精神分裂症患者的慢性迫害妄想与自传体记忆：一项日记研究
Chronic persecutory delusion and autobiographical memories in patients with schizophrenia: a diary study.
作者信息
Berna Fabrice, Huron Caroline, Kazès Mathilde, Offerlin-Meyer Isabelle, Willard Dominique, Verry Paulina, Hedélin Guy, Krebs Marie-Odile, Danion Jean-Marie
机构信息
Hopitaux Universitaires de Strasbourg, Clinique Psychiatrique, Hôpital Civil, Strasbourg, France Université de Strasbourg, Faculté de Médecine, Strasbourg, France INSERM U666, Physiopathologie et Psychopathologie Cognitive de la Schizophrénie, Hôpitaux Universitaires de Strasbourg, Strasbourg, France.
INSERM U992, Cognitive Neuroimaging Unit, CEA Neurospin, Gif sur Yvette, France.
出版信息
Isr J Psychiatry Relat Sci. 2014;51(1):25-33.
BACKGROUND
While chronic persecutory delusions are typically anchored into patients' everyday life situations, no investigation has ever looked at how situations associated with a feeling of persecution are recorded and later retrieved.
METHOD
a diary methodology combined with a recognition task involving ten patients with schizophrenia who presented chronic persecutory delusions and ten control participants. Diaries of everyday persecutory events (Pe) and non-persecutory events (nPe) were kept.
RESULTS
in both groups, 1) Pe were associated with higher anxiety scores than nPe, 2) Pe were experienced as less distinctive and more stereotyped than nPe, 3) the frequency of incorrect recognition of altered descriptions of Pe was higher than that of nPe.
LIMITATIONS
because high levels of motivation are required of the diarists, our sample size was small.
CONCLUSION
Memories of persecutory events were highly emotional and semanticized. they were frequently incorrectly recognized, suggesting the existence of bias resulting from interactions between their processing and persecutory delusions.
背景
虽然慢性被害妄想通常与患者的日常生活情境相关联，但从未有研究探讨过与被害感相关的情境是如何被记录以及随后被回忆起来的。
方法
采用日记法，并结合一项识别任务，涉及十名患有慢性被害妄想的精神分裂症患者和十名对照参与者。记录日常被害事件（Pe）和非被害事件（nPe）的日记。
结果
在两组中，1）与nPe相比，Pe与更高的焦虑评分相关；2）与nPe相比，Pe的体验更缺乏独特性且更具刻板性；3）对Pe的改变描述的错误识别频率高于nPe。
局限性
由于要求日记记录者有较高的积极性，我们的样本量较小。
结论
被害事件的记忆具有高度的情感性和语义化。它们经常被错误识别，这表明在其加工过程与被害妄想之间的相互作用导致了偏差的存在。
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