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归因风格与症状作为精神分裂症社会功能的预测因素

Attributional style and symptoms as predictors of social function in schizophrenia.

作者信息

Lysaker Paul H, Lancaster Rebecca S, Nees Michael A, Davis Louanne W

机构信息

Roudebush VA Medical Center, Indiana University School of Medicine, Indianapolis, IN 46202, USA.

出版信息

J Rehabil Res Dev. 2004 Mar;41(2):225-32. doi: 10.1682/jrrd.2004.02.0225.

Abstract

While the attributions of people with schizophrenia have been hypothesized to play a role in determining social behavior, contradictory predictions can be made about exactly what type of attributions contribute to social dysfunction. One possibility is that attributing undesirable events to internal, stable, and global factors might lead to poorer social function. An alternate possibility is that attributing events in general to internal, stable, and global factors might lead to better social function. As a test of these hypotheses, 40 participants in a post-acute phase of schizophrenia were administered the Attributional Style Questionnaire, the Positive and Negative Syndrome Scale, and the Quality of Life Scale. Stepwise multiple regressions controlling for age and education indicated that a lack of negative symptoms and the tendency to make stable attributions for life events in general predicted more frequent social contacts, a higher quality of social interaction, and better community participation on the Quality of Life Scale. Results suggest that the tendency to see life events as the result of unstable or unpredictable causes is associated with social dysfunction independent of symptom level.

摘要

虽然已有假设认为精神分裂症患者的归因方式在决定社会行为方面发挥作用,但对于究竟何种类型的归因会导致社会功能障碍,却可以做出相互矛盾的预测。一种可能性是,将不良事件归因于内在、稳定和普遍的因素可能会导致较差的社会功能。另一种可能性是,总体上将事件归因于内在、稳定和普遍的因素可能会导致更好的社会功能。作为对这些假设的检验,对40名处于精神分裂症急性后期的参与者进行了归因方式问卷、阳性和阴性症状量表以及生活质量量表的测试。控制年龄和教育程度的逐步多元回归分析表明,缺乏阴性症状以及总体上对生活事件做出稳定归因的倾向预示着更频繁的社会交往、更高质量的社会互动以及在生活质量量表上更好的社区参与度。结果表明,将生活事件视为不稳定或不可预测原因所致的倾向与独立于症状水平的社会功能障碍相关。

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