Kirsch Anke, Brunnhuber Stefan
Department of Clinical Psychology and Psychotherapy, University of the Saarland, Saarbrucken, Germany.
Psychopathology. 2007;40(5):296-302. doi: 10.1159/000104779. Epub 2007 Jun 28.
The facial affective behavior of traumatized patients and of a healthy control group was compared.
Data of 15 videotaped clinical interviews of traumatized inpatients and of 15 healthy women (absence of mental/psychiatric disorder according to ICD-10) were ascertained. The affective facial expression of both groups was coded with the Emotional Facial Acting Coding System. Afterwards, the mimic analysis was correlated with gazing behavior and the emotional experience. The patients reported their traumatic experiences and the healthy women their main complaints.
The traumatized patients showed neither a reduction of overall facial expressions nor a reduced frequency of facial affects in comparison to the healthy control group. The control group, however, showed significantly more 'genuine joy'. The traumatized patients showed significantly more anger.
The traumatized patients did not show a significant reduction of overall facial expression. A more detailed analysis showed that on the one hand, stabilizing elements of relationships, such as genuine joy, appear significantly less on the face of traumatized patients as compared with the healthy women. On the other hand, the expression of anger was brought into the relationship significantly more often by the traumatized patients during face-to-face interaction (clinical interview). This indicates the importance of distance regulation interaction patterns of traumatized patients.
对创伤患者与健康对照组的面部情感行为进行比较。
确定了15名创伤住院患者和15名健康女性（根据ICD - 10无精神/精神障碍）的录像临床访谈数据。两组的情感面部表情均采用情感面部动作编码系统进行编码。之后，将面部表情分析与注视行为和情感体验相关联。患者报告其创伤经历，健康女性报告其主要诉求。
与健康对照组相比，创伤患者既没有出现整体面部表情减少，也没有面部情感频率降低。然而，对照组表现出明显更多的“真正喜悦”。创伤患者表现出明显更多的愤怒。
创伤患者并未出现整体面部表情的显著减少。更详细的分析表明，一方面，与健康女性相比，创伤患者面部出现的关系稳定因素，如真正喜悦，明显较少。另一方面，在面对面互动（临床访谈）中，创伤患者更频繁地将愤怒表情带入互动中。这表明了创伤患者距离调节互动模式的重要性。
