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[精神分裂症维度模型中情感交流缺陷的位置]

[The location of the deficits of emotional communication in dimensional models of schizophrenia].

作者信息

Kucharska-Pietura Katarzyna, Masiak Marek

机构信息

Katedry i Kliniki Psychiatrii AM w Lublinie.

出版信息

Psychiatr Pol. 2004 Sep-Oct;38(5):809-18.

Abstract

Disordered communication of emotions belongs to the primary schizophrenia symptoms. The aim of this study was our attempt of the localisation of the deficits in emotional communication (its decoding and expression) in dimensional models of schizophrenia. The evaluation of emotionality in schizophrenia might be performed indirectly via negative dimension (for instance: apathy, diminished verbal fluency, flat or inappropriate emotional reactions), via excitement (elevated mood) and depression (decreased mood) or via cognitive dimension. Interpretation of emotional phenomena within the cognitive dimension remains an oversimplification. Brain emotional and cognitive systems act independently although they also reveal mutual interactions enabling the control of emotional behaviour via social learning of emotions. To conclude, to date emotional dimension in schizophrenia has not yet received satisfactory explanation which is in line with the complex nature of emotions. Thus the question regarding the location of emotions in dimensional models of schizophrenia still remains open.

摘要

情感交流紊乱属于原发性精神分裂症症状。本研究的目的是尝试在精神分裂症的维度模型中定位情感交流缺陷(其解码和表达)。对精神分裂症患者情感的评估可以通过负性维度(例如:冷漠、言语流畅性降低、情感反应平淡或不适当)、兴奋(情绪高涨)和抑郁(情绪低落)间接进行,也可以通过认知维度进行。在认知维度内对情感现象的解释仍然过于简单化。大脑的情感和认知系统虽然相互作用,通过情感的社会学习实现对情感行为的控制,但它们是独立运作的。总之,迄今为止,精神分裂症中的情感维度尚未得到令人满意的解释,这与情感的复杂性相符。因此,关于情感在精神分裂症维度模型中的位置问题仍然悬而未决。

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