Individuals with schizophrenia experience problems in the perception of emotion throughout the course of the disorder. Few studies have addressed the progression of the deficit over time. The present investigation explores face emotion recognition (FER) performance throughout the course of schizophrenia. The aim of the study was to test the hypotheses that: 1) FER impairment was present in ultra high-risk (putatively prodromal) individuals, and that 2) impairment was stable across the course of the illness. Forty-three individuals with a putative prodromal syndrome, 50 patients with first episode of schizophrenia, 44 patients with multi-episode schizophrenia and 86 unaffected healthy control subjects were assessed to examine emotion recognition ability. ANCOVA analysis adjusted for possible confounder factors and subsequent planned contrasts with healthy controls was undertaken. The results revealed deficits in recognition of sadness and disgust in prodromal individuals, and of all negative emotions in both first-episode and multi-episode patients. Furthermore, there were no significant differences between clinical groups. Within the framework of the neurodevelopmental model of schizophrenia, our results suggest the presence of emotional recognition impairment before the onset of full-blown psychosis. Moreover, the deficit remains stable over the course of illness, fitting the pattern of a vulnerability indicator in contrast to an indicator of chronicity or severity.

译文

精神分裂症患者在整个疾病过程中都会遇到情绪感知问题。很少有研究解决赤字随时间推移的进展。本研究探讨了精神分裂症整个过程中的面部情感识别 (FER) 表现。该研究的目的是检验以下假设: 1) 在超高危 (假定为前驱) 个体中存在FER损伤,并且2) 损伤在整个病程中是稳定的。评估了43例假定的前驱综合征患者,50例首发精神分裂症患者,44例多发作精神分裂症患者和86例未受影响的健康对照受试者,以检查情绪识别能力。进行了ANCOVA分析,以调整可能的混杂因素,并随后与健康对照进行了计划对比。结果显示,前驱个体对悲伤和厌恶的认识不足,以及首发和多发作患者对所有负面情绪的认识不足。此外,临床组之间没有显着差异。在精神分裂症的神经发育模型的框架内,我们的结果表明在全面精神病发作之前存在情绪识别障碍。此外,赤字在疾病过程中保持稳定,符合脆弱性指标的模式,而不是慢性或严重程度的指标。

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