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精神分裂症的情感和认知干扰检查及其与症状的关系。

Examination of affective and cognitive interference in schizophrenia and relation to symptoms.

机构信息

Department of Psychological Sciences.

出版信息

J Abnorm Psychol. 2013 Aug;122(3):733-744. doi: 10.1037/a0033956.

Abstract

The nature of emotion deficits in schizophrenia and anhedonia is still unclear, and understanding the nature of these deficits could help improve treatment of chronic symptoms and functional disability. An important mechanism in emotional functioning is attention to affective information. People with schizophrenia (n = 48) and a nonpsychiatric comparison group (n = 28) completed an affective interference task, a task used to assess attention to affective information. Given that the affective interference task also involves prepotent response inhibition, participants also completed a very similar, but nonaffective, cognitive interference task that involves prepotent inhibition but does not require attention to affective information. Results revealed that people with schizophrenia exhibited decreased affective interference on trials with a shorter length of time between the onset of the cue and onset of the target but increased cognitive interference at all time lengths between the cue and target onsets used in the study. In addition, decreased affective interference was associated with increased anhedonia and increased reports of wanting to ignore positive emotions. In contrast, increased cognitive interference was associated with increased communication disturbances and alogia. Overall, these results suggest that there may be a decrease in attention to affective information in schizophrenia and that affective interference is related to anhedonia. At the same time, these results provide further evidence of cognitive control prepotent inhibition deficits in schizophrenia, which are related to communication disturbances and alogia.

摘要

精神分裂症和快感缺失中情绪缺陷的性质仍不清楚,而理解这些缺陷的性质有助于改善慢性症状和功能障碍的治疗。情感功能的一个重要机制是对情感信息的关注。48 名精神分裂症患者(n = 48)和 28 名非精神病对照组(n = 28)完成了一项情感干扰任务,这是一项用于评估对情感信息的注意力的任务。鉴于情感干扰任务还涉及优势反应抑制,参与者还完成了一项非常相似但非情感的认知干扰任务,该任务涉及优势抑制,但不需要注意情感信息。结果表明,精神分裂症患者在提示和目标出现之间的时间较短的试验中表现出较低的情感干扰,但在研究中使用的提示和目标出现之间的所有时间长度上都表现出较高的认知干扰。此外,情感干扰的降低与快感缺失的增加和想要忽略积极情绪的报告增加有关。相比之下,认知干扰的增加与沟通障碍和言语减少有关。总的来说,这些结果表明精神分裂症患者可能对情感信息的注意力下降,而情感干扰与快感缺失有关。同时,这些结果进一步证明了精神分裂症认知控制优势抑制缺陷,这与沟通障碍和言语减少有关。

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