心理理論受損,執行功能和焦慮抑鬱水平可能是影響社會認知能力的因素.
목적 연구원발성전간환자정서가공화사회인지공능,병탐토기상관영향인소.방법 경신경심이학배경측시후대70례불동뇌구간양방전적원발성전간환자화153례건강대조진행안구기본정서(희、노、비、공、염、량)화복잡정서식별평분비교.결과 원발성전간조재륙충안구기본정서식별정학수、총정서식별정학수급안구복잡정서식별정학수[분별희(19.3±2.0)분、노(17.9±2.0)분、비(18.1±2.3)분、공(16.4±1.9)분、염(17.6±2.1)분、량(18.3±1.5)분、총기본정서(107.7±8.1)분、복잡정서(23.3±4.2)분]상균현저저우건강대조조[분별희(19.9±0.2)분、노(18.9±1.0)분、비(19.2±1.0)분、공(17.6±1.3)분、염(18.6±1.2)분、량(19.1±1.1)분、총기본정서(113.4±3.4)분、복잡정서(27.1±2.8)분],차이균유통계학의의(균P＜0.05);재남녀성별판단임무상여건강대조조차이무통계학의의(P＞0.05);전간조안구기본화복잡정서식별득분지간존재정상관(r=0.444,P=0.000),기본정서식별득분여정서、역서수자엄도득분정상관(P＜0.05),복잡정서식별여역서수자엄도、Stroop효응상관(P＜0.05),동시기본화복잡정서도여패극억욱평분화한밀이돈초필평분부상관(균P＜0.05).결론 원발성전간병인존재정서가공화심리이론수손,집행공능화초필억욱수평가능시영향사회인지능력적인소.
Objective To investigate the abilities of emotion recognition and social cognition in patients with idiopathic epilepsy and further explore the factors related to the impairments.Methods After 24-hour EEG monitoring,70 people with idiopathic epilepsy were administered with a neuropsychological battery for basic cognitive assessment and then were tested with the Eye Basic Emotion Discrimination Task (EBEDT) and the Eye Complex Emotion Discrimination Task (ECEDT).Results Compared with health controls,people with epilepsy got significantly lower score in recognizing happy (19.3±2.0 vs 19.9±0.2),angry (17.9±2.0 vs 18.9±1.0),sadness (18.1±2.3 vs 19.2±1.0),fear (16.4±1.9 vs 17.6±1.3),disgust (17.6±2.1 vs 18.6±1.2) and surprise (18.3±1.5 vs 19.1±1.1) (P＜0.05,respectively),as well as complex emotions ((23.3±4.2) vs (27.1±2.8),P＜0.05).There was no significant difference between the two groups in gender recognition (P＞0.05).Significant positive correlation was found between the total score of basic emotions and the mind reading (r=0.444,P=0.000) in the patient group.Correlation analysis revealed significant relation between the total correct number of emotion recognition and the level of anxiety,depression and the executive function in epilepsy group (P＜0.05,respectively).Significant associations were found between the ECEDT and the Digital Span test,the Stroop test,Beck Depression Index and Hamilton Anxiety Scale (P＜0.05,respectively).Conclusion People with epilepsy have general impairments of emotion recognition and theory of mind,the impairments may be associated with the state of mood disorder and the weakened executive function.
