中国临床心理学杂志

精神分裂症患者自我怜悯水平及其与快感缺失间的关系

作者：高艳平¹ 董毅¹ 2 耿峰² 朱道民² 岳君思¹ 谢思思² 穆菁菁² 谢军² 高莉玲² 方文梅² 汪凯¹

单位：1. 安徽医科大学医学心理学系合肥 230032
2. 安徽省精神卫生中心合肥 230032

分类号：R395.2

出版年,卷(期):页码：2016,24(5):819-822

摘要：

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 schizophrenic 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 Chinese 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 subjects. 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: Patients with schizophrenia have self-compassive deficits, which may contribute to the anhedonia, one of the most prominent negative symptoms in this disorder.

基金项目：

国家自然科学基金（项目编号：31571149）；合肥市科研计划自筹项目（项目编号：JZ201512250015）

作者简介：

参考文献：

1 Neff KD. The Development and Validation of a Scale to Measure Self-compassion. Self and Identity, 2003, 2:223-250
2 Bluth K, Blanton PW. Mindfulness and self-compassion:Exploring pathways to adolescent emotional well-being. Journal of Child and Family Studies, 2014, 23(7):1298-1309
3 Bluth K, Blanton PW. The influence of self-compassion on emotional well-being among early and older adolescent males and females. J Posit Psychol, 2015, 10(3):219-230
4 Heffernan M, Quinn Griffin MT, Sister Rita McNulty, et al. Self-compassion and emotional intelligence in nurses. International Journal of Nursing Practice, 2010,16(4):366-373
5 Leary MR, Tate EB, Adams CE, et al. Self-compassion and reactions to unpleasant self-relevant events:the implications of treating oneself kindly. Journal of Personality and Social Psychology, 2007, 92(5):887-904
6 Arimitsu K, Hofmann SG. Cognitions as mediators in the relationship between self-compassion and affect. Personality and Individual Differences, 2015, 74:41-48
7 Olson K, Kemper KJ, Mahan JD. What factors promote resilience and protect against burnout in first-year pediatric and medicine-pediatric residents? J Evid Based Complementary Altern Med, 2015, 20(3):192-198
8 Breines JG,Chen S. Self-compassion increases self-improvement motivation. Personality and Social Psychology Bulletin, 2012, 38(9):1133-1143
9 Liss M, Erchull MJ. Not hating what you see:Self-compassion may protect against negative mental health variables connected to self-objectification in college women. Body Image, 2015, 14:5-12
10 Krieger T, Altenstein D, Baettig I, et al. Self-compassion in depression:Associations with depressive symptoms, rumination, and avoidance in depressed outpatients. Behavior Therapy, 2013,44(3):501-513
11 Zeller M, Yuval K, Nitzan-Assayag Y, et al. Self-compassion in recovery following potentially traumatic stress:Longitudinal study of at-risk youth. Journal of Abnormal Child Psychology, 2015, 43(4):645-653
12 Myin-Germeys I, Delespaul PA, deVries MW. Schizophrenia Patients Are More Emotionally Active Than Is Assumed Based on Their Behavior. Schizophrenia Bulletin, 2000, 26(4):847-854
13 Juckel G, Sass L, Heinz A. Anhedonia, self-experience in schizophrenia, and implications for treatment. Pharmacopsychiatry, 2003, 36(3):S176-180
14 Loas G, Noisette C, Legrand A, et al. Is anhedonia a specific dimension in chronic schizophrenia? Schizophrenia Bulletin, 2000, 26(2):495-506
15 Strauss GP, Gold JM. A new perspective on anhedonia in schizophrenia. The American Journal of Psychiatry, 2012, 169(4):364-373
16 Chan RC, Wang Y, Yan C, et al. A study of trait anhedonia in non-clinical Chinese samples:Evidence from the Chapman Scales for Physical and Social Anhedonia. PLoS One, 2012, 7(4):e34275
17 Cohen AS, Couture SM, Blanchard JJ. Neuropsychological functioning and social anhedonia:Three-year follow-up data from a longitudinal community high risk study. Journal Psychiatry Research, 2012, 46(7):898-904
18 Fertout E, Scoury D, Lefebvre O, et al. Anhedonia in Kraepelinian schizophrenia:a preliminary study. Psychological Reports, 2012, 111(3):755-760
19 Eicher AC, Davis LW, Lysaker PH. Self-Compassion:a novel link with symptoms in schizophrenia? The Journal of Nervous and Mental Disease, 2013, 201(5):389-393
20 陈健,燕良轼,周丽华. 中文版自悯量表的信效度研究. 中国临床心理学杂志,2011,19(6):734-736
21 马玉婷,董毅,汪凯,等. 中文版修订社会快感缺失量表的信效度. 中华行为医学与脑科学杂志,2014,23(5):466-468
22 赵菁,董毅,汪凯,等. 中文版修订躯体快感缺失量表的信度和效度. 中国健康心理学杂志,2014,22(4):524-526
23 郑洪波,郑延平. 抑郁自评问卷(BDI)在抑郁患者中的应用. 中国神经精神疾病杂志,1987,4:236-237
24 Dowd EC, Barch DM. Anhedonia and emotional experience in schizophrenia:Neural and behavioral indicators. Biological Psychiatry, 2010, 67(10):902-911
25 Segarra N, Metastasio A, Ziauddeen H, et al. Abnormal Frontostriatal Activity During Unexpected Reward Receipt in Depression and Schizophrenia:Relationship to Anhedonia. Neuropsychopharmacology, 2015, 28. doi:10.1038/npp. 2015. 370
26 Wang J, Huang J, Yang XH, et al. Anhedonia in schizophrenia:Deficits in both motivation and hedonic capacity. Schizophrenia Research, 2015, 168(1-2):465-474
27 Ferenczi EA, Zalocusky KA, Liston C, et al. Prefrontal cortical regulation of brainwide circuit dynamics and rewardrelated behavior. Science, 2016, 351(6268):aac9698

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