稳定期抑郁症患者的面部表情识别特点
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摘要
目的:探讨稳定期抑郁症患者对五种基本面部表情的识别特点。方法:选取80例病情稳定期的抑郁症患者(符合DSM-IV重性抑郁发作的诊断标准)和41例年龄、性别、受教育程度匹配的正常对照。采用自行设计的电脑模拟的卡通人物面部表情,分别有4位女性和4位男性面部随机展示出五种基本表情包括愤怒、蔑视、恐惧、高兴和悲伤。首先展示40个静态表情,然后40个以动画的形式从无表情转变成5种表情动态过程。所有受试者完成面部表情识别,判断受试者对面部表情识别率是否存在差异。结果:抑郁症患者对蔑视的识别正确率低于正常对照(93%vs.94%,P<0.05);患者对动态表情-蔑视的识别正确率低于正常对照(93%vs.95%,P<0.05)。抑郁症患者对恐惧的识别正确率低于正常对照(89%vs.93%,P<0.05);患者对动态表情-恐惧的识别正确率低于正常对照(90%vs.94%,P<0.05)。抑郁症患者较正常对照易将恐惧错选成愤怒(3.7%vs.1.8%)和蔑视(2.9%vs.0.9%),将悲伤错选成蔑视(5.0%vs.1.7%)和高兴(2.0%vs.0.2%)的比例高(均P<0.05)。结论:抑郁症患者对蔑视和恐惧的识别正确率低,容易误将恐惧识别成愤怒和蔑视,误将悲伤识别成蔑视和高兴。
Objective:To investigate whether facial expression recognition correct rates were changed in stable patients with major depressive disorder.Methods:A cross-sectional study was performed in patients with major depressive disorder(n=80)(according to the DSM-IV) and matched normal controls by age,gender and education year(n=41) in this study.All subjects would recognize five different expression(anger,contempt,fear,happiness and sadness).These emotions were displayed on four different male and female computerized cartoon faces,and each expression was shown once in a static format and once in a dynamic format.The facial expression recognition correct percentage would be compared between the two groups.Results:The correct identification rate of contempt was lower in the patients than in the normal controls(93% vs.94%,P<0.05).The correct identification rate of dynamic contempt was lower in the patients than in the normal controls(93% vs.95%,P<0.05).The correct identification rate of fear was lower in the patients than in the normal controls(89% vs.93%,P<0.05).The correct identification rate of dynamic fear was lower in the patients than in the normal controls(90% vs.94%,P<0.05).Regarding error rates of misattribution,compared with normal controls,depressive patients over-identified fear to anger(3.7%vs.1.8%) and contempt(2.9%vs.0.9%),sadness to contempt(5.0% vs.1.7%) and happiness(2.0% vs.0.2%)(Ps<0.05).Conclusion:Patients with MDD have significantly great difficulties identifying negative expressions.
Objective:To investigate whether facial expression recognition correct rates were changed in stable patients with major depressive disorder.Methods:A cross-sectional study was performed in patients with major depressive disorder(n=80)(according to the DSM-IV) and matched normal controls by age,gender and education year(n=41) in this study.All subjects would recognize five different expression(anger,contempt,fear,happiness and sadness).These emotions were displayed on four different male and female computerized cartoon faces,and each expression was shown once in a static format and once in a dynamic format.The facial expression recognition correct percentage would be compared between the two groups.Results:The correct identification rate of contempt was lower in the patients than in the normal controls(93% vs.94%,P<0.05).The correct identification rate of dynamic contempt was lower in the patients than in the normal controls(93% vs.95%,P<0.05).The correct identification rate of fear was lower in the patients than in the normal controls(89% vs.93%,P<0.05).The correct identification rate of dynamic fear was lower in the patients than in the normal controls(90% vs.94%,P<0.05).Regarding error rates of misattribution,compared with normal controls,depressive patients over-identified fear to anger(3.7%vs.1.8%) and contempt(2.9%vs.0.9%),sadness to contempt(5.0% vs.1.7%) and happiness(2.0% vs.0.2%)(Ps<0.05).Conclusion:Patients with MDD have significantly great difficulties identifying negative expressions.
引文
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[9] Hamilton M.A rating scale for depression[J].J Neurol Neurosurg Psychiatry,1960,23:56-62.
[10]Fieker M,Moritz S,Kother U,et al.Emotion recognition in depression:an investigation of performance and response confidence in adult female patients with depression[J].Psychiatry Res,2016,242:226-232.doi:10.1016/j.psychres.2016.05.037.
[11]Kan Y,Mimura M,Kamijima K,et al.Recognition of emotion from moving facial and prosodic stimuli in depressed patients[J].J Neurol Neurosurg Psychiatry,2004,75(12):1667-1671.
[12]Groves SJ,Pitcher TL,Melzer TR, et al.Brain activation during processing of genuine facial emotion in depression:Preliminary findings[J].J Affect Disord,2018,225:91-96.doi:10.1016/j.jad.2017.07.049.
[13]Shiroma PR,Thuras P,Johns B,et al.Facial recognition of happiness among older adults with active and remitted major depression[J].Psychiatry Res,2016,243:287-291.doi:10.1016/j.psychres.2016.06.020.
[14]Huang Y,Tang S,Helmeste D,et al.Differential judgement of static facial expressions of emotions in three cultures[J].Psychiatry Clin Neurosci,2001,55(5):479-483.
[15]花玲玲,姚志剑,汤浩,等.抑郁症患者执行控制脑皮质网络损害的脑磁源性研究[J].中华行为医学与脑科学杂志,2015,24(4):304-306.
[16]曹燕翔,郭小兵,王刚,等.重性抑郁症患者治疗后识别动态面部表情的fMRI研究[J].中国医刊,2017,52(7):93-98.
[17]曹燕翔,郭小兵,王刚,等.抑郁症患者治疗前后的动态面部表情识别研究[J].中国医刊,2017,52(8):105-107.
[18]傅小兰,王辉,范伟.抑郁症患者的面部表情识别研究[J].心理与行为研究,2015,13(5):691-697.
[19]Jenkins LM,Kassel MT,Gabriel LB,et al.Amygdala and dorsomedial hyperactivity to emotional faces in youth with remitted Major Depression[J].Soc Cogn Affect Neurosci,2016,11(5):736-745.
[20]Fusar-Poli P,Placentino A,Carletti F,et al.Functional atlas of emotional faces processing:a voxel-based meta-analysis of 105 functional magnetic resonance imaging studies[J].J Psychiatry Neurosci,2009,34(6):418-432.
[21]Hiser J,Koenigs M.The multifaceted role of the ventromedial prefrontal cortex in emotion,decision making,social cognition,and psychopathology[J].Biol Psychiatry,2018,83(8):638-647.
[22]Zwick JC,Wolkenstein L.Facial emotion recognition,theory of mind and the role of facial mimicry in depression[J].J Affect Disord,2017,210:90-99. doi:10.1016/j.jad.2016.12.022.
[2] Kohler CG,Hoffman LJ,Eastman LB,et al.Facial emotion perception in depression and bipolar disorder:a quantitative review[J].Psychiatry Res,2011,188(3):303-309.
[3] 吴枫,孔令韬,汤艳清,等.首发重性抑郁症患者治疗前后面部表情认知的脑功能磁共振研究[J].中华临床医师杂志(电子版),2011,5(23):7088-7091.
[4] Grynberg D,Chang B,Corneille O,et al.Alexithymia and the processing of emotional facial expressions (EFEs):systematic review,unanswered questions and further perspectives[J].PLoS One,2012,7(8):e42429.
[5] 吴弦,钟年.当代青年生物性和社会化表情识别的差异研究[J].深圳大学学报,2017,34(5):106-110.
[6] First MB,Spitzer RL,Gibbon M,et al.User' s guide for the Structured Clinical Interview for DSM-IV Axis I Disorders SCID-I:Clinician Version,Administration Booklet[M].Arlington:American Psychiatric Pub,2012.
[7] American Psychiatric Association.Mood disorders∥APA.Diagnostic an statistical manual of mental disorders(DSM-IV)[M].Washington,DC:American Psychiatric Association,1994:317-391.
[8] Song Y,Xiang YT,Huang Y,et al.Impairments in negative facial emotion recognition in Chinese schizophrenia patients detected with a newly designed task[J].J Nerv Ment Dis,2015,203(9):718-724.
[9] Hamilton M.A rating scale for depression[J].J Neurol Neurosurg Psychiatry,1960,23:56-62.
[10]Fieker M,Moritz S,Kother U,et al.Emotion recognition in depression:an investigation of performance and response confidence in adult female patients with depression[J].Psychiatry Res,2016,242:226-232.doi:10.1016/j.psychres.2016.05.037.
[11]Kan Y,Mimura M,Kamijima K,et al.Recognition of emotion from moving facial and prosodic stimuli in depressed patients[J].J Neurol Neurosurg Psychiatry,2004,75(12):1667-1671.
[12]Groves SJ,Pitcher TL,Melzer TR, et al.Brain activation during processing of genuine facial emotion in depression:Preliminary findings[J].J Affect Disord,2018,225:91-96.doi:10.1016/j.jad.2017.07.049.
[13]Shiroma PR,Thuras P,Johns B,et al.Facial recognition of happiness among older adults with active and remitted major depression[J].Psychiatry Res,2016,243:287-291.doi:10.1016/j.psychres.2016.06.020.
[14]Huang Y,Tang S,Helmeste D,et al.Differential judgement of static facial expressions of emotions in three cultures[J].Psychiatry Clin Neurosci,2001,55(5):479-483.
[15]花玲玲,姚志剑,汤浩,等.抑郁症患者执行控制脑皮质网络损害的脑磁源性研究[J].中华行为医学与脑科学杂志,2015,24(4):304-306.
[16]曹燕翔,郭小兵,王刚,等.重性抑郁症患者治疗后识别动态面部表情的fMRI研究[J].中国医刊,2017,52(7):93-98.
[17]曹燕翔,郭小兵,王刚,等.抑郁症患者治疗前后的动态面部表情识别研究[J].中国医刊,2017,52(8):105-107.
[18]傅小兰,王辉,范伟.抑郁症患者的面部表情识别研究[J].心理与行为研究,2015,13(5):691-697.
[19]Jenkins LM,Kassel MT,Gabriel LB,et al.Amygdala and dorsomedial hyperactivity to emotional faces in youth with remitted Major Depression[J].Soc Cogn Affect Neurosci,2016,11(5):736-745.
[20]Fusar-Poli P,Placentino A,Carletti F,et al.Functional atlas of emotional faces processing:a voxel-based meta-analysis of 105 functional magnetic resonance imaging studies[J].J Psychiatry Neurosci,2009,34(6):418-432.
[21]Hiser J,Koenigs M.The multifaceted role of the ventromedial prefrontal cortex in emotion,decision making,social cognition,and psychopathology[J].Biol Psychiatry,2018,83(8):638-647.
[22]Zwick JC,Wolkenstein L.Facial emotion recognition,theory of mind and the role of facial mimicry in depression[J].J Affect Disord,2017,210:90-99. doi:10.1016/j.jad.2016.12.022.
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