中华精神科杂志
中華精神科雜誌
중화정신과잡지
CHINESE JOURNA OF PSYCHIATRY
2013年
6期
330-333
,共4页
陀柠瑜%刘铁榜%杨海晨%荣晗%张建%沈其杰
陀檸瑜%劉鐵榜%楊海晨%榮晗%張建%瀋其傑
타저유%류철방%양해신%영함%장건%침기걸
双相情感障碍%社会条件%情绪识别%一级亲属
雙相情感障礙%社會條件%情緒識彆%一級親屬
쌍상정감장애%사회조건%정서식별%일급친속
Bipolar disorder%Social conditions%Emotion perception%First-degree relative
目的 探讨不同临床状态下双相障碍患者的社会认知功能特点.方法 采用社会认知功能测验对不同临床状态的双相障碍患者(躁狂组29例,缓解组36例)、双相障碍一级亲属(亲属组30名)和对照组(30名)情绪识别能力和心理理论能力(失言察觉、暗示理解任务)进行评定,采用方差分析和t检验比较各组间差异.结果 躁狂组社会认知测验成绩[情绪识别总分(90.1±19.0)分、失言察觉(18.2±10.4)分、暗示理解(6.6±1.1)分]均低于对照组[分别为(104.9±9.8)、(28.4±8.1)、(7.3 ±0.8)分],均P＜0.05;缓解组及亲属组情绪识别总分与对照组比较,差异均无统计学意义(P＞0.05),但2组失言察觉[缓解组(22.0±9.3)分、亲属组(24.3±7.4)分]、暗示理解[缓解组(6.4±0.7)分、亲属组(6.7±1.3)分]均低于对照组,均P ＜0.05.结论 双相障碍患者情绪识别能力受损为状态性,而心理理论能力受损可能具有特质性;遗传或家庭教养可能对患者心理理论能力有影响.
目的 探討不同臨床狀態下雙相障礙患者的社會認知功能特點.方法 採用社會認知功能測驗對不同臨床狀態的雙相障礙患者(躁狂組29例,緩解組36例)、雙相障礙一級親屬(親屬組30名)和對照組(30名)情緒識彆能力和心理理論能力(失言察覺、暗示理解任務)進行評定,採用方差分析和t檢驗比較各組間差異.結果 躁狂組社會認知測驗成績[情緒識彆總分(90.1±19.0)分、失言察覺(18.2±10.4)分、暗示理解(6.6±1.1)分]均低于對照組[分彆為(104.9±9.8)、(28.4±8.1)、(7.3 ±0.8)分],均P＜0.05;緩解組及親屬組情緒識彆總分與對照組比較,差異均無統計學意義(P＞0.05),但2組失言察覺[緩解組(22.0±9.3)分、親屬組(24.3±7.4)分]、暗示理解[緩解組(6.4±0.7)分、親屬組(6.7±1.3)分]均低于對照組,均P ＜0.05.結論 雙相障礙患者情緒識彆能力受損為狀態性,而心理理論能力受損可能具有特質性;遺傳或傢庭教養可能對患者心理理論能力有影響.
목적 탐토불동림상상태하쌍상장애환자적사회인지공능특점.방법 채용사회인지공능측험대불동림상상태적쌍상장애환자(조광조29례,완해조36례)、쌍상장애일급친속(친속조30명)화대조조(30명)정서식별능력화심리이론능력(실언찰각、암시리해임무)진행평정,채용방차분석화t검험비교각조간차이.결과 조광조사회인지측험성적[정서식별총분(90.1±19.0)분、실언찰각(18.2±10.4)분、암시리해(6.6±1.1)분]균저우대조조[분별위(104.9±9.8)、(28.4±8.1)、(7.3 ±0.8)분],균P＜0.05;완해조급친속조정서식별총분여대조조비교,차이균무통계학의의(P＞0.05),단2조실언찰각[완해조(22.0±9.3)분、친속조(24.3±7.4)분]、암시리해[완해조(6.4±0.7)분、친속조(6.7±1.3)분]균저우대조조,균P ＜0.05.결론 쌍상장애환자정서식별능력수손위상태성,이심리이론능력수손가능구유특질성;유전혹가정교양가능대환자심리이론능력유영향.
Objective To explore two primary domains of social cognition in different phases of bipolar disorder.Methods Twenty-nine manic bipolar patients,36 remitted bipolar patients,30 first-degree relatives of patients with bipolar disorder and 30 healthy participants were recruited.Social cognition was assessed by the Facial Emotion Perception Test,Fauxpas Task and the Hinting Task.Results The manic bipolar patients performed significantly lower scores [emotion perception (90.1 ± 19.0),fauxpas (18.2 ± 10.4),hinting(6.6 ± 1.1)] than the control group [emotion perception (104.9 ± 9.8),fauxpas (28.4 ± 8.1),hinting(7.3 ± 0.8)] on all the test (P ＜ 0.05).The remitted patients [fauxpas (22.0 ± 9.3),hinting(6.4 ±0.7)] and the first-degree relatives [fauxpas(24.3 ±7.4),hinting(6.7 ± 1.3)] performed significantly more poorly than the healthy control on the fauxpas task and the hinting task (P ＜ 0.05),but not on the emotion perception(P ＞0.05).Conclusions Impaired emotion perception in bipolar disorder may be state-dependent and the theory of mind deficit observed in the bipolar patients group is may be a trait deficit.The evidence of impairment in the first degree relatives group suggests that the theory of mind may be affected by heredity or family rearing and educating environment.
