Nederlof Angela F, Muris Peter, Hovens Johannes E
Institute of Psychology, Erasmus University Rotterdam, Rotterdam, the Netherlands.
J Nerv Ment Dis. 2011 May;199(5):342-7. doi: 10.1097/NMD.0b013e3182175167.
This cross-sectional multicenter study was carried out to examine whether the experience of threat/control-override symptoms and emotional reactions to positive symptoms (e.g., anger, anxiety) are related to aggressive behavior. Patients diagnosed with schizophrenia, delusional disorder, psychotic disorder not otherwise specified, or a schizoaffective disorder (N = 124) were interviewed and filled out self-report questionnaires. Results indicated that, in particular, threat/control-override symptoms were significantly related to aggressive behavior in psychotic patients. Further analysis revealed that the threat symptoms especially, but not the control-override symptoms, carried this effect. Anger disposition also accounted for a significant and unique proportion of the variance in the aggressive behavior of psychotic patients, whereas state anger and anxiety in reaction to positive symptoms did not. These results seem to suggest that feeling threatened by positive psychotic symptoms and anger disposition play a role in the origins of aggressive behavior of psychotic patients.
本横断面多中心研究旨在探讨威胁/控制超控症状的体验以及对阳性症状的情绪反应（如愤怒、焦虑）是否与攻击行为相关。对诊断为精神分裂症、妄想性障碍、未另行指定的精神障碍或分裂情感性障碍的患者（N = 124）进行访谈并填写自我报告问卷。结果表明，尤其是威胁/控制超控症状与精神病患者的攻击行为显著相关。进一步分析显示，特别是威胁症状而非控制超控症状产生了这种影响。愤怒倾向在精神病患者攻击行为的变异中也占显著且独特的比例，而对阳性症状的状态性愤怒和焦虑则不然。这些结果似乎表明，被阳性精神病症状威胁的感觉和愤怒倾向在精神病患者攻击行为的起源中起作用。
