Department of Psychology.
J Abnorm Psychol. 2010 Feb;119(1):50-59. doi: 10.1037/a0017861.
Social functioning deficits have long been a defining feature in schizophrenia, but relatively little research has examined how emotion responsivity influences functional outcome in this disorder. The goal of the current study was to begin to elucidate the relationships between emotion responsivity, social cognition, and functional outcome in schizophrenia. Participants were 40 outpatients diagnosed with schizophrenia or schizoaffective disorder according to the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994) and 40 controls. Each participant completed measures of emotion responsivity, social cognition (both emotion and social perception), and functional outcome. Individuals with schizophrenia demonstrated somewhat reduced emotion responsivity for positive and negative stimuli, as well as deficits in both social cognition and functional outcome, in comparison with controls. Additionally, results indicated that both social perception and emotion responsivity were positively correlated with functional outcome. Importantly, the relationship of emotion responsivity to functional outcome was not mediated by social perception and showed a significant relationship to functional outcome independent of social cognition. This finding suggests that emotion responsivity is an important factor in understanding functional outcome in schizophrenia.
社会功能缺陷一直是精神分裂症的一个显著特征，但相对较少的研究探讨了情绪反应如何影响该障碍的功能结果。本研究的目的是开始阐明精神分裂症患者的情绪反应、社会认知和功能结果之间的关系。参与者为 40 名根据《精神障碍诊断与统计手册》（第四版；美国精神病学协会，1994 年）诊断为精神分裂症或分裂情感障碍的门诊患者和 40 名对照者。每位参与者都完成了情绪反应、社会认知（包括情绪和社会知觉）和功能结果的测量。与对照组相比，精神分裂症患者对正性和负性刺激的情绪反应能力略有下降，并且在社会认知和功能结果方面都存在缺陷。此外，结果表明，社会知觉和情绪反应都与功能结果呈正相关。重要的是，情绪反应与功能结果的关系不受社会知觉的影响，并且与社会认知无关，与功能结果有显著关系。这一发现表明，情绪反应是理解精神分裂症功能结果的一个重要因素。
