Verdoux Hélène, Husky Mathilde, Tournier Marie, Sorbara Frédéric, Swendsen Joel D
Hôpital Charles Perrens, 121 rue de la Béchade, 33076, Bordeaux Cedex, France.
Soc Psychiatry Psychiatr Epidemiol. 2003 Nov;38(11):654-61. doi: 10.1007/s00127-003-0702-8.
If impairment in social cognition is an important feature of psychosis, characteristics of the social environment may influence the occurrence of psychotic symptoms. The aim of this study was to explore in a non-clinical population whether specific social environments modify the expression of psychotic symptoms in daily life.
The Experience Sampling Method was used to collect information on characteristics of the social company and of the daily life psychotic experiences of a sample of 79 students. The level of psychotic symptoms was measured using the Mini International Neuropsychiatric Interview (MINI).
Subjects with MINI psychosis criteria were at increased risk of experiencing unusual perceptions in the presence of non-familiar individuals, and at lower risk of experiencing strange impressions in the presence of family members or friends. Dynamic changes in the social company rather than the social company per se drive variation of psychotic experiences in daily life.
The data suggest that the earliest stages of expression of psychosis vulnerability are driven by subtle person-environment interactions in the stream of daily life.
如果社会认知障碍是精神病的一个重要特征，那么社会环境的特征可能会影响精神病症状的发生。本研究的目的是在非临床人群中探索特定的社会环境是否会改变日常生活中精神病症状的表现。
采用经验取样法收集了79名学生样本的社交陪伴特征和日常生活中精神病体验的信息。使用迷你国际神经精神病学访谈（MINI）测量精神病症状水平。
符合MINI精神病标准的受试者在与不熟悉的人在一起时经历异常感知的风险增加，而在与家人或朋友在一起时经历奇怪印象的风险较低。社交陪伴的动态变化而非社交陪伴本身驱动了日常生活中精神病体验的变化。
数据表明，精神病易感性表达的最早阶段是由日常生活流中微妙的人与环境相互作用驱动的。
