目的 研究精神分裂症患者的疼痛共情能力。方法选取42例精神分裂症患者和42例对照者,采用中文版人际反应指针量表(IRI-C)以及疼痛共情范式比较两组共情特质和疼痛共情能力。结果 在IRI-C上,患者组观点采择、想象力、同情性关心及IRI-C总分均低于对照组,患者组判断疼痛图片的正确率低于对照组,判断疼痛和中性图片的反应时长于对照组,对疼痛图片评级得分低于对照组;患者组想象力、IRI-C总分与对疼痛评级呈正相关性;疼痛判断任务的正确率与阴性症状得分呈负相关性、与IRI-C总分呈正相关性。结论 精神分裂症患者的疼痛共情能力存在缺陷。
Objective To study the capability of empathy for pain in schizophrenia. Methods 42 schizophrenia patients and 42 healthy controls were recruited; Chinese version of interpersonal reactivity index(IRI-C) and empathy for pain paradigm were used to measure empathy trait and the capability of empathy for pain. Results In IRI- C, schizophrenia patients showed lower scores in factors of perspective taking, fantasy, empathy concern and the total points of IRI-C. Accuracy of painful pictures was significantly lower in patients. The correct reaction time for both painful and neutral pictures were significantly longer in patients ; score of rating the pain pictures was signifi- cantly lower in patients. Scores in factor of fantasy and the total points of IRI-C were positively correlated with score of rating the pain pictures. Accuracy of painful pictures was negatively correlated with Negative symptoms score and positively correlated with the total points of IRI-C. Conclusion Schizophrenia patients have deficit in the capability of empathy for pain.