정신분열병 환자의 음악 정서 인식
Recognition of Musical Nuance in Patients with Schizophrenia
1
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Objectives Emotion perception deficit has long been suggested to be one of the core features of schizophrenia. Although there have been several studies examining responses to facial expressions, few studies addressed music emotion recognition. The aim of this study was to examine the difference in emotion recognition in music between normal subjects and patients with schizophrenia. Methods Twenty pieces of music were presented to 43 patients with chronic schizophrenia and 82 healthy controls. The set of music consisted of ten pieces of sad music and ten pieces of cheerful music. The subjects were asked to answer whether each piece of music was sad or cheerful. Results The correct response rate of music emotion recognition was lower in patients with schizophrenia compared with that in healthy controls (76.67±19.03% vs. 93.54±8.18%, p<0.001). When subgroup analyses was done by type of music (‘sad’ or ‘cheerful’), patients showed a significantly lower correct response rate in recognizing both sad and cheerful emotion in music than healthy controls (sad emotion : 65.12±31.15% vs. 91.95±15.27%, cheerful emotion : 88.0±16.83% vs. 95.12±8.64%). The significant correlations between the clinical symptom severity of schizophrenia and music emotion recognition were not found to be. Conclusion The results suggest that patients with schizophrenia might have difficulties in recognizing musical nuances.
Abstract
Objectives Emotion perception deficit has long been suggested to be one of the core features of schizophrenia. Although there have been several studies examining responses to facial expressions, few studies addressed music emotion recognition. The aim of this study was to examine the difference in emotion recognition in music between normal subjects and patients with schizophrenia. Methods Twenty pieces of music were presented to 43 patients with chronic schizophrenia and 82 healthy controls. The set of music consisted of ten pieces of sad music and ten pieces of cheerful music. The subjects were asked to answer whether each piece of music was sad or cheerful. Results The correct response rate of music emotion recognition was lower in patients with schizophrenia compared with that in healthy controls (76.67±19.03% vs. 93.54±8.18%, p<0.001). When subgroup analyses was done by type of music (‘sad’ or ‘cheerful’), patients showed a significantly lower correct response rate in recognizing both sad and cheerful emotion in music than healthy controls (sad emotion : 65.12±31.15% vs. 91.95±15.27%, cheerful emotion : 88.0±16.83% vs. 95.12±8.64%). The significant correlations between the clinical symptom severity of schizophrenia and music emotion recognition were not found to be. Conclusion The results suggest that patients with schizophrenia might have difficulties in recognizing musical nuances.
참고문헌 (22)
- Dougherty FE, "Responses of schizophrenics to expressions of the fundamental emotions", J Clin Psychol, 30, pp.243~246 (1974)
- Kerr SL, "Emotion perception in schizophrenia: specific deficit or further evidence of generalized poor performance", J Abnorm Psychol, 102, pp.312~318 (1993)
- Edwards J, "Facial affect and affective prosody recognition in first-episode schizophrenia", Schizophr Res, 48, pp.235~253 (2001)
- Addington J, "Facial affect recognition and information processing in schizophrenia and bipolar disorder", Schizophr Res, 32, pp.171~181 (1998)
- Schneider F, "Computer-based analysis of facial action in schizophrenic and depressed patients", Eur Arch Psychiatry Clin Neurosci, 240, pp.67~76 (1990)
- Edwards J, "Emotion recognition via facial expression and affective prosody in schizophrenia: a methodological review", Clin Psychol Rev, 22, pp.789~832 (2002)
- Hooker C, "Emotion processing and its relationship to social functioning in schizophrenia patients", Psychiatry Res, 112, pp.41~50 (2002)
- Kohler CG, "Emotion recognition deficit in schizophrenia: association with symptomatology and cognition", Biol Psychiatry, pp.127~136 (2000)
- Baudouin JY, "Selective attention to facial emotion and identity in schizophrenia", Neuropsychologia, 40, pp.503~511 (2002)
- Poole JH, "The functional relevance of affect recognition errors in schizophrenia", J Int Neuropsychol Soc, 6, pp.649~658 (2000)
- Kohler CG, "Facial emotion recognition in schizophrenia: intensity effects and error pattern", Am J Psychiatry, 160, pp.1768~1774 (2003)
- Bach DR, "The influence of emotion clarity on emotional prosody identification in paranoid schizophrenia", Psychol Med, 39, pp.927~938 (2009)
- Murphy D, "Prosodic comprehension and expression in schizophrenia", J Neurol Neurosurg Psychiatry, 53, pp.727~730 (1990)
- Alpert M, "Imagery mediation of vocal emphasis in flat affect", Arch Gen Psychiatry, 34, pp.208~212 (1977)
- Kay SR, "The positive and negative syndrome scale (PANSS) for schizophrenia", Schizophr Bull, 13, pp.261~276 (1987)
- Silver H, "Impaired recognition of happy, sad and neutral expressions in schizophrenia is emotion, but not valence, specific and context dependent", Psychiatry Res, 169, pp.101~106 (2009)
- Davis PJ, "Recognition of posed and genuine facial expressions of emotion in paranoid and nonparanoid schizophrenia", J Abnorm Psychol, 109, pp.445~450 (2000)
- Phillips ML, "Neurobiology of emotion perception II: Implications for major psychiatric disorders", Biol Psychiatry, 54, pp.515~528 (2003)
- Johnston PJ, "A generalised deficit can account for problems in facial emotion recognition in schizophrenia", Biol Psychol, 58, pp.203~227 (2001)
- Salem JE, "More evidence for generalized poor performance in facial emotion perception in schizophrenia", J Abnorm Psychol, 105, pp.480~483 (1996)
- Silver H, "Perception of facial emotions in chronic schizophrenia does not correlate with negative symptoms but correlates with cognitive and motor dysfunction", Schizophr Res, 52, pp.265~273 (2001)
- Boso M, "Neurophysiology and neurobiology of the musical experience", Funct Neurol, 21, pp.187~191 (2006)
