Duke University, Trinity College of Arts & Sciences, United States.
Duke University Medical Center, Department of Psychiatry & Behavioral Sciences, United States.
Schizophr Res. 2020 Aug;222:450-454. doi: 10.1016/j.schres.2019.11.043. Epub 2020 Jun 30.
Many social processes such as emotion recognition are severely impaired in patients with schizophrenia. While basic auditory processing seems to play a key role in identifying emotions, research in this field is limited due to the lack of proper assessment batteries. Many of the widely accepted tests utilize actors to portray certain emotions-these batteries are less ecologically and face valid.
This study utilized a newly developed auditory emotion recognition test that contained natural stimuli from spontaneous displays of emotions to assess 28 patients with schizophrenia and 16 healthy controls.
The results indicate that the newly developed test, referred to as the INTONATION Test, is more sensitive to the emotion recognition deficits in patients with schizophrenia than previously used measures. The correlations of the INTONATION Test measures with basic auditory processes were similar to established tests of auditory emotion. Particular emotion sub scores from the INTONTATION test, such as happiness, demonstrated the strongest correlations with specific auditory processing skills, such as formant discrimination and sinusoidal amplitude modulation detection (SAM60).
The results from this study indicate that auditory emotion recognition impairments are more pronounced in patients with schizophrenia when perceiving authentic displays of emotion. Understanding these deficits could help specify the nature of auditory emotion recognition deficits in patients with schizophrenia and those at risk.
许多社交过程,如情绪识别,在精神分裂症患者中严重受损。虽然基本的听觉处理似乎在识别情绪方面起着关键作用,但由于缺乏适当的评估工具,该领域的研究受到限制。许多广泛接受的测试都使用演员来表现某些情绪——这些测试在生态和表面效度方面较差。
本研究使用了一种新开发的听觉情绪识别测试,该测试包含了自发表达情绪的自然刺激,以评估 28 名精神分裂症患者和 16 名健康对照者。
结果表明,新开发的测试(称为 INTONATION 测试)比以前使用的措施更能敏感地识别出精神分裂症患者的情绪识别缺陷。INTONATION 测试指标与基本听觉过程的相关性与听觉情绪的既定测试相似。来自 INTONTATION 测试的特定情绪子分数,如快乐,与特定的听觉处理技能(如共振峰辨别和正弦幅度调制检测(SAM60))表现出最强的相关性。
本研究的结果表明,当感知真实的情绪表现时,精神分裂症患者的听觉情绪识别障碍更为明显。了解这些缺陷可以帮助确定精神分裂症患者和有风险人群的听觉情绪识别缺陷的性质。