정신분열병 환자에서의 감정표현불능증과 얼굴정서인식결핍
Alexithymia and the Recognition of Facial Emotion in Schizophrenic Patients
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Objectives : Schizophrenic patients have been shown to be impaired in both emotional self-awareness and recognition of others’ facial emotions. Alexithymia refers to the deficits in emotional self-awareness. The relationship between alexithymia and recognition of others’ facial emotions needs to be explored to better understand the characteristics of emotional deficits in schizophrenic patients. Methods : Thirty control subjects and 31 schizophrenic patients completed the Toronto Alexithymia Scale-20-Korean version (TAS-20K) and facial emotion recognition task. The stimuli in facial emotion recognition task consist of 6 emotions (happiness, sadness, anger, fear, disgust, and neutral). Recognition accuracy was calculated within each emotion category. Correlations between TAS-20K and recognition accuracy were analyzed. Results : The schizophrenic patients showed higher TAS-20K scores and lower recognition accuracy compared with the control subjects. The schizophrenic patients did not demonstrate any significant correlations between TAS-20K and recognition accuracy, unlike the control subjects. Conclusions : The data suggest that, although schizophrenia may impair both emotional self-awareness and recognition of others’ facial emotions, the degrees of deficit can be different between emotional self-awareness and recognition of others’ facial emotions. This indicates that the emotional deficits in schizophrenia may assume more complex features.
Abstract
Objectives : Schizophrenic patients have been shown to be impaired in both emotional self-awareness and recognition of others’ facial emotions. Alexithymia refers to the deficits in emotional self-awareness. The relationship between alexithymia and recognition of others’ facial emotions needs to be explored to better understand the characteristics of emotional deficits in schizophrenic patients. Methods : Thirty control subjects and 31 schizophrenic patients completed the Toronto Alexithymia Scale-20-Korean version (TAS-20K) and facial emotion recognition task. The stimuli in facial emotion recognition task consist of 6 emotions (happiness, sadness, anger, fear, disgust, and neutral). Recognition accuracy was calculated within each emotion category. Correlations between TAS-20K and recognition accuracy were analyzed. Results : The schizophrenic patients showed higher TAS-20K scores and lower recognition accuracy compared with the control subjects. The schizophrenic patients did not demonstrate any significant correlations between TAS-20K and recognition accuracy, unlike the control subjects. Conclusions : The data suggest that, although schizophrenia may impair both emotional self-awareness and recognition of others’ facial emotions, the degrees of deficit can be different between emotional self-awareness and recognition of others’ facial emotions. This indicates that the emotional deficits in schizophrenia may assume more complex features.
참고문헌 (54)
- Addington J, "Facial affect recognition: a mediator between cognitive and social functioning in psychosis", Schizophr Res, 85, pp.142~150 (2006)
- Hooker C, "Emotion processing and its relationship to social functioning in schizophrenia patients", Psychiatry Res, 112, pp.41~50 (2002)
- Kee KS, "Is emotion processing a predictor of functional outcome in schizophrenia", Schizophr Bull, 29, pp.487~497 (2003)
- Mueser KT, "Emotion recognition and social competence in chronic schizophrenia", J Abnorm Psychol, 105, pp.271~275 (1996)
- Kerr SL, "Emotion perception in schizophrenia: specific deficit or further evidence of generalized poor performance", J Abnorm Psychol, 102, pp.312~318 (1993)
- Kohler CG, "Emotion recognition deficit in schizophrenia: association with symptomatology and cognition", Biol Psychiatry, 48, pp.127~136 (2000)
- Edwards J, "Emotion recognition via facial expression and affective prosody in schizophrenia: a methodological review", Clin Psychol Rev, 22, pp.789~832 (2002)
- Kring AM, "Emotional response deficits in schizophrenia: insights from affective science", Schizophr Bull, 34, pp.819~834 (2008)
- 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)
- Kohler CG, "Facial emotion recognition in schizophrenia: intensity effects and error pattern", Am J Psychiatry, 160, pp.1768~1774 (2003)
- Turetsky BI, "Facial emotion recognition in schizophrenia: when and why does it go awry", Schizophr Res, 94, pp.253~263 (2007)
- Aleman A, "Strange feelings: do amygdala abnormalities dysregulate the emotional brain in schizophrenia", Prog Neurobiol, 77, pp.283~298 (2005)
- Kucharska-Pietura K, "Perception of facial and vocal affect by people with schizophrenia in early and late stages of illness", Br J Psychiatry, 187, pp.523~528 (2005)
- Pinkham AE, "Emotion perception and social skill over the course of psychosis: a comparison of individuals “at-risk” for psychosis and individuals with early and chronic schizophrenia spectrum illness", Cogn Neuropsychiatry, 12, pp.198~212 (2007)
- Weniger G, "Differential impairments of facial affect recognition in schizophrenia subtypes and major depression", Psychiatry Res, 128, pp.135~146 (2004)
- Hall J, "Social cognition and face processing in schizophrenia", Br J Psychiatry, 185, pp.169~170 (2004)
- Martin F, "Processing emotional expression and facial identity in schizophrenia", Psychiatry Res, 134, pp.43~53 (2005)
- Sachs G, "Facial recognition deficits and cognition in schizophrenia", Schizophr Res, 68, pp.27~35 (2004)
- Seung Jae Lee, "Deficits in Facial Emotion Recognition in Schizophrenia: A Replication Study with Korean Subjects", PSYCHIATRY INVESTIGATION, 7(4), pp.291~297 (2010), 대한신경정신의학회
- Schneider F, "Impairment in the specificity of emotion processing in schizophrenia", Am J Psychiatry, 163, pp.442~447 (2006)
- Archer J, "Movement, face processing and schizophrenia: evidence of a differential deficit in expression analysis", Br J Clin Psychol, 33, pp.517~528 (1994)
- Bellack AS, "Cue availability and affect perception in schizophrenia", Schizophr Bull, 22, pp.535~544 (1996)
- Gaebel W, "Facial expression and emotional face recognition in schizophrenia and depression", Eur Arch Psychiatry Clin Neurosci, 242, pp.46~52 (1992)
- van’t Wout M, "Exploring the nature of facial affect processing deficits in schizophrenia", Psychiatry Res, 150, pp.227~235 (2007)
- Bediou B, "Effects of emotion and identity on facial affect processing in schizophrenia", Psychiatry Res, 133, pp.149~157 (2005)
- "Reduced P3 amplitudes by negative facial emotional photographs in schizophrenia", SCHIZOPHRENIA RESEARCH, 64, pp.125~135 (2003), ELSEVIER SCIENCE BV
- 임우영, "정신분열병환자의 안면 표정 인식 능력", 생물정신의학, 15(3), pp.211~218 (2008), 대한생물정신의학회
- Tsoi DT, "Is facial emotion recognition impairment in schizophrenia identical for different emotions? A signal detection analysis", Schizophr Res, 99, pp.263~269 (2008)
- Sifneos PE, "The phenomenon of 'alexithymia'. Observations in neurotic and psychosomatic patients", Psychother Psychosom, 28, pp.47~57 (1977)
- Sifneos PE, "The prevalence of 'alexithymic' characteristics in psychosomatic patients", Psychother Psychosom, 22, pp.255~262 (1973)
- Lane RD, "Pervasive emotion recognition deficit common to alexithymia and the repressive coping style", Psychosom Med, 62, pp.492~501 (2000)
- Bagby RM, "The Twenty-item Toronto Alexithymia Scale--II. Convergent, discriminant, and concurrent validity", J Psychosom Res, 38, pp.33~40 (1994)
- Bagby RM, "The twenty-item Toronto Alexithymia Scale--I. Item selection and cross-validation of the factor structure", J Psychosom Res, 38, pp.23~32 (1994)
- Cedro A, "Alexithymia in schizophrenia: an exploratory study", Psychol Rep, 89, pp.95~98 (2001)
- Heshmati R, "Comparative study of alexithymia in patients with schizophrenia spectrum disorders, non-psychotic disorders and normal people", Procedia - Social and Behavioral Sciences, 5, pp.1084~1089 (2010)
- Stanghellini G, "Alexithymia and schizophrenias", Psychopathology, 28, pp.263~272 (1995)
- Kubota M, "Alexithymia and regional gray matter alterations in schizophrenia", Neurosci Res, 70, pp.206~213 (2011)
- Henry JD, "Alexithymia in schizophrenia", J Clin Exp Neuropsychol, 32, pp.890~897 (2010)
- Serper M, "The relation between emotional awareness and hallucinations and delusions in acute psychiatric inpatients", Schizophr Res, 101, pp.195~200 (2008)
- Maggini C, "Alexithymia and schizophrenic psychopathology", Acta Biomed, 75, pp.40~49 (2004)
- Todarello O, "Is alexithymia related to negative symptoms of schizophrenia? A preliminary longitudinal study", Psychopathology, 38, pp.310~314 (2005)
- Parker JD, "Alexithymia and the recognition of facial expressions of emotion", Psychother Psychosom, 59, pp.197~202 (1993)
- McDonald PW, "The expression and perception of facial emotion in alexithymia: a pilot study", Psychosom Med, 52, pp.199~210 (1990)
- Mann LS, "Alexithymia, affect recognition, and the five-factor model of personality in normal subjects", Psychol Rep, 74, pp.563~567 (1994)
- P). Version 2, "Structured Clinical Interview for DSM-IV Axis I Disorders: Patient Edition (SCIDI", pp.1996, First MB
- Andreasen NC, "Scale for the Assessment of Negative Symptoms(SANS)" (1984), University of Iowa
- Andreasen NC, "Scale for the Assessment of Positive Symptoms(SAPS)" (1984), University of Iowa
- Lane RD, "Impaired verbal and nonverbal emotion recognition in alexithymia", Psychosom Med, 58, pp.203~210 (1996)
- Lee YH, "Development and Validation of a Korean Version of the 20-Item Toronto Alexithymia Scale(TAS-20K)", J Korean Neuropsychiatr Assoc, 35, pp.888~899 (1996)
- Ekman P, "Pictures of Facial Affect" (1976), Consulting Psychologists Press
- Guttman H, "Alexithymia, empathy, and psychological symptoms in a family context", Compr Psychiatry, 43, pp.448~455 (2002)
- Subic-Wrana C, "Emotional awareness deficits in inpatients of a psychosomatic ward: a comparison of two different measures of alexithymia", Psychosom Med, 67, pp.483~489 (2005)
- Pinkham AE, "The other-race effect in face processing among African American and Caucasian individuals with schizophrenia", Am J Psychiatry, 165, pp.639~645 (2008)