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조현병 환자에서 감정자각의 결함

Emotional Awareness Deficits in Patients with Schizophrenia

김양태|이혜연
대한생물치료정신의학회 (Korean Society Of Biological Therapies In Psychiatry)|2014.04|생물치료정신의학 (Journal of the Korean Society of Biological Therapies in Psychiatry)|제20권 제1호|pp. 87-95

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참고문헌

키워드

조현병Schizophrenia감정표현불능증감정 인식Alexithymia감정 자각Emotional awarenessEmotion recognition
주제분류정신과학

초록

Objectives：The purpose of this study was to investigate the deficits of emotional awareness in patients with schizophrenia. In addition, we aimed to examine the relationship between alexithymia, emotional recognition and the other clinical variables in patients with schizophrenia. Methods：Forty patients with schizophrenia and forty normal controls were enrolled in a university-affiliated hospital. The Korean Version of Levels of Emotional Awareness Scale(LEAS-K), Korean Version of 20-item Toronto Alexithymia Scale(TAS-20K), Korean Facial Expressions of Emotion(KOFEE), and Positive and Negative Symptom Scale(PA- NSS) were performed. To compare the variables of the groups with schizophrenia and normal control, independent t- test for continuous variables and χ2test for discrete variables were applied. Results：The patients with schizophrenia had lower scores on LEAS-K and KOFEE and higher score on the TAS-20K than normal controls. Furthermore, there was a significant correlation between LEAS-K(Self) and TAS-20K factor 2(Difficulty Describing Feelings, DDF) among schizophrenic patients. LEAS-K(Total) score was significantly correlated with KOFEE Happy face score. TAS-20K factor 3(Externally Oriented Thinking, EOT) was significantly correlated with KOFEE Happy, Fear, Neutral, Total scores among schizophrenic patients. TAS-20K Factor 1(Difficulty Identifying Feelings, DDF) was also significantly correlated with PANSS-general score. There was a significant correlation between KO- FEE Happy face score and PANSS-negative score among schizophrenic patients. Conclusion：Schizophrenic patients are aware of their emotions through bodily sensations or sensorimotor enactive. Our findings support that schizophrenic patients’ emotional awareness level is behind the restricted expression of single emotion. KOFEE(Total) and LEAS-K(Self) will be useful tools to evaluate schizophrenia.

Abstract

Objectives：The purpose of this study was to investigate the deficits of emotional awareness in patients with schizophrenia. In addition, we aimed to examine the relationship between alexithymia, emotional recognition and the other clinical variables in patients with schizophrenia. Methods：Forty patients with schizophrenia and forty normal controls were enrolled in a university-affiliated hospital. The Korean Version of Levels of Emotional Awareness Scale(LEAS-K), Korean Version of 20-item Toronto Alexithymia Scale(TAS-20K), Korean Facial Expressions of Emotion(KOFEE), and Positive and Negative Symptom Scale(PA- NSS) were performed. To compare the variables of the groups with schizophrenia and normal control, independent t- test for continuous variables and χ2test for discrete variables were applied. Results：The patients with schizophrenia had lower scores on LEAS-K and KOFEE and higher score on the TAS-20K than normal controls. Furthermore, there was a significant correlation between LEAS-K(Self) and TAS-20K factor 2(Difficulty Describing Feelings, DDF) among schizophrenic patients. LEAS-K(Total) score was significantly correlated with KOFEE Happy face score. TAS-20K factor 3(Externally Oriented Thinking, EOT) was significantly correlated with KOFEE Happy, Fear, Neutral, Total scores among schizophrenic patients. TAS-20K Factor 1(Difficulty Identifying Feelings, DDF) was also significantly correlated with PANSS-general score. There was a significant correlation between KO- FEE Happy face score and PANSS-negative score among schizophrenic patients. Conclusion：Schizophrenic patients are aware of their emotions through bodily sensations or sensorimotor enactive. Our findings support that schizophrenic patients’ emotional awareness level is behind the restricted expression of single emotion. KOFEE(Total) and LEAS-K(Self) will be useful tools to evaluate schizophrenia.

참고문헌 (33)

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