精神分裂症自知力的自我参照效应研究

Self-reference Effect and Insight in Schizophrenia Patients

目的:应用自我参照效应这一实验心理学范式探讨精神分裂症自知力与自我的关系。方法:对16例有自知力和16例无自知力精神分裂症患者及16例正常被试进行自我参照效应的测查,并分析结果。结果:正常被试自我定向任务的R判断记忆结果明显好于鲁迅定向任务(P<0.05),表现出自我参照效应;精神分裂症患者的R判断记忆结果与其它定向任务间均无显著性差异(P>0.05),未表现出自我参照效应。无自知力组患者和正常被试自我定向任务在R判断上相比有显著性差异(P<0.01)。有无自知力患者组间定向任务R判断结果无显著性差异(P>0.05)。结论:本研究结果提示精神分裂症患者的自我存在异常。未见到精神分裂症患者的自知力和自我参照效应有明显的相关性。

Objective： To investigate the relationship between insight and self of schizophrenia patients by paradigm of self-reference effect（SHE）. Methods： 16 schizophrenia patients with insight, 16 schizophrenia patients without insight and 16 normal controls matched with age and education degree were measured by SRE, and the results were analyzed. Resuits： SRE was shown in normal controls, and R performance on Self task was better than on other two tasks （P〈0.05）. But in schizophrenia patients, there were no differences of R performance among tasks（P〉0.05 ）. This means that SRE was not demonstrated in schizophrenia patients. There were significant differences between patients without insight and normal controls in R performance （P〈0.01）. There were no significant differences in R performance between schizophrenia patients with and without insight（P〉0.05）. Conclusion： The profile of the results indicates that self-disturbance is shown in schizophrenia. There is no obviously correlation between insight and self-reference effect in schizophrenia patients.