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精神分裂症患者生物学亲属的自我报告情感特质及当前情感体验。

Self-reported affective traits and current affective experiences of biological relatives of people with schizophrenia.

作者信息

Docherty Anna R, Sponheim Scott R, Kerns John G

机构信息

Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, VA 23220, USA.

Psychology Service, Minneapolis Veterans Affairs Health Care System, Minneapolis, MN 55417, USA; Department of Psychiatry, University of Minnesota, Minneapolis, MN 55455, USA.

出版信息

Schizophr Res. 2015 Feb;161(2-3):340-4. doi: 10.1016/j.schres.2014.11.013. Epub 2014 Nov 29.

Abstract

Schizophrenia is characterized by self-reported trait anhedonia but intact hedonic responses during laboratory experiments. Affective traits of first-degree biological relatives may be similar to those of people with schizophrenia, and measures of hedonic response in relatives may be free of antipsychotic medication or cognitive confounds. Relatives also self-report increased anhedonia, yet it is unclear whether, like in patients, this anhedonia is paired with largely intact hedonic self-report. In this study, first-degree relatives of people with schizophrenia (n=33) and nonpsychiatric controls (n=25) completed a wide range of questionnaires and tasks assessing social and physical anhedonia, positive and negative affective experience, and anticipatory and consummatory pleasure. Valence, intensity, frequency, and the arousal of current emotion were assessed. Extraversion and current positive and negative affective state were also examined in relation to self-reported social anhedonia. Relatives evidenced the same disjunction of increased self-reported anhedonia and intact affective response observed in people with schizophrenia. Group differences in anhedonia were not better accounted for by decreased current positive affect, increased current negative affect, or decreased extraversion in relatives. Results suggest that, like people with schizophrenia, first-degree relatives report intact hedonic response on both questionnaire and laboratory measures despite significant elevations in self-reported social anhedonia.

摘要

精神分裂症的特征是自我报告的特质性快感缺乏,但在实验室实验中享乐反应正常。一级生物学亲属的情感特质可能与精神分裂症患者相似,亲属的享乐反应测量可能不受抗精神病药物或认知混淆因素的影响。亲属也自我报告快感缺乏增加,但尚不清楚,与患者一样,这种快感缺乏是否与基本正常的享乐自我报告相关。在本研究中,精神分裂症患者的一级亲属(n = 33)和非精神科对照者(n = 25)完成了一系列问卷和任务,以评估社交和身体快感缺乏、积极和消极情感体验以及预期和满足性愉悦。评估了当前情绪的效价、强度、频率和唤醒水平。还研究了外向性以及当前的积极和消极情感状态与自我报告的社交快感缺乏的关系。亲属表现出与精神分裂症患者相同的自我报告的快感缺乏增加和情感反应正常的脱节现象。亲属当前积极情感减少、当前消极情感增加或外向性降低,并不能更好地解释快感缺乏的组间差异。结果表明,与精神分裂症患者一样,一级亲属尽管自我报告的社交快感缺乏显著升高,但在问卷和实验室测量中均报告享乐反应正常。

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