精神分裂症患者幽默体验与心理理论的相关性

被引：2

作者：

马玉婷 ^{[1
]}

董毅 ^{[2
]}

汪凯 ^{[1
]}

赵菁 ^{[1
]}

王龙 ^{[2
]}

刘勇 ^{[2
]}

耿峰 ^{[2
]}

李慧 ^{[2
]}

陈学全 ^{[2
]}

机构：

[1] 合肥, 安徽医科大学研究生学院医学心理学系

[2] 安徽省精神卫生中心

来源：

中华行为医学与脑科学杂志 | 2014年 / 23卷 / 11期

关键词：

幽默体验; 心理理论; 精神分裂症;

D O I：

暂无

中图分类号：

R749.3 [精神分裂症];

学科分类号：

100204 [神经病学];

摘要：

目的探讨精神分裂症患者幽默体验能力及其与心理理论之间的关系。方法采用幽默图片测试(HPT)、幽默视频测试(HVT)以及心理理论故事图片任务(ToM-PST)对61名精神分裂症患者和63名正常对照者进行评估。结果 HPT中患者组非幽默图片等级总分[(28.41±11.56)分]高于正常组[(24.41±8.82)分], 幽默图片等级总分[(34.41±13.06)分]低于正常组[(45.65±11.49)分], 差异有统计学意义(P<0.05);HVT中患者组幽默视频等级均分[(2.46±0.79)分]、标准幽默时刻按键次数[(2.42±1.40)次]、标准幽默时刻敏感性d’(humor)分[(0.47±0.42)分]均低于正常组[分别为(3.56 ±0.57)分, (3.68±1.19)次, (1.11±0.46)分, P<0.01];患者组ToM-PST总分[(39.89±12.33)分]低于正常组[(58.76±0.64)分, P<0.01]。相关分析显示, d’(humor)分与阳性与阴性症状量表(PANSS)总分(r=-0.380, P<0.01)呈负相关。患者组非幽默图片等级总分与ToM-PST总分(r=-0.316, P<0.05)呈负相关, d’(humor)分与ToM-PST总分(r=0.400, P<0.01)呈正相关。控制PANSS总分后, 患者组d’(humor)分与ToM-PST总分相关性仍具有统计学意义。结论精神分裂症患者幽默体验能力较差, 这种幽默体验缺陷与患者心理理论损害存在关联, 提示幽默体验与心理理论之间可能存在共同的神经心理基础。

引用

共 20 条

[1]

Theory of mind and the social brain: implications for understanding the genetic basis of schizophrenia [J].

Martin, A. K. ;

Robinson, G. ;

Dzafic, I. ;

Reutens, D. ;

Mowry, B. .

GENES BRAIN AND BEHAVIOR, 2014, 13 (01) :104-117

[2]

Theory of mind and its relevance in schizophrenia [J].

Biedermann, Falko ;

Frajo-Apor, Beatrice ;

Hofer, Alex .

CURRENT OPINION IN PSYCHIATRY, 2012, 25 (02) :71-75

[3]

Neural Correlates of Humor Detection and Appreciation in Children [J].

Neely, Michelle N. ;

Walter, Elizabeth ;

Black, Jessica M. ;

Reiss, Allan L. .

JOURNAL OF NEUROSCIENCE, 2012, 32 (05) :1784-1790

[4]

The reward of a good joke: neural correlates of viewing dynamic displays of stand-up comedy [J].

Franklin, Robert G., Jr. ;

Adams, Reginald B., Jr. .

COGNITIVE AFFECTIVE & BEHAVIORAL NEUROSCIENCE, 2011, 11 (04) :508-515

[5]

Perception of other people’s mental states affects humor in social anxiety.[J].Andrea C. Samson;Helmut Karl Lackner;Elisabeth M. Weiss;Ilona Papousek.Journal of Behavior Therapy and Experimental Psychiatry.2011, 1

[6]

An fMRI study of "theory of mind" in at-risk states of psychosis: Comparison with manifest schizophrenia and healthy controls [J].

Bruene, Martin ;

Oezguerdal, Seza ;

Ansorge, Nina ;

von Reventlow, Heinrich Graf ;

Peters, Soeren ;

Nicolas, Volkmar ;

Tegenthoff, Martin ;

Juckel, Georg ;

Lissek, Silke .

NEUROIMAGE, 2011, 55 (01) :329-337

[7]

The Use of Humor in Serious Mental Illness: A Review.[J].Marc Gelkopf.Evidence-Based Complementary and Alternative Medicine.2011,

[8]

Social skills and behavioral problems in schizophrenia: The role of mental state attribution; neurocognition and clinical symptomatology.[J].Martin Brüne;Daniela Schaub;Georg Juckel;Robyn Langdon.Psychiatry Research.2010, 1

[9]

Humour appreciation and comprehension in children with intellectual disability.[J].JamesDegabriele;Irene P.Walsh.Journal of Intellectual Disability Research.2010, 6

[10]

Theory of Mind in first-episode schizophrenia patients: Correlations with cognition and personality traits.[J].Katja Koelkebeck;Anya Pedersen;Thomas Suslow;Kerstin Annika Kueppers;Volker Arolt;Patricia Ohrmann.Schizophrenia Research.2009, 1

← 1 2 →