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扩展精神病性表型中健康分裂型特质的潜在剖面分析

Latent profile analysis of healthy schizotypy within the extended psychosis phenotype.

作者信息

Tabak Naomi Tuchman, Weisman de Mamani Amy Gina

机构信息

University of Miami, Department of Psychology, 5665 Ponce de Leon Blvd., Coral Gables, FL 33146, USA.

出版信息

Psychiatry Res. 2013 Dec 30;210(3):1008-13. doi: 10.1016/j.psychres.2013.08.006. Epub 2013 Aug 31.

Abstract

Converging evidence suggests that psychosis exists on a continuum, and that even mentally "healthy" individuals may experience subclinical psychotic experiences. However, little research has examined the subjective and psychological well-being of individuals in the putatively healthy end of the continuum. This study explored the latent profile structure of schizotypy in a non-clinical sample and compared subjective and psychological well-being across schizotypy profiles. Latent profile analysis was conducted on participants' responses (N=420) to the Oxford-Liverpool Inventory of Feelings and Experiences. Six latent profiles emerged: Low Schizotypy, Average, High Schizotypy, High Unusual Experiences (UE), High Introvertive Anhedonia, and High Introvertive Anhedonia/Cognitive Disorganization. Individuals in the profile characterized by high UE without negative, disorganized or impulsive features tended to endorse similar levels of well-being as the Average and Low Schizotypy profiles. With some exceptions, all three profiles also demonstrated significantly greater subjective and psychological well-being when compared to negative/disorganized schizotypy profiles. The UE profile most closely aligns with previous conceptualizations of "healthy schizotypy." Future research should investigate how individuals in this profile make sense of unusual or ambiguous experiences that may lead to distress in clinical populations.

摘要

越来越多的证据表明,精神病存在于一个连续体上,甚至精神“健康”的个体也可能经历亚临床精神病体验。然而,很少有研究考察处于该连续体假定健康一端的个体的主观幸福感和心理健康状况。本研究探讨了非临床样本中分裂型人格特质的潜在剖面结构,并比较了不同分裂型人格特质剖面的主观幸福感和心理健康状况。对参与者(N = 420)对《牛津-利物浦情感与体验量表》的回答进行了潜在剖面分析。出现了六个潜在剖面:低分裂型人格特质、平均水平、高分裂型人格特质、高异常体验(UE)、高内向性快感缺失以及高内向性快感缺失/认知紊乱。以高UE为特征且无消极、紊乱或冲动特征的剖面中的个体,其幸福感水平往往与平均水平和低分裂型人格特质剖面相似。除了一些例外情况,与消极/紊乱的分裂型人格特质剖面相比,这三个剖面在主观幸福感和心理健康方面也都表现出显著更高的水平。UE剖面与先前“健康的分裂型人格特质”的概念最为契合。未来的研究应该调查处于该剖面的个体如何理解那些可能在临床人群中导致痛苦的异常或模糊体验。

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