惊恐障碍患者面部情绪识别的研究
发布时间：2018-09-09 13:36
【摘要】：[背景]恐惧是应对危险环境的一种情感反应。惊恐障碍患者的情绪认知过程(包括恐慌-威胁的信息处理过程)是与正常人不同的。在非言语信息中,面部表情是他人情绪情感的外在表现,人们往往根据面部表情就可以快速判断他人的内在情绪状态。面部情绪识别在社会生活中扮演着重要的角色,正确的识别他人的面部情绪是一项重要的社会交际技能。有研究发现：惊恐障碍患者对悲伤和愤怒的面部情绪的识别准确度显著低于健康对照组。伴有社交恐惧症的惊恐障碍患者对于具有安全感的面部情绪表现出认知偏倚,如快乐的面部情绪。但有的研究没有发现惊恐障碍患者存在面部情绪认知缺陷。并且所有的研究均没有发现惊恐障碍患者存在恐惧相关情绪识别的异常表现。 目前关于惊恐障碍患者面部情绪识别特点的研究主要存在以下一些不足。(1)研究者使用的面部情绪识别工具是不一致的。(2)有的研究样本量较小(仅6例惊恐障碍患者)。(3)上述所有的研究均没有将蔑视的面部情绪作为研究工具,有研究已经证明蔑视的面部情绪同愤怒、厌恶、恐惧、悲伤一样,是一种独立的面部情绪类型。蔑视的面部情绪的特征是拒绝和社交上贬低他人。那些带有蔑视情绪人经常显示出对他人的过度控制行为,且经常表示出愤怒的情绪。 [目的]鉴于此,我们采用日本人和白人面部情绪系统(Japanese and Caucasianfacial expressions of emotion, JACFEE)研究惊恐障碍患者和正常人对包括蔑视在内的7种面部情绪识别准确度、强度判断的差别。 [方法] 1.对象 1.1惊恐障碍组 我们选取了根据美国精神病协会《精神障碍诊断和统计手册》第四版修订版(DSM-IV-TR)诊断标准确诊的21例惊恐障碍患者(女11例,男10例)作为研究组,年龄26.74±6.74岁。 1.2正常对照组 我们选取了34例健康志愿者(女20例,男14例),均来自普通学生或者是来自普通人群中的有偿志愿者,年龄26.76±9.10岁。 2.程序 利用JACFEE的愤怒、蔑视、厌恶、恐惧、快乐、悲伤、惊讶等7种面部情绪作为测量工具。让被试对每一种面部情绪进行识别分类和强度判断。 3.统计分析 对于每组的7种面部情绪识别准确度的结果和强度判断结果采用多因素方差分析方法,发现有显著差异时,post hoc采用独立t检验方法检验组间差异；对正确报告和错误报告得分采用卡方检验。 [结果]两组被试年龄、性别差异无统计学意义。7种面部情绪的正确识别度的统计结果显示,惊恐障碍患者对于恐惧(0.47±0.28)和厌恶(0.57±0.35)的面部情绪的正确识别度显著低于健康对照组,而对惊讶(0.91+0.09)的面部情绪的正确识别度显著高于健康对照组。正确报告和错误报告得分的统计结果显示,与健康对照组相比较,显然有更多的惊恐障碍患者对于惊讶的面部情绪做出了正确识别(x2=5.29,P0.05)。7种面部情绪的强度判断的统计结果显示,两组并无显著统计学差异。 [结论]惊恐障碍患者对恐惧、厌恶的面部情绪识别的准确度低于正常人,对惊讶的面部情绪识别的准确性高于正常人,在强度判别上无差异,可能与其避免惊恐发作的自我意识机制的触发有关。
[Abstract]:[Background] Fear is an emotional response to a dangerous environment. The emotional cognitive processes of panic disorder patients (including the processing of panic-threat information) are different from those of normal people. Facial emotion recognition plays an important role in social life. Recognizing other people's facial emotions correctly is an important social communication skill. Some studies have found that panic disorder patients have significantly lower recognition accuracy of sad and angry facial emotions than healthy controls. Some studies did not find facial emotional cognitive deficits in panic disorder patients, and all studies did not find abnormal fear-related emotional recognition in panic disorder patients.
At present, there are some deficiencies in the study of facial emotion recognition in panic disorder patients. (1) The facial emotion recognition tools used by researchers are inconsistent. (2) The sample size of some studies is small (only 6 panic disorder patients). (3) All of the above studies have not used the facial emotion of contempt as a research tool. It has been proven that facial contempt is an independent type of facial emotion, like anger, disgust, fear, and sadness.
[Objective] In view of this, we used the Japanese and Caucasian facial expressions of emotion (JACFEE) to study the differences in facial emotion recognition accuracy and intensity judgment between panic disorder patients and normal people.
[method]
1. objects
1.1 panic disorder group
Twenty-one patients (11 women and 10 men) with panic disorder diagnosed according to the diagnostic criteria of the American Psychiatric Association's Diagnostic and Statistical Manual for Mental Disorders (DSM-IV-TR) were selected as the study group, aged 26.74 (+6.74).
1.2 normal control group
Thirty-four healthy volunteers (20 females and 14 males) aged 26.76 [9.10] were selected. All of them were students or paid volunteers from the general population.
2. program
JACFEE was used to measure seven facial emotions, including anger, disdain, disgust, fear, happiness, sadness and surprise. Subjects were asked to identify, classify and judge the intensity of each facial emotion.
3. statistical analysis
For each group, the results of 7 kinds of facial emotion recognition accuracy and intensity judgment were analyzed by multivariate analysis of variance. When significant differences were found, the post hoc used independent t test to test the differences between groups, and the correct report and false report scores were tested by chi-square test.
[Results] There was no significant difference in age and gender between the two groups. The correct recognition of facial emotions of panic disorder patients was significantly lower than that of the healthy control group. The correct recognition of facial emotions of panic disorder patients was significantly lower than that of the healthy control group. The results of correct report and false report showed that more panic disorder patients correctly recognized the facial emotions of surprise (x2 = 5.29, P 0.05). There was no significant difference between the two groups.
[Conclusion] The recognition accuracy of fear and aversion facial emotions in patients with panic disorder is lower than that of normal people, and the recognition accuracy of surprise facial emotions is higher than that of normal people. There is no difference in intensity discrimination, which may be related to the triggering of self-consciousness mechanism to avoid panic attacks.
【学位授予单位】：浙江大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R749.7
本文编号：2232536
[Abstract]:[Background] Fear is an emotional response to a dangerous environment. The emotional cognitive processes of panic disorder patients (including the processing of panic-threat information) are different from those of normal people. Facial emotion recognition plays an important role in social life. Recognizing other people's facial emotions correctly is an important social communication skill. Some studies have found that panic disorder patients have significantly lower recognition accuracy of sad and angry facial emotions than healthy controls. Some studies did not find facial emotional cognitive deficits in panic disorder patients, and all studies did not find abnormal fear-related emotional recognition in panic disorder patients.
At present, there are some deficiencies in the study of facial emotion recognition in panic disorder patients. (1) The facial emotion recognition tools used by researchers are inconsistent. (2) The sample size of some studies is small (only 6 panic disorder patients). (3) All of the above studies have not used the facial emotion of contempt as a research tool. It has been proven that facial contempt is an independent type of facial emotion, like anger, disgust, fear, and sadness.
[Objective] In view of this, we used the Japanese and Caucasian facial expressions of emotion (JACFEE) to study the differences in facial emotion recognition accuracy and intensity judgment between panic disorder patients and normal people.
[method]
1. objects
1.1 panic disorder group
Twenty-one patients (11 women and 10 men) with panic disorder diagnosed according to the diagnostic criteria of the American Psychiatric Association's Diagnostic and Statistical Manual for Mental Disorders (DSM-IV-TR) were selected as the study group, aged 26.74 (+6.74).
1.2 normal control group
Thirty-four healthy volunteers (20 females and 14 males) aged 26.76 [9.10] were selected. All of them were students or paid volunteers from the general population.
2. program
JACFEE was used to measure seven facial emotions, including anger, disdain, disgust, fear, happiness, sadness and surprise. Subjects were asked to identify, classify and judge the intensity of each facial emotion.
3. statistical analysis
For each group, the results of 7 kinds of facial emotion recognition accuracy and intensity judgment were analyzed by multivariate analysis of variance. When significant differences were found, the post hoc used independent t test to test the differences between groups, and the correct report and false report scores were tested by chi-square test.
[Results] There was no significant difference in age and gender between the two groups. The correct recognition of facial emotions of panic disorder patients was significantly lower than that of the healthy control group. The correct recognition of facial emotions of panic disorder patients was significantly lower than that of the healthy control group. The results of correct report and false report showed that more panic disorder patients correctly recognized the facial emotions of surprise (x2 = 5.29, P 0.05). There was no significant difference between the two groups.
[Conclusion] The recognition accuracy of fear and aversion facial emotions in patients with panic disorder is lower than that of normal people, and the recognition accuracy of surprise facial emotions is higher than that of normal people. There is no difference in intensity discrimination, which may be related to the triggering of self-consciousness mechanism to avoid panic attacks.
【学位授予单位】：浙江大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R749.7
【共引文献】
相关期刊论文 前2条
1 刘玲;王建刚;路西明;;神经甾体的研究进展[J];医学综述;2008年06期
2 李青栋;许晶;;惊恐障碍病因及发病机制的研究进展[J];中华精神科杂志;2007年04期
相关硕士学位论文 前3条
1 黄静怡;基于强度判断的面部情绪维度型分类[D];浙江大学;2011年
2 李青栋;惊恐障碍患者药物心理干预的前瞻性研究[D];大连医科大学;2007年
3 李娟;犯罪青少年的道德情绪及其与社会行为的关系[D];山东师范大学;2008年
，本文编号：2232536
本文链接：https://www.wllwen.com/yixuelunwen/jsb/2232536.html
最近更新
教材专著
