Pedrosa Gil Francisco, Ridout Nathan, Kessler Henrik, Neuffer Michaela, Schoechlin Claudia, Traue Harald C, Nickel Marius
Psychosomatic Out-patient Clinic, Department of Medicine Innenstadt, Ludwig-Maximilians-University, Munich, Germany.
Depress Anxiety. 2008;25(11):E133-41. doi: 10.1002/da.20440.
The primary aim of this study was to investigate facial emotion recognition (FER) in patients with somatoform disorders (SFD). Also of interest was the extent to which concurrent alexithymia contributed to any changes in emotion recognition accuracy. Twenty patients with SFD and 20 healthy, age, sex and education matched, controls were assessed with the Facially Expressed Emotion Labelling Test of FER and the 26-item Toronto Alexithymia Scale. Patients with SFD exhibited elevated alexithymia symptoms relative to healthy controls. Patients with SFD also recognized significantly fewer emotional expressions than did the healthy controls. However, the group difference in emotion recognition accuracy became nonsignificant once the influence of alexithymia was controlled for statistics. This suggests that the deficit in FER observed in the patients with SFD was most likely a consequence of concurrent alexithymia. It should be noted that neither depression nor anxiety was significantly related to emotion recognition accuracy, suggesting that these variables did not contribute the emotion recognition deficit. Impaired FER observed in the patients with SFD could plausibly have a negative influence on these individuals' social functioning.
本研究的主要目的是调查躯体形式障碍（SFD）患者的面部情绪识别（FER）。同时感兴趣的是，共病述情障碍在多大程度上导致了情绪识别准确性的任何变化。对20名SFD患者和20名年龄、性别和教育程度相匹配的健康对照者进行了FER的面部表情情绪标签测试和26项多伦多述情障碍量表评估。与健康对照者相比，SFD患者表现出更高的述情障碍症状。SFD患者识别出的情感表达也明显少于健康对照者。然而，一旦对述情障碍的影响进行统计学控制，情绪识别准确性的组间差异就变得不显著了。这表明，在SFD患者中观察到的FER缺陷很可能是共病述情障碍的结果。应该注意的是，抑郁和焦虑与情绪识别准确性均无显著相关性，这表明这些变量并未导致情绪识别缺陷。在SFD患者中观察到的FER受损可能会对这些个体的社交功能产生负面影响。
