Emotional Recognition of Musical-Auditory and Artful-Visual Stimuli in Patients with Chronic Schizophrenia

So-Young Kim; Seung-Ho Jang; Jung Wan Hong; Hye-Jin Lee; Sang-Yeol Lee

doi:10.4306/jknpa.2016.55.4.415

Journal List > J Korean Neuropsychiatr Assoc > v.55(4) > 1017825

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Kim, Jang, Hong, Lee, and Lee: Emotional Recognition of Musical-Auditory and Artful-Visual Stimuli in Patients with Chronic Schizophrenia

Original Article

Journal of Korean Neuropsychiatric Association 2016; 55(4): 415-424.

Published online: 30 November 2016

DOI: https://doi.org/10.4306/jknpa.2016.55.4.415

Emotional Recognition of Musical-Auditory and Artful-Visual Stimuli in Patients with Chronic Schizophrenia

So-Young Kim, MA¹, Seung-Ho Jang, MD², Jung Wan Hong, MD³, Hye-Jin Lee, PhD¹, Sang-Yeol Lee, MD, PhD²

¹Faculty of Public Health, Wonkwang University Graduate School, Iksan, Korea.

²Department of Psychiatry, School of Medicine, Wonkwang University, Iksan, Korea.

³Department of Psychiatry, Iksan Hospital, Iksan, Korea.

Address for correspondence: Sang-Yeol Lee, MD, PhD. Department of Psychiatry, School of Medicine, Wonkwang University, 895 Muwang-ro, Iksan 54538, Korea. Tel +82-63-859-1044, Fax +82-63-859-1040, sangyeol@wku.ac.kr

Received 12 September 2016 Revised 26 October 2016 Accepted 31 October 2016

Abstract

Objectives

OThis study aimed to explore the difference in emotional recognition of musical auditory stimulation and art-related visual stimulation between subjects with and without schizophrenia.

Methods

Twenty songs and 20 paintings that evoke sad or cheerful emotions were presented to 123 patients with schizophrenia and 224 non-schizophrenic people (control group). All subjects were asked to describe the emotions they felt during each auditory stimulation and each visual stimulation. To measure the emotional responses, the Emotional Empathy Scale was used. For members of the patient group, the levels of psychopathology and thought-related disorder were evaluated by using the Positive and Negative Syndrome Scale and the Formal Thought Disorder Rating Scale, respectively.

Results

The rate of correct answers to musical auditory stimulation in the schizophrenia patient group was significantly lower than that in the control group. In addition, the rate of correct answers to the art visual stimulation in the patient group was significantly lower than that in the control group. Moreover, the patient group showed lower emotional empathic ability than that shown by the control group. In the patient group, the correct answer rates to the musical and art stimulations were negatively correlated with the Formal Thought Disorder Rating Scale.

Conclusion

Patients with schizophrenia have difficulty in achieving accurate emotional recognition of auditory and visual stimulations. This difficulty is associated with the lowered empathic ability and altered thinking disorder of patients with schizophrenia.

Keywords: Schizophrenia, Emotional recognition, Empathy, Thought disorder, Integrated arts therapy

Figures and Tables

Fig. 1

The list of image.

Table 1

The list of music

Table 2

Demographic and clinical characteristics

^* : p<0.01. M : Mean, SD : Standard deviation, EES : Emotional Empathy Scale, PANSS : Positive and Negative Symptom Scale, FTDRS : Formal Thought Disorder Rating Scale, DI : Duration of illness, GAF : Global Assessment of Functioning Scale

Table 3

Result of one-way ANCOVA adusted by education after stimulation experiment between patient and control group

^* : p<0.001

Table 4

Comaparison of correct response rate of musical auditory stimulation between patient and control group

^* : Adjusted by education level. M : Mean, SD : Standard deviation

Table 5

Comaparison of correct response rate of artful visual stimulation between patient and control group

^* : Adjusted by education level. M : Mean, SD : Standard deviation

Table 6

Correlation between variables in patients group

^* : p<0.05, ^† : p<0.01. EES : Emotional Empathy Scale, PANSS : Positive and Negative Syndrome Scale, FTDRS : Formal Thought Disorder Rating Scale, GAF : Global Assessment Function Scale, CR-MR : Correct Response Rate of Music Recognition, CR-AR : Correct Response Rate of Art Recognition

Table 7

Correlation between variables in control group

^* : p<0.01. EES : Emotional Empathy Scale, CR-MR : Correct Response Rate of Music Recognition, CR-AR : Correct Response Rate of Art Recognition

Acknowledgments

This study was supported by Wonkwang University in 2016.

Notes

^{Conflicts of Interest} The authors have no financial conflicts of interest.

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