精神分裂症不同阶段的面部情绪识别缺陷:一个比较的横截面研究
Shambhavi Shivaa1, Sonia Shenoy1, Rishikesh V Behere2
1Department of Psychiatry, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India.
Asian journal of psychiatry
|February 18, 2026
概括
面部情绪识别缺陷 (FERD) 在急性精神分裂症中最严重,随着症状缓解而改善. 慢性无症状患者表现出正常的情绪识别,这表明FERD是一种状态,而不是特征.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 面部情绪识别缺陷 (FERD) 在精神分裂症中很常见,但它们与疾病阶段,严重程度和治疗的关系尚不清楚.
- 了解不同精神分裂症阶段的FERD对于有针对性的干预和预后至关重要.
研究的目的:
- 在急性无药,慢性症状和慢性无症状精神分裂症患者中评估FERD.
- 调查FERD与精神分裂症注意力缺陷和积极/消极症状的相关性.
主要方法:
- 一项涉及132名受试者的横截面研究:99名精神分裂症患者 (33名急性无药,33名慢性有症状,33名慢性无症状) 和33名健康对照.
- 使用神经精神疾病情绪识别工具 (TRACS) 测量FERD.
- 其他评估包括精神病症状评分表 (PSYRATS),负症状评估 (NSA-16) 和数字警测试 (DVT).
主要成果:
- 在所有组中观察到TRACS得分的显著差异 (p=0.001).
- 急性精神分裂症患者表现出最严重的FERD,表现明显差于慢性无症状患者和健康对照.
- 与无症状患者相比,有症状的患者 (急性和慢性) 的FERD显著增加. FERD与妄想严重程度,整体症状严重程度和注意力缺陷负相关.
结论:
- 精神分裂症的急性无药阶段与FERD的最高水平有关.
- 慢性无症状患者的FERD接近一般人群中看到的水平,表明症状缓解是有益的.
- 研究结果表明,精神分裂症中的FERD可能是一个依赖状态的现象,而不是一个稳定的特征.
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