López-Ilundain J M, Pérez-Nievas E, Otero M, Mata I
Fundación Argibide, Pamplona, Navarra, Spain.
Actas Esp Psiquiatr. 2006 Mar-Apr;34(2):94-104.
Several lines of evidence suggest the existence of a continuum on psychotic symptoms, including delusions. Moreover, several studies have reported differences regarding prevalence and intensity of these symptoms in relation to age, gender and educational level. This study tries to analyze distribution and dimensionality of delusional ideation in the general population, as well as relationship between gender, age and educational level with the prevalence of these symptoms.
We used the 21-item Peters. Delusions Inventory (PDI-21) on a general population sample as our measure of delusional ideation. A factor analysis was carried out to determine the dimensionality of delusional ideation. Next, linear regression analyses were performed to analyze the relationship of age, gender and educational level with the different dimensions.
365 subjects completed the inventory. Factor analysis revealed the presence of 7 easily interpretable factors. Five of these factors were negatively correlated with age. Women had higher scores on the "magical thinking" factor. Finally, lower educational level was correlated with higher scores on those factors of "magical thinking" and "experiences of influence".
It appears that the PDI-21 is a useful instrument to measure dimensionality of delusional ideation in Spanish general population. Results of the influence of gender, age and educational level are in agreement with those reported in psychosis samples, supporting the existence of a continuum in psychoses.
多项证据表明,包括妄想在内的精神病性症状存在连续性。此外,多项研究报告了这些症状在患病率和强度方面与年龄、性别及教育水平的差异。本研究旨在分析普通人群中妄想观念的分布和维度,以及性别、年龄和教育水平与这些症状患病率之间的关系。
我们使用21项彼得斯妄想量表(PDI - 21)对普通人群样本进行测量,以此作为妄想观念的衡量指标。进行因子分析以确定妄想观念的维度。接下来,进行线性回归分析以分析年龄、性别和教育水平与不同维度之间的关系。
365名受试者完成了该量表。因子分析揭示了7个易于解释的因子的存在。其中5个因子与年龄呈负相关。女性在“神奇思维”因子上得分更高。最后,教育水平较低与“神奇思维”和“被影响体验”因子得分较高相关。
看来PDI - 21是测量西班牙普通人群中妄想观念维度的有用工具。性别、年龄和教育水平的影响结果与精神病样本中报告的结果一致,支持了精神病存在连续性的观点。