Shaar Menashe Mental Health Center, Israel; National Insurance Institute in Israel, Haifa, Israel.
Shaar Menashe Mental Health Center, Israel.
Psychiatry Res. 2018 Dec;270:922-928. doi: 10.1016/j.psychres.2018.11.003. Epub 2018 Nov 4.
Although social hedonic capacity is often assessed in clinical settings, its operational definitions have not been evaluated for concurrent validity. One hundred and twenty-five patients with schizophrenia and schizoaffective disorder were classified according to their self-reported social hedonic functioning into three groups on the basis of their total scores on the Anticipatory and Consummatory Interpersonal Pleasure Scale (ACIPS). Participants were assessed before discharge using questionnaires and psychiatric rating scales. Using an empirically based cutoff score, we identified three groups: an intact social hedonic group (WNL), a socially anhedonic group (SA), and a socially hypohedonic group (i.e., those with scores intermediate between normal functioning and aberrantly low functioning, H). The SA patients were significantly different from the two other groups (WNL and H) by their higher severity of psychopathology, lower levels of self-efficacy, and less self-esteem. The SA patients also reported less perceived social support, poorer quality of life, and less subjective recovery. Our findings indicate that social anhedonia is a meaningful target for intervention. Further implications of our findings are discussed.
尽管社会享乐能力经常在临床环境中进行评估,但尚未对其进行操作性定义以评估其同时效度。根据预期和完整体验人际愉悦量表(ACIPS)的总分,将 125 名精神分裂症和分裂情感障碍患者分为三组,根据他们的自我报告社会享乐功能进行分类。参与者在出院前使用问卷和精神病学评定量表进行评估。使用基于经验的截止分数,我们确定了三组:完整的社会享乐组(WNL)、社会快感缺失组(SA)和社会低快感组(即,功能正常和异常低功能之间的得分中等,H)。SA 患者的精神病严重程度、自我效能感和自尊心均明显低于另外两组(WNL 和 H)。SA 患者还报告说他们的社会支持感较少、生活质量较差、主观恢复程度较低。我们的研究结果表明,社会快感缺失是一个有意义的干预目标。进一步讨论了我们研究结果的意义。