Correlation Analysis Of Emotional Recognition Defects,Alexithymia And Symptom Severity In First-Episode Schizophrenia Patients

Objective:1.To investigate whether there is a defect in the first-degree schizophrenia patients and first-degree relatives with alexithymia and facial emotion recognition.2.To explore the correlation between the patients' situational disorder,facial recognition defects and the severity of mental symptoms.Methods:From June 2017 to December 2018,the outpatients who were diagnosed with untreated schizophrenia and their first-degree relatives were selected as study group and family group,and normal people were randomly recruited as a control group.The study evaluated the alexithymia and facial emotion recognition of the three groups through the Affective Disorder Rating Scale and Eye Movement Analyzer;And the study group was assessed for the severity of psychiatric symptoms using a negative and positive symptom scale.Data were collected and correlation analysis was used to explore the association of the study group with the severity of mental symptoms in terms of alexithymia and facial recognition defects.Results:1.In the scores of the alexithymia scales,the scores of factor I and factor II were higher than those of the other two groups(P<0.05).The factor IV scores were not different from the family group,but higher than the normal group scores.Statistically significant(P < 0.05).The scores of factor I and factor IV in the family group were higher than those in the normal group,and the results were statistically significant(P<0.05).There was no statistical significance between the factor II score and the normal group.The factor III score of the patient group was lower than that of the normal group and the family group.The results were statistically significant(P <0.05).2.The scores of the correct scores of facial emotion recognition were lower than those of the normal group,and the results were statistically significant(P<0.05).The correct scores of the family group were lower than the normal group,and the resultswere statistically significant(P<0.05).The correct scores of the study group Below the family group,the results were not statistically significant(P>0.05).3.In the study group,family group and normal control group,the gaze time of the study group was significantly longer than that of the family group and the normal group.The gaze time of the positive target was shorter than that of the normal group.The results were statistically significant(P<0.05);the gaze time of the negative group was longer than that of the patient group,and the results were statistically significant(P<0.05).There was no difference in the gaze time of the three groups for the neutral target.4.The facial emotion recognition scores of the study group were negatively correlated with the positive symptoms and the severity of negative symptoms.The results were statistically significant(P<0.05);positive target gaze time,negative target gaze time and neutral target gaze time.There is no linear correlation with the severity of the symptoms.Conclusion:1.The first-episode schizophrenia patients and first-degree relatives have alexithymia,which is mainly manifested in the inability to correctly describe and express the feelings of others and themselves.2.The first schizophrenia patients and first-degree relatives have facial emotion recognition defects,mainly reflected in the inability to correctly identify and identify the decline in efficiency.3.There is a correlation between the severity of mental symptoms in patients with first-degree schizophrenia,and the more severe the symptoms,the more serious the expression recognition disorder.