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认知偏差和人格变量在亚临床妄想观念中的作用。

The role of cognitive biases and personality variables in subclinical delusional ideation.

作者信息

Menon Mahesh, Quilty Lena Catherine, Zawadzki John Anthony, Woodward Todd Stephen, Sokolowski Helen Moriah, Boon Heather Shirley, Wong Albert Hung Choy

机构信息

Schizophrenia Program and Research Imaging Centre, Centre for Addiction & Mental Health, Toronto, Canada.

出版信息

Cogn Neuropsychiatry. 2013 May;18(3):208-18. doi: 10.1080/13546805.2012.692873. Epub 2012 Jul 4.

Abstract

INTRODUCTION

A number of cognitive biases, most notably a data gathering bias characterised by "jumping to conclusions" (JTC), and the "bias against disconfirmatory evidence" (BADE), have been shown to be associated with delusions and subclinical delusional ideation. Certain personality variables, particularly "openness to experience", are thought to be associated with schizotypy.

METHODS

Using structural equation modelling, we examined the association between two higher order subfactors ("aspects") of "openness to experience" (labelled "openness" and "intellect"), these cognitive biases, and their relationship to subclinical delusional ideation in 121 healthy, nonpsychiatric controls.

RESULTS

Our results suggest that cognitive biases (specifically the data gathering bias and BADE) and the "openness" aspect are independently associated with subclinical delusional ideation, and the data gathering bias is weakly associated with "positive schizotypy". "Intellect" is negatively associated with delusional ideation and might play a potential protective role.

CONCLUSIONS

Cognitive biases and personality are likely to be independent risk factors for the development of delusions.

摘要

引言

已证明,一些认知偏差,尤其是以“急于下结论”(JTC)为特征的数据收集偏差以及“对反证的偏差”(BADE),与妄想及亚临床妄想观念有关。某些人格变量,特别是“经验开放性”,被认为与精神分裂症型人格有关。

方法

我们采用结构方程模型,在121名健康的非精神科对照者中,研究了“经验开放性”的两个高阶子因素(标记为“开放性”和“智力”)、这些认知偏差之间的关联,以及它们与亚临床妄想观念的关系。

结果

我们的结果表明,认知偏差(特别是数据收集偏差和BADE)以及“开放性”因素与亚临床妄想观念独立相关,数据收集偏差与“阳性精神分裂症型人格”弱相关。“智力”与妄想观念呈负相关,可能起到潜在的保护作用。

结论

认知偏差和人格可能是妄想形成的独立危险因素。

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