Dworkin R H, Lewis J A, Cornblatt B A, Erlenmeyer-Kimling L
Department of Anesthesiology, Columbia University, New York, New York.
J Nerv Ment Dis. 1994 Feb;182(2):103-8. doi: 10.1097/00005053-199402000-00007.
Social competence in subjects at risk for schizophrenia and affective disorder and in normal-comparison subjects was examined in childhood and adolescence. Based on interviews with the parents of the subjects and with the children and adolescents themselves, subjects at risk for schizophrenia had poorer overall social competence than subjects at risk for affective disorder and comparison subjects in early adolescence and adolescence but not in childhood. In analyses of specific aspects of social competence, the adolescents at risk for schizophrenia had significantly poorer peer relationships and decreased hobbies/interests than the adolescents at risk for affective disorder and the normal-comparison adolescents. With respect to school adjustment, however, the two groups of adolescent offspring of parents with psychiatric disorders had significantly poorer adjustment than the comparison adolescents but did not differ from each other on this measure. These results suggest that various aspects of poor social competence may precede the onset of schizophrenia and play an important role in its development.
对有精神分裂症和情感障碍风险的受试者以及正常对照受试者在童年和青少年时期的社交能力进行了研究。基于对受试者父母以及儿童和青少年本人的访谈，有精神分裂症风险的受试者在青少年早期和青少年期的总体社交能力比有情感障碍风险的受试者和对照受试者差，但在童年期并非如此。在对社交能力具体方面的分析中，有精神分裂症风险的青少年与有情感障碍风险的青少年和正常对照青少年相比，同伴关系明显更差，爱好/兴趣减少。然而，在学校适应方面，两组患有精神疾病父母的青少年后代的适应能力明显比对照青少年差，但在这一指标上彼此没有差异。这些结果表明，社交能力差的各个方面可能先于精神分裂症的发作，并在其发展中起重要作用。
