Objective: To explore the self-face recognition abilities and its relationship to self-acceptance, self-efficacy and self-esteem of schizophrenia patients. Method: Sixty-two schizophrenic patients without treatment and fifty-four healthy subjects were assessed using self-face recognition task (SFRT) , self-acceptance questionnaire ( SAQ ) , general self-efficacy scale (GSES) and, self-esteem scale (SES). Results: Schizophrenic patients showed increased reaction time[ (2189±1138)msvs (1152±326)ms,Z=-6.86,P < 0.001] and lower accuracy [(81 ±16)% vs (88±6)%,Z=-2. 82,P <0. 01 ] in self-face recognition task compared with normal controls. Compared with healthy subjects,schizophrenic patients showed significantly lower total scores of SAQ [(43.19 ±5. 61) vs (38. 37 ±7. 25),Z= -3.42,P <0.01 ] ,SES[ (23. 33 ±4.44) vs (21.21 ±5.22) ,Z= -2.13,P<0.05] and GSES [(24.41 ±4.83) vs (22. 27 ±5. 98) ,Z = -2.29,P< 0. 05 ]. Correlation analysis showed a negative correlation between the reaction time of SFRT and the total scores of SES (r= -0. 430,P<0.01) ,GSES(r= -0. 396, P< 0.01) , while a positive correlation between the accuracy for self-face recognition in SFRT and the total scores of SAQ(r=0. 367,P<0.01) ,self-acceptance factor (r = 0. 298,P < 0.05 ) , self-evaluation factor( r = 0. 266,P < 0. 05). Conclusion: Schizophrenic patients had impairments of self-face recognition abilities and lower level of self-acceptance, self-esteem and self-efficacy than normal persons.%目的:探讨精神分裂症患者自我面孔识别能力及其与自我接纳、自我效能及自尊的关系.方法:采用自我面孔识别任务(SFRT)对62例精神分裂症患者(患者组)进行测试,并与54名健康者(正常对照组)作比较,同时采用自我接纳问卷(SAQ)、一般自我效能感量表(GSES)和罗森伯格自尊量表(SES)作评估. 结果:患者组SFRT平均反应时(2189±1138) ms明显长于对照组(1152±326)ms(Z=-6.86,P＜0.001),正确率(81±16)％低于对照组(88±6)％(Z=-2.82,P＜0.01).患者组SAQ评分平均(38.37±7.25)分低于对照组(43.19±5.61)分(Z=-3.42,P＜0.01)；SES评分平均(21.21±5.22)分低于对照组(23.33±4.44)分(Z=-2.13,P＜0.05)；GSES评分平均(22.27±5.98)分低于对照组(24.41 ±4.83)分(Z=-2.29,P＜0.05).相关分析显示,患者组SFRT平均反应时与SES得分(r=-0.430)、GSES得分(r=-0.396)均呈负相关(P均＜0.01)；SFRT正确率与SAQ总分(r=0.367)、自我接纳因子分(r=0.298)、自我评价因子分(r=0.266)均呈正相关(P＜0.05或P＜0.01).结论:精神分裂症患者存在自我面孔识别能力的缺损,自我接纳、自尊水平及自我效能均低于正常人.
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