Department of Psychology, Indiana University - Purdue University Indianapolis, LD 124, 402N Blackford St, Indianapolis, IN 46202, United States.
Department of Psychology, Indiana University - Purdue University Indianapolis, LD 124, 402N Blackford St, Indianapolis, IN 46202, United States.
Psychiatry Res. 2021 Jul;301:113980. doi: 10.1016/j.psychres.2021.113980. Epub 2021 May 1.
Social dysfunction is a hallmark of schizophrenia that is associated with emotional disturbances. Researchers have employed ecological momentary assessment (EMA) to measure social and emotional functioning in people with schizophrenia. Yet, few studies have evaluated quality of real-world social interactions, and it is unclear how interactions impact emotional experiences in this population. Using novel EMA that passively collects audio data, we examined daily social behavior and emotion in schizophrenia (n = 38) and control (n = 36) groups. Contrary to hypotheses, both groups interacted with others at the same rate and exhibited similar levels of positive emotion. However, as expected, the schizophrenia group exhibited significantly less high-quality interactions and reported more negative emotion than controls. Social versus non-social context did not influence experienced emotion in either group. This is the first real-world study to passively assess quality of social interactions in schizophrenia. Although those with schizophrenia did not differ in their number of interactions, they were less likely to engage in substantive, personal conversations. Because high-quality interactions are linked with better social outcomes, this finding has important potential treatment implications. Future research should investigate quality of interactions across different types of social activities to gain a more nuanced understanding of social dysfunction in schizophrenia.
社交功能障碍是精神分裂症的一个标志，与情绪障碍有关。研究人员采用生态瞬时评估（EMA）来衡量精神分裂症患者的社交和情绪功能。然而，很少有研究评估真实社交互动的质量，也不清楚这种互动如何影响该人群的情绪体验。我们使用新型的 EMA 被动收集音频数据，研究了精神分裂症患者（n=38）和对照组（n=36）的日常社交行为和情绪。与假设相反，两组与他人互动的频率相同，表现出相似水平的积极情绪。然而，正如预期的那样，精神分裂症组的高质量互动明显较少，报告的负面情绪比对照组多。社交和非社交环境都没有影响两组的情绪体验。这是第一项被动评估精神分裂症社交互动质量的真实世界研究。尽管精神分裂症患者的互动次数没有差异，但他们不太可能进行实质性的、个人化的对话。由于高质量的互动与更好的社交结果有关，这一发现具有重要的潜在治疗意义。未来的研究应该调查不同类型的社交活动中的互动质量，以更细致地了解精神分裂症中的社交功能障碍。
