Behere Rishikesh V
Department of Psychiatry, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
Indian J Psychiatry. 2015 Jul-Sep;57(3):229-35. doi: 10.4103/0019-5545.166641.
Schizophrenia has been classically described to have positive, negative, and cognitive symptom dimension. Emerging evidence strongly supports a fourth dimension of social cognitive symptoms with facial emotion recognition deficits (FERD) representing a new face in our understanding of this complex disorder. FERD have been described to be one among the important deficits in schizophrenia and could be trait markers for the disorder. FERD are associated with socio-occupational dysfunction and hence are of important clinical relevance. This review discusses FERD in schizophrenia, challenges in its assessment in our cultural context, its implications in understanding neurobiological mechanisms and clinical applications.
精神分裂症传统上被描述为具有阳性、阴性和认知症状维度。新出现的证据有力地支持了社会认知症状的第四个维度,其中面部情绪识别缺陷(FERD)代表了我们对这种复杂疾病理解中的一个新方面。FERD被认为是精神分裂症的重要缺陷之一,可能是该疾病的特质标记。FERD与社会职业功能障碍相关,因此具有重要的临床意义。本综述讨论了精神分裂症中的FERD、在我们文化背景下评估它所面临的挑战、其在理解神经生物学机制方面的意义以及临床应用。