Roudebush VA Medical Center, Indianapolis, IN 46202, USA.
Conscious Cogn. 2011 Dec;20(4):1183-92. doi: 10.1016/j.concog.2010.12.018. Epub 2011 Jan 26.
While many with schizophrenia experience deficits in metacognition it is unclear whether those deficits are related to other features of illness. To explore this issue, the current study classified participants with schizophrenia as possessing a deficit in both awareness of their own emotions and those of others (n=30), aware of their own emotions but unaware of the emotions of others (n=50) and aware of their own emotions and of other's emotions (n=17). Groups were compared on assessments of neurocognitive function, symptoms, and history of sexual trauma. ANCOVA controlling for education found that the group unaware of their own emotions and those of others demonstrated poorer verbal memory, processing speed, executive function, less emotional discomfort and higher levels of disorganization symptoms relative to the other groups. The group aware of their own emotions but not those of others had a significantly higher report of childhood sexual abuse.
虽然许多精神分裂症患者存在元认知缺陷，但这些缺陷是否与疾病的其他特征有关尚不清楚。为了探讨这个问题，本研究将精神分裂症患者分为同时存在对自身和他人情绪意识缺陷（n=30）、仅存在对自身情绪意识缺陷（n=50）和对自身和他人情绪均有意识（n=17）的患者。通过对神经认知功能、症状和性创伤史的评估来比较各组之间的差异。协方差分析（ANCOVA）控制了教育程度的影响，结果发现，既无法意识到自身情绪也无法意识到他人情绪的患者在言语记忆、处理速度、执行功能、情绪不适程度方面表现较差，而在组织症状方面表现较好，与其他两组相比。而仅对自身情绪有意识而对他人情绪无意识的患者报告的童年性虐待发生率明显更高。
