精神分裂症患者面部情绪识别能力与冲动攻击行为的关系

Correlation between facial emotion recognition ability and impulsive aggressive behavior of patients with schizophrenia

目的探讨精神分裂症患者面部情绪识别能力与冲动攻击行为的关系。方法选取2021年9月—2022年2月在徐州市东方人民医院住院治疗的精神分裂症患者。根据修订版外显攻击行为量表(MOAS)将患者分为暴力组(n=100)、非暴力组(n=100),比较2组的一般资料、事件相关电位、简明精神病量表(BPRS)评分、巴瑞特冲动性量表第11版(BIS-11)评分与面部情绪识别功能,分析冲动暴力精神分裂症患者冲动攻击行为的相关因素。结果暴力组P300潜伏期、N200潜伏期均长于非暴力组,P300波幅低于非暴力组,差异有统计学意义(P<0.05);暴力组BPRS、BIS-11评分均高于非暴力组,差异有统计学意义(P<0.05);暴力组悲伤、恐惧、厌恶、愤怒正确数及总正确数均低于非暴力组,差异有统计学意义(P<0.05)。Logistic回归分析结果显示,P300潜伏期、P300波幅、N200潜伏期、BPRS、BIS-11、面部情绪(悲伤、恐惧、厌恶、愤怒)识别正确数均与精神分裂症患者冲动攻击行为有关(P<0.05)。结论精神分裂症患者的冲动攻击行为与患者识别面部情绪中悲伤、恐惧、厌恶、愤怒的能力有关。

Objective To explore the correlation between facial emotion recognition ability and impulsive aggressive behavior of patients with schizophrenia.Methods Patients with schizophrenia who were admitted to Xuzhou Oriental People's Hospital from September 2021 to February 2022 were selected.According to the Modified Overt Aggression Scale(MOAS),they were divided into two groups(n=100):a violent group and a non-violent group.Both groups were compared for general information,event related potential,the Brief Psychiatric Rating Scale(BPRS)score,Baratt Impulsiveness Scale(BIS-11)scores and facial emotion recognition abilities.The related factors of impulsive aggressive behavior in patients with schizophrenia were analyzed.Results The violent group showed longer P300 and N200 latency,and lower P300 amplitude than the non-violent group(P<0.01).The violent group presented higher BPRS and BIS-11 scores than the non-violent group(P<0.01).The violent group presented showed decreases in the correct number of sadness,fear,disgust,and anger and total number,compared with the non-violent group(P<0.01).Logistic regression analysis showed that P300 latency,P300 amplitude,N200 latency,BPRS,BIS-11 and the correct number of facial emotion(sadness,fear,disgust,and anger)and total number were related with impulsive aggressive behavior(P<0.05).Conclusions Impulsive aggressive behavior in patients with schizophrenia may be related to facial emotion recognition ability of sadness,fear,disgust,and anger.