Gaweda Łukasz, Holas Paweł, Kokoszka Andrzej
II Klinika Psychiatryczna WUM, Warszawa.
Psychiatr Pol. 2012 Nov-Dec;46(6):933-49.
This study focuses on the relationship between dysfunctional meta-cognitive beliefs, depression, anxiety and self-esteem and hallucinatory-like experiences among healthy subjects.
198 participants (149 women), mostly recruited from universities, took part in the study. Hallucinatory-like experiences were assessed with the Polish version of the Revised Hallucinations Scale (RHS). Based on two sub-scales of RHS that measure visual and auditory hallucinatory-like experiences, two groups were divided: 1--participants with no auditory and visual hallucinatory-like experiences (n = 35) and 2--participants with high frequent hallucinatory-like experiences (n = 40). Meta-cognitive beliefs were assessed with the Metacognitions Questionnaire. Beck Depression Inventory (BDI), State and Trait Anxiety Inventory (STAI) and Rosenberg Self-Esteem Scale (R-SES) were used for emotional processes assessment. Further correlations between meta-cognitive beliefs, hallucinatory-like experiences and emotional processes were calculated.
Persons with frequent hallucinatory-like experiences tend to exhibit higher dysfunctional meta-cognitive beliefs in comparison to those who had no psychotic-like experiences. Moreover, those who had more frequent hallucinatory-like experiences revealed subclinical depression, were more anxious and exhibit lower level of self-esteem. Besides a total score in the RHS scale, dissociative experiences and auditory and visual perceptual alternations were found to be related to more dysfunctional meta-cognitive beliefs.
Hallucinatory-like experiences among healthy subjects are related to dysfunctional meta-cognitive beliefs. In addition, hallucination-like experiences were found to be linked to emotional dysfunctions, which implies that psychotic-like experiences observed in healthy persons may be of clinical interest.
本研究聚焦于健康受试者中功能失调的元认知信念、抑郁、焦虑、自尊与类幻觉体验之间的关系。
198名参与者(149名女性)大多从大学招募而来,参与了本研究。使用波兰语版修订幻觉量表(RHS)评估类幻觉体验。基于RHS量表中测量视觉和听觉类幻觉体验的两个子量表,将参与者分为两组:1组为无听觉和视觉类幻觉体验的参与者(n = 35),2组为高频类幻觉体验的参与者(n = 40)。使用元认知问卷评估元认知信念。采用贝克抑郁量表(BDI)、状态-特质焦虑量表(STAI)和罗森伯格自尊量表(R-SES)评估情绪过程。计算元认知信念、类幻觉体验与情绪过程之间的进一步相关性。
与无精神病样体验的人相比,高频类幻觉体验的人往往表现出更高的功能失调元认知信念。此外,那些有更频繁类幻觉体验的人表现出亚临床抑郁,更焦虑且自尊水平更低。除了RHS量表的总分外,解离体验以及听觉和视觉感知改变与更多功能失调的元认知信念有关。
健康受试者中的类幻觉体验与功能失调的元认知信念有关。此外,发现类幻觉体验与情绪功能障碍有关,这意味着在健康人身上观察到的精神病样体验可能具有临床意义。