Montagne Barbara, Sierra Mauricio, Medford Nick, Hunter Elaine, Baker Dawn, Kessels Roy P C, de Haan Edward H F, David Anthony S
Utrecht University, The Netherlands.
Br J Psychol. 2007 Aug;98(Pt 3):517-27. doi: 10.1348/000712606X160669.
Previous work has shown that patients with depersonalization disorder (DPD) have reduced physiological responses to emotional stimuli, which may be related to subjective emotional numbing. This study investigated two aspects of affective processing in 13 patients with DPD according to the DSM-IV criteria and healthy controls: the perception of emotional facial expressions (anger, disgust, fear, happiness, sadness, and surprise) and memory for emotional stimuli. Results revealed a specific lack of sensitivity to facial expression of anger in patients, but normal enhancement of memory for peripheral aspects of arousing emotional material. The results are consistent with altered processing of threat-related stimuli but intact consolidation processes, at least when the stimuli involved are potently arousing.
先前的研究表明,人格解体障碍(DPD)患者对情绪刺激的生理反应减弱,这可能与主观情绪麻木有关。本研究根据《精神疾病诊断与统计手册》第四版标准,对13名人格解体障碍患者和健康对照组在情感加工的两个方面进行了调查:对情绪面部表情(愤怒、厌恶、恐惧、快乐、悲伤和惊讶)的感知以及对情绪刺激的记忆。结果显示,患者对愤怒面部表情存在特定的敏感性缺失,但对唤起情绪材料的周边方面的记忆正常增强。这些结果与威胁相关刺激的加工改变但巩固过程完整一致,至少当所涉及的刺激具有强烈唤起作用时是这样。