Bonfils Kelsey A, Ventura Joseph, Subotnik Kenneth L, Nuechterlein Keith H
VISN 4 Mental Illness Research, Education, & Clinical Center (MIRECC), VA Pittsburgh Healthcare System, 4100 Allequippa St., Pittsburgh, PA, United States.
University of Pittsburgh, Department of Psychiatry, 3811 O'Hara Street, Pittsburgh, PA, United States.
Schizophr Res Cogn. 2019 May 25;18:100153. doi: 10.1016/j.scog.2019.100153. eCollection 2019 Dec.
Studies indicate that people with schizophrenia experience deficits in their ability to accurately detect emotions, both through facial expressions and voice intonation (i.e., prosody), and that functioning and symptoms are associated with these deficits. This study aimed to examine how facial emotion and affective prosody recognition are related to functioning and symptoms in a first-episode schizophrenia sample. Further, in light of research suggesting variable emotion-specific performance in people with schizophrenia, this study explored emotion-specific performance. Participants were 49 people with a recent first episode of schizophrenia taking part in a larger RCT. Results revealed that affective prosody recognition was significantly correlated with both role and social functioning. Regarding associations with psychiatric symptoms, facial emotion recognition was significantly, negatively associated with all three positive symptom scales, whereas affective prosody recognition was significantly, negatively associated with disorganization only. Emotion-specific analyses revealed that for affective prosody, participants were most accurate in recognizing anger and least accurate for disgust. For facial emotion recognition, participants were most accurate in recognizing happiness and least accurate for fear. Taken together, results suggest that affective prosody recognition is important for social and role functioning in people with first-episode schizophrenia. Results also suggest that this group may struggle more to identify negative emotions, though additional work is needed to clarify this pattern in affective prosody and determine real-world impact on social interactions.
研究表明，精神分裂症患者在通过面部表情和语调（即韵律）准确识别情绪方面存在能力缺陷，且功能和症状与这些缺陷相关。本研究旨在探讨在首发精神分裂症样本中，面部情绪和情感韵律识别与功能及症状之间的关系。此外，鉴于有研究表明精神分裂症患者存在特定情绪的表现差异，本研究还探索了特定情绪的表现。参与者为49名近期首次发作精神分裂症的患者，他们参与了一项更大规模的随机对照试验。结果显示，情感韵律识别与角色功能和社会功能均显著相关。关于与精神症状的关联，面部情绪识别与所有三个阳性症状量表均显著负相关，而情感韵律识别仅与紊乱显著负相关。特定情绪分析显示，对于情感韵律，参与者识别愤怒最为准确，识别厌恶最不准确。对于面部情绪识别，参与者识别快乐最为准确，识别恐惧最不准确。综合来看，结果表明情感韵律识别对首发精神分裂症患者的社会和角色功能很重要。结果还表明，该群体在识别负面情绪方面可能更困难，不过还需要更多研究来阐明情感韵律中的这种模式，并确定其对社交互动的实际影响。
