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精神分裂症高危后代的心理测量偏差:I. 一个独特亚组的初步界定。

Psychometric deviance in offspring at risk for schizophrenia: I. Initial delineation of a distinct subgroup.

作者信息

Moldin S O, Gottesman I I, Erlenmeyer-Kimling L, Cornblatt B A

机构信息

Department of Psychiatry, Washington University School of Medicine, St. Louis, MO.

出版信息

Psychiatry Res. 1990 Jun;32(3):297-310. doi: 10.1016/0165-1781(90)90035-4.

Abstract

Psychometric signs from the Minnesota Multiphasic Personality Inventory (MMPI), which measure substantive disturbances in thinking, social relatedness, volition, and affective expressivity, were evaluated as possible indicators of transmissible liability specific to schizophrenia. Children of three criterion groups in the New York High-Risk Project--offspring at high risk (HR) for schizophrenia, psychiatric comparison (PC) offspring at risk for affective disorders, and normal comparison (NC) offspring not at augmented risk for psychiatric morbidity--were tested before the expression of schizophrenic psychopathology, when the subjects ranged in age from 13 to 26 years. The rate of psychometric deviance in the HR group (23%) was significantly higher than that in either the PC (7%) or NC (2%) groups, and profile analyses showed that the HR subgroup could be delineated by qualitative distinctions in personality functioning. Our results support the utility of MMPI indicators in etiologic investigations of schizophrenia.

摘要

明尼苏达多相人格问卷(MMPI)中的心理测量指标可测量思维、社会关系、意志和情感表达方面的实质性障碍,被评估为精神分裂症特有的可传递易感性的可能指标。纽约高危项目中三个标准组的儿童——精神分裂症高危(HR)后代、情感障碍高危的精神病对照(PC)后代以及精神病发病率无增加风险的正常对照(NC)后代——在精神分裂症精神病理学表现之前接受测试,当时受试者年龄在13至26岁之间。HR组的心理测量偏差率(23%)显著高于PC组(7%)或NC组(2%),剖面图分析表明,HR亚组可通过人格功能的质性差异来界定。我们的结果支持MMPI指标在精神分裂症病因学研究中的效用。

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