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分裂型人格障碍中的社交技能缺陷。

Social skills deficits in schizotypal personality disorder.

作者信息

Waldeck T L, Miller L S

机构信息

Johns Hopkins University, School of Medicine, Division of Medical Psychology, 600 N. Wolfe St., Meyer 218, Baltimore, MD 21287-7218, USA.

出版信息

Psychiatry Res. 2000 Apr 10;93(3):237-46. doi: 10.1016/s0165-1781(00)00122-0.

Abstract

Evidence of long-standing social difficulties has been well documented in persons with schizophrenia. These deficits are often so rudimentary that a person with schizophrenia may never have developed the skills necessary to present as socially competent. Given the cognitive, biological, and neuroanatomical links between schizophrenia and schizotypal personality disorder (SPD), a study of social skills in persons with SPD may reveal a behavioral link. This study examined persons with SPD and their ability to label emotions in a recognition task, to display socially competent behaviors in a social role-play task, and to select appropriate behaviors from a multiple choice measure of social behavior. Results indicated that the performance of persons with SPD was similar to previously published findings in persons with schizophrenia. In terms of emotion recognition, the SPD group's ability to label positive emotions was significantly worse than their ability to label other emotions. Persons with SPD performed significantly worse than matched control participants on a social role-play task. However, the groups were equivalent in their ability to select socially appropriate behavior from a multiple choice measure. These results suggest that persons with SPD display social skills which mirror those previously reported in persons with schizophrenia.

摘要

精神分裂症患者长期存在社会功能障碍的证据已有充分记录。这些缺陷往往非常基本,以至于精神分裂症患者可能从未发展出表现出社交能力所需的技能。鉴于精神分裂症与分裂型人格障碍(SPD)之间存在认知、生物学和神经解剖学联系,对SPD患者社交技能的研究可能揭示一种行为关联。本研究考察了SPD患者在识别任务中标记情绪的能力、在社会角色扮演任务中表现出社交能力行为的能力,以及从社会行为多项选择测量中选择适当行为的能力。结果表明,SPD患者的表现与先前发表的精神分裂症患者的研究结果相似。在情绪识别方面,SPD组标记积极情绪的能力明显低于标记其他情绪的能力。在社会角色扮演任务中,SPD患者的表现明显比匹配的对照参与者差。然而,两组在从多项选择测量中选择社会适当行为的能力方面相当。这些结果表明,SPD患者表现出的社交技能与先前报道的精神分裂症患者的社交技能相似。

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