Indiana University, 1025 East Seventh St, Department of Recreation, Park & Tourism Studies, Bloomington, IN, United States.
Schizophr Res. 2012 Dec;142(1-3):46-51. doi: 10.1016/j.schres.2012.09.002. Epub 2012 Sep 28.
Research on emotional experience has indicated that subjects with schizophrenia experience less positive, and more negative emotional experience than non-psychiatric subjects in natural settings. Differences in the experience of emotion may result from differences in experiences such that everyday activities may evoke emotions. The purpose of this study was to identify if everyday experience of competence and autonomy were related to positive and negative emotion. Adults with schizophrenia spectrum disorders were recruited from day treatment programs (N=45). Data were collected using experience-sampling methods. A number of subjects failed to meet data adequacy (N=13) but did not differ from retained subjects (N=32) in symptoms or cognition. Positive and negative emotion models were analyzed using hierarchical linear modeling Everyday activities were characterized by those reported as easily accomplished and requiring at most moderate talents. Positive emotional experiences were stronger than negative emotional experiences. The majority of variance in positive and negative emotion existed between persons. Negative symptoms were significantly related to positive emotion, but not negative emotion. The perception that motivation for activity was external to subjects (e.g. wished they were doing something else) was related to decreased positive emotion and enhanced negative emotion. Activities that required more exertion for activities was related to enhanced positive emotion, whereas activities that subjects reported they wanted to do was associated with reduced negative emotion. The implications of this study are that everyday experiences of people with schizophrenia do affect emotional experience and that management of experience to enhance positive emotion may have therapeutic benefits.
研究表明，在自然环境中，精神分裂症患者的积极情绪体验比非精神科患者少，消极情绪体验比非精神科患者多。情绪体验的差异可能是由于体验的差异所致，即日常活动可能会引发情绪。本研究旨在确定日常的能力感和自主性体验是否与积极和消极情绪有关。从日间治疗计划中招募了精神分裂症谱系障碍的成年人（N=45）。使用经验抽样法收集数据。由于数据不充分（N=13），许多受试者未能满足数据充分性的要求，但与保留的受试者（N=32）在症状或认知方面没有差异。使用分层线性建模分析积极和消极情绪模型。日常活动的特点是那些被报告为容易完成且只需要中等才能的活动。积极的情绪体验比消极的情绪体验更强。积极和消极情绪的大部分变异存在于个体之间。阴性症状与积极情绪显著相关，但与消极情绪无关。活动动机被认为是外在的（例如希望他们在做别的事情）与积极情绪降低和消极情绪增强有关。需要更多努力才能完成的活动与积极情绪增强有关，而受试者报告他们想做的活动则与消极情绪减少有关。这项研究的意义在于，精神分裂症患者的日常体验确实会影响情绪体验，而管理体验以增强积极情绪可能具有治疗益处。
