Ferrer Inés, Alacreu-Crespo Adrián, Salvador Alicia, Genty Catherine, Dubois Jonathan, Sénèque Maude, Courtet Philippe, Olié Emilie
Laboratory of Social Cognitive Neuroscience, Psychobiology-IDOCAL, Faculty of Psychology, University of Valencia, Valencia, Spain.
PSNREC, Univ Montpellier, INSERM, CHU de Montpellier, Montpellier, France.
Front Psychiatry. 2020 Nov 10;11:543889. doi: 10.3389/fpsyt.2020.543889. eCollection 2020.
The ability to differentiate emotions in social contexts is important for dealing with challenging social situations. Suicide attempters show some difficulties in emotion recognition that may result in hypersensitivity to social stress. However, other studies on the recognition of social complex emotions found that suicide attempters have similar performances as depressed non-attempters. To investigate differences in social emotion recognition in patients with current Major Depressive Episode (MDE) with and without history of suicide attempt. Two hundred and ten patients with MDE were recruited among whom 115 had lifetime history of suicide attempt (suicide attempters, SA) and 95 did not (affective controls, AC). Recognition of complex social emotions was assessed using the Reading the Mind in the Eyes Test (RMET). Emotions were separated in three valence categories: positive, negative, and neutral. Verbal intelligence quotient (IQ) and attention were measured with the National Adult Reading Task (NART) and the d2 test, respectively. Mixed logistic regression models adjusted for sex, lifetime bipolar disorder, verbal IQ and attention showed that the RMET performance for neutral emotions was worse in the SA than AC group (OR = 0.87 [0.75, 0.99]). Furthermore, when violent/serious SA were compared to non-violent/non-serious SA and AC, the RMET neutral valence category showed a trend for group factor ( < 0.059) and RMET scores were lower in the violent/serious SA than AC group (OR = 0.79 [0.64, 0.96]). Recognition of neutral emotions is poor in SA and this may complicate their daily life. Interventions to improve the understanding of complex emotions may be helpful to prevent suicidal risk in patients with depression.
在社交情境中辨别情绪的能力对于应对具有挑战性的社交状况至关重要。自杀未遂者在情绪识别方面存在一些困难，这可能导致他们对社会压力过度敏感。然而，其他关于社会复杂情绪识别的研究发现，自杀未遂者与未尝试自杀的抑郁症患者表现相似。为了调查当前患有重度抑郁发作（MDE）且有或无自杀未遂史的患者在社会情绪识别方面的差异。招募了210名患有MDE的患者，其中115名有终身自杀未遂史（自杀未遂者，SA），95名没有（情感对照组，AC）。使用“眼神读心测试”（RMET）评估对复杂社会情绪的识别。情绪分为三个效价类别：积极、消极和中性。分别用国家成人阅读任务（NART）和d2测试测量言语智商（IQ）和注意力。经性别、终身双相情感障碍、言语IQ和注意力调整的混合逻辑回归模型显示，SA组中性情绪的RMET表现比AC组差（OR = 0.87 [0.75, 0.99]）。此外，当将暴力/严重自杀未遂者与非暴力/非严重自杀未遂者及AC组进行比较时，RMET中性效价类别显示出组因素的趋势（< 0.059），且暴力/严重自杀未遂者组的RMET分数低于AC组（OR = 0.79 [0.64, 0.96]）。自杀未遂者对中性情绪的识别较差，这可能会使他们的日常生活变得复杂。改善对复杂情绪理解的干预措施可能有助于预防抑郁症患者的自杀风险。
