不同程度述情障碍的抑郁障碍患者面孔识别情况分析.pdfVIP

江医学2012年第34 卷第3 期 荫临床研究 不同程度述情障碍的抑郁障碍 患者面孔识别情况分析 付晔 沈春芳 何金彩 【摘要 】 目的 研究不同程度述情障碍的抑郁障碍患者面孔识别情况的差异。 方法 以面部表情图片为实验材料，由 30 例抑郁障碍患者(其中高述情障碍组 15 例，低述情障碍组 15 例)完成面部表情和面孔身份识别任务。 结果 述情障碍程度与 表情类型存在交互作用（P＜0 .05 ），两组患者识别正性或负性面部表情均存在统计学差异（均 P＜0 .05 ），高述情障碍组识别正、负 面部表情图片有差异（P＜0.05 ），低述情障碍组则无（P＞0.05 ）；高述情障碍组识别面孔身份（带面部表情）的正确率低于低述情障 碍组（P＜0.01 ）。 结论 不同程度述情障碍的抑郁障碍患者面孔识别存在差异，述情障碍对负性面部表情识别的正确率影响最大。 【关键词】 述情障碍 面孔识别 抑郁障碍 Alexithymia and Face recognition in patients with depressive disorder China 【Abstract 】 Objective To compare differences of face recognition in depressive disorder patients with different levels of alexithymia. Methods Using pictures of face emotional expression as experimental materials, 30 depressive disorder patients, in- cluding 15 with high alexithymia and 15 with low alexithymia, completed tests of facial expression and facial identity recognition. Results The degree of alexithymia and different facial expression types were interacted with each other (P 0.05). Two groups had significant difference(P 0.05) in identification of positive or negative facial expressions. High alexithymia group had significant difference (P 0.05) in identification positive and negative facial expression images, but low alexithymia group had no significant differences(P ＞0.05). High alexithymia group had lower accurate rate of recognizing face identity (with facial expressions) than low alexithymia group (P 0.0 1). Conclusion Different levels of alexithymia in patients with depressive disorder has differences in recognition of facial expression, and alexithymia has great impact on accurate rate of recognizing negative facial expression. 【Key words 】 Alexithymia Facial identity Depressive disorder 述情障碍（alexithymia）以患者不能识别和描述情 1