精神分裂症患者自我怜悯水平及其与快感缺失间的关系

Relationship between Self-Compassion and Anhedonia in Schizophrenia

目的:探讨精神分裂症患者自我怜悯水平及其与快感缺失间的关系。方法:采用自我怜悯量表(SCS-C)、社会快感缺失量表(RSAS-C)、躯体快感缺失量表(RPAS-C)、阳性与阴性症状量表(PANSS)和Beck抑郁量表(BDI),对179例疾病稳定期精神分裂症患者进行评估,并与192名对照者进行比较。结果:与对照者相比,精神分裂症患者SCS-C总分及其自我友善、普遍人性和正念因子得分均较低,差异具有统计学意义;患者RSAS-C和RPAS-C得分高于对照者,差异具有统计学意义。相关分析显示,患者SCS-C总分与RSAS-C得分(r=-0.440,P<0.01)和RPAS-C得分(r=-0.422,P<0.01)呈负相关,控制Beck抑郁量表得分后,自我怜悯与快感缺失之间的相关性仍具有统计学意义。结论:精神分裂症患者较对照者自我怜悯水平降低、快感缺失增高;患者自我怜悯水平与快感缺失间存在相关,并且这种关联独立于抑郁症状。

Objective： To explore the characteristics of self-compassion and its relationship with anhedonia in schizo- phrenic patients. Methods： 179 schizophrenic patients and 192 healthy subjects were assessed with the Chinese Version of Revised Self-Compassion Scale（SCS-C）, the Chinese Version of Revised Social Anhedonia Scale（RSAS-C）, and the Chi- nese Version of Revised Physical Anhedonia Scale（RPAS-C）. Meanwhile schizophrenic patients were assessed by the Beck Depression Inventory（BDI） and the Positive and Negative Syndrome Scale（PANSS）. Results： Schizophrenic patients had lower total score of SCS-C and the subscores of self-kind, common humanity and mindfulness compared to the healthy sub- jects. The scores of RSAS-C and RPAS-C in patient group were higher than those of normal group. The SCS-C total score was significantly negatively correlated with RSAS-C score（r=0.440, P〈0.01） and RPAS-C score（r=-0.422, P〈0.01）. After controlling for BDI score, the relationship between self-compassion and anhedonia remains significant. Conclusion： Pa- tients with schizophrenia have self-compassive deficits, which may contribute to the anhedonia, one of the most prominent negative symptoms in this disorder.