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类似精神病或异常主观体验?亚临床精神病表型评估中确证性的作用。

Psychotic-like or unusual subjective experiences? The role of certainty in the appraisal of the subclinical psychotic phenotype.

机构信息

Department of Psychology, University of Cagliari, via Is Mirrionis 1, 09123 Cagliari, Italy.

出版信息

Psychiatry Res. 2012 Dec 30;200(2-3):669-73. doi: 10.1016/j.psychres.2012.07.014. Epub 2012 Aug 3.

DOI:10.1016/j.psychres.2012.07.014
PMID:22862912
Abstract

The multi-dimensional features of Unusual Subjective Experiences (USEs) may be more accurate indicators of psychosis-proneness than simple frequency count. We tested whether subjective certainty or uncertainty of the occurrence of USEs can influence perceived wellbeing. Five hundred and four undergraduate students completed measures of delusion- and hallucination-proneness, general health and emotional processing. Participants' responses on the delusion- and hallucination-proneness scales were dichotomized on the basis of their certainty level. Results showed that, USEs rated with certainty were associated with poor self-perceived health and difficult emotional processing, while those rated with uncertainty were not. Certainty of USEs was associated with increased distress and may be important in characterizing psychopathological significance. Specific characteristics associated with USEs may be more important than their frequency in predicting psychosis risk.

摘要

异常主观体验(USEs)的多维特征可能比简单的频率计数更能准确地预测精神病倾向。我们测试了主观确定或不确定 USEs 的发生是否会影响感知幸福感。504 名大学生完成了妄想和幻觉倾向、一般健康和情绪处理的测量。根据参与者对妄想和幻觉倾向量表的确定性水平,对他们的反应进行了二分法处理。结果表明,确定性较高的 USEs 与自我感知健康状况较差和情绪处理困难有关,而不确定性较高的 USEs 则没有。USEs 的确定性与痛苦增加有关,这在表征精神病理学意义方面可能很重要。与 USEs 相关的特定特征可能比其频率更能预测精神病风险。

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