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社交快感缺失中分裂样人格障碍和分裂型人格障碍的行为迹象。

Behavioral signs of schizoidia and schizotypy in social anhedonics.

作者信息

Collins Lindsay M, Blanchard Jack J, Biondo Kara M

机构信息

Department of Psychology, Biology-Psychology Building, University of Maryland, College Park, MD 20742-4411, USA.

出版信息

Schizophr Res. 2005 Oct 15;78(2-3):309-22. doi: 10.1016/j.schres.2005.04.021.

Abstract

Social anhedonia appears to be a promising indicator of Meehl's construct of schizotypy. While findings from diagnostic, cognitive, and psychophysiological studies have supported the validity of social anhedonia as an indicator of schizotypy, the behavioral characteristics of these putative schizotypes are not yet fully understood. This study utilized a rating system for behavioral signs of schizoidia and schizotypy to determine whether atypical interpersonal behaviors were observable in social anhedonics and to examine if these behavioral signs provide unique information, beyond traditional symptom ratings, in the identification of putative schizotypes. A community sample of 170 18-19-year-olds (85 social anhedonics, 85 controls) received diagnostic evaluations which were videotaped and subsequently rated for behavioral signs of schizoidia and schizotypy. Compared to controls, the social anhedonia group displayed significantly more behavioral signs characteristic of schizoid and schizotypal personality disorders. Behavioral signs of schizoidia accounted for a significant amount of group variance even after controlling for clinical symptom ratings. These results indicate that social anhedonics display interpersonal behaviors consistent with risk for schizophrenia-spectrum disorders and that these behavioral signs convey information about group status that is not accounted for by traditional clinical interview ratings of symptomatology.

摘要

社交快感缺乏似乎是米尔精神分裂症型人格特质结构的一个很有前景的指标。虽然诊断、认知和心理生理学研究的结果支持社交快感缺乏作为精神分裂症型人格特质指标的有效性,但这些假定的精神分裂症型人格特质的行为特征尚未完全被理解。本研究采用了一种针对类精神分裂症和精神分裂症型人格特质行为迹象的评分系统,以确定在社交快感缺乏者中是否能观察到非典型人际行为,并检验这些行为迹象在识别假定的精神分裂症型人格特质时,除了传统症状评分之外,是否能提供独特信息。一个由170名18 - 19岁青少年组成的社区样本(其中85名社交快感缺乏者,85名对照组)接受了诊断评估,评估过程被录像,随后对类精神分裂症和精神分裂症型人格特质的行为迹象进行评分。与对照组相比,社交快感缺乏组表现出明显更多的类精神分裂症和精神分裂症型人格障碍特有的行为迹象。即使在控制了临床症状评分之后,类精神分裂症的行为迹象仍占显著的组间差异。这些结果表明,社交快感缺乏者表现出与精神分裂症谱系障碍风险一致的人际行为,并且这些行为迹象传达了关于群体状态的信息,而这些信息是传统临床访谈症状评分所无法解释的。

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