Engelstad Katharina Nymo, Sundet Kjetil S, Andreassen Ole A, Vaskinn Anja
Research Department, Vestre Viken Hospital Trust, Drammen, Norway.
NORMENT K. G. Jebsen Centre for Psychosis Research, Division of Mental Health and Addiction, Oslo University Hospital & Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Scand J Psychol. 2017 Oct;58(5):359-366. doi: 10.1111/sjop.12381. Epub 2017 Aug 22.
Our aim was to explore how body language reading of emotion relates to neurocognition, symptoms and functional outcome in schizophrenia. Fifty-four individuals with schizophrenia and eighty-four healthy controls participated in the study. Emotion perception was assessed with a point-light display (PLD) task, the Emotion in Biological Motion (EmoBio) test, neurocognition was measured with the MATRICS Consensus Cognitive Battery (MCCB), and functioning was indexed by one measure of functional capacity and by one self-report questionnaire. Clinical symptoms were assessed with a five factor Positive and Negative Syndrome Scale (PANSS) symptoms model. Participants with schizophrenia had impaired body language reading of emotions compared to healthy controls (Cohen's d = 0.69). In participants with schizophrenia, emotion perception was associated with neurocognition (r = 0.42), functional capacity (r = 0.27) and disorganization symptoms (r = -0.27). Mediation analyses showed that disorganization symptoms mediated the effects of emotion perception and neurocognition, respectively, on social functional capacity. These results suggest that in individuals with schizophrenia, reduced emotion perception from body movements has negative consequences for functional outcome, but that the effect is mediated through disorganization symptoms.
我们的目的是探究精神分裂症患者对情绪的肢体语言解读与神经认知、症状及功能结局之间的关系。54名精神分裂症患者和84名健康对照者参与了该研究。情绪感知通过点光源显示（PLD）任务、生物运动中的情绪（EmoBio）测试进行评估，神经认知通过MATRICS共识认知成套测验（MCCB）进行测量，功能通过一项功能能力测量指标和一份自我报告问卷进行索引。临床症状通过五因素阳性和阴性症状量表（PANSS）症状模型进行评估。与健康对照者相比，精神分裂症患者对情绪的肢体语言解读存在受损（科恩d值 = 0.69）。在精神分裂症患者中，情绪感知与神经认知（r = 0.42）、功能能力（r = 0.27）及紊乱症状（r = -0.27）相关。中介分析表明，紊乱症状分别介导了情绪感知和神经认知对社会功能能力的影响。这些结果表明，在精神分裂症患者中，从身体动作中减少的情绪感知对功能结局有负面影响，但这种影响是通过紊乱症状介导的。
