【摘要】 目的:探讨精神分裂症患者快感缺失与成人依恋的关系。方法:采用中文版修订社会快感缺失量表(RSAS-C)、中文版修订躯体快感缺失量表(RPAS-C)和亲密关系经历量表(ECR),对74例精神分裂症患者和169例正常人进行评估,分析两组快感缺失得分的差异,以及精神分裂症组快感缺失与成人依恋风格的关系。结果:精神分裂症组RSAS-C评分(11.85±6.75)、RPAS-C评分(16.86±9.61)均显著高于正常组(分别为8.59±5.09、14.07±6.88),差异有统计学意义(P<0.01)。精神分裂症组RPAS-C得分、RSAS-C得分与阳性与阴性症状量表(PANSS)中阴性症状分均呈正相关(分别为r=0.318,P<0.01;r=0.239,P<0.05);精神分裂症患者RSAS-C得分与依恋焦虑、依恋回避之间均呈正相关(分别为r=0.291,P<0.01;r=0.497,P<0.01),RPAS-C得分与依恋回避呈正相关(r=0.537,P<0.01),而与依恋焦虑无明显的相关性。结论:精神分裂症组快感缺失程度高于正常组,与不安全的成人依恋特征即依恋焦虑、依恋回避之间存在明显的相关性。更多还原

【Abstract】 Objective: To explore the relationship among Anhedonia,anxious attachment and avoidant attachment in patients with schizophrenia. Methods: 74 schizophrenic patients and 169 healthy subjects were investigated.The investigation was carried out with Revised Social Anhedonia Scale- Chinese Version( RSAS- C),Revised Physical Anhedonia Scale-Chinese Version( RPAS-C) and Experiences in Close Relationship Inventory( ECR).Results: In the patients group,the RSAS- C score( 11. 85 ± 6. 75),RPAS- C score( 16. 86 ± 9. 61) were significantly higher than those in the control group( 8. 59 ± 5. 09,14. 07 ± 6. 88,respectively)( P < 0. 01).Correlation analysis showed that in the patients group,the RPAS-C score and RSAS-C score were significantly positively correlated with negative Score of PANSS( r = 0. 318,P < 0. 01 and r = 0. 239,P < 0. 05). The RSAS-C score was significantly positively correlated with attachment anxiety( r = 0. 291,P < 0. 05),attachment avoidance( r = 0. 497,P < 0. 01) in schizophrenia patients,the RPAS-C score was also significantly positively correlated with attachment avoidance( r = 0. 537,P < 0. 01), but had no significantly correlated with attachment anxiety.Conclusion: Anhedonia is related to attachment anxiety,attachment avoidance in schizophrenia patients.更多还原