Okruszek Lukasz, Talarowska Monika, Schudy Anna, Skrodzka Magdalena
Pol Merkur Lekarski. 2014 Aug;37(218):99-103.
The ability to recognize emotion on the basis of facial expressions is an important component of emotional intelligence. Correct identification of facial mimics is a crucial element of nonverbal communication and it facilitates the processes of social cognition. The impairment of identification of facial emotion can contribute to i.a. deterioration in social functioning. Numerous empirical studies have proven that facial emotion recognition is disordered in schizophrenia and depression. The aim of the study was to compare the ability to recognize facial emotions between patients with schizophrenia, patients with recurrent depressive disorder and healthy controls. Moreover, the relation between scale of the impairment and severity of clinical symptoms was examined.
Participants of the study were divided into three groups: patients diagnosed with schizophrenia (n = 36), patients diagnosed with recurrent depressive disorder (n = 36) and healthy controls (n = 36). Facial emotion recognition was assessed in each group by using Emotional Intelligence Scale (SIE-T). Furthermore, the correlation between the performance in SIE-T and severity of clinical symptoms, assessed with Hamilton Depression Dating Scale and the Positive and Negative Syndrome Scale (PANSS) was tested.
Patients diagnosed with schizophrenia were significantly impaired in SIE-T when compared with patients with depression and healthy controls. No statistically significant differences were observed between two latter groups. However, a correlation between performance and severity of depressive symptoms, as well as a trend towards a correlation between severity of positive symptoms and performance in SIE-T were observed.
Patients with schizophrenia displayed the most severe deficits in facial emotion recognition of all three groups, and their impairment was independent from severity of symptoms. However, in depression deficits are related to severity of depression symptoms. The impairment of facial emotion recognition can significantly affect patients' social functioning.
基于面部表情识别情绪的能力是情商的重要组成部分。正确识别面部表情是非语言交流的关键要素,它有助于社会认知过程。面部情绪识别受损可能会导致社会功能退化等问题。大量实证研究已证明,精神分裂症和抑郁症患者存在面部情绪识别障碍。本研究旨在比较精神分裂症患者、复发性抑郁症患者与健康对照者之间识别面部情绪的能力。此外,还研究了损伤程度与临床症状严重程度之间的关系。
本研究的参与者分为三组:诊断为精神分裂症的患者(n = 36)、诊断为复发性抑郁症的患者(n = 36)和健康对照者(n = 36)。通过使用情商量表(SIE-T)对每组的面部情绪识别进行评估。此外,还测试了SIE-T表现与临床症状严重程度之间的相关性,临床症状严重程度用汉密尔顿抑郁评定量表和阳性与阴性症状量表(PANSS)进行评估。
与抑郁症患者和健康对照者相比,诊断为精神分裂症的患者在SIE-T上显著受损。后两组之间未观察到统计学上的显著差异。然而,观察到表现与抑郁症状严重程度之间存在相关性,以及阳性症状严重程度与SIE-T表现之间存在相关趋势。
在所有三组中,精神分裂症患者在面部情绪识别方面表现出最严重的缺陷,且其损伤与症状严重程度无关。然而,在抑郁症中,缺陷与抑郁症状的严重程度有关。面部情绪识别受损会显著影响患者的社会功能。