J Pers Disord. 2015 Feb;29(1):79-99. doi: 10.1521/pedi_2014_28_150. Epub 2014 Aug 7.
Many social-cognitive models of psychotic-like symptoms posit a role for self-concept and aberrant salience. Previous work has shown that the interaction between aberrant salience and self-concept clarity is associated with self-reported psychotic-like experiences. In the current research with two structured interviews, the interaction between aberrant salience and self-concept clarity was found to be associated with interview-rated psychotic-like experiences. The interaction was associated with psychotic-like experiences composite scores, delusional ideation, grandiosity, and perceptual anomalies. In all cases, self-concept clarity was negatively associated with psychotic-like experiences at high levels of aberrant salience, but unassociated with psychotic-like experiences at low levels of aberrant salience. The interaction was specific to positive psychotic-like experiences and not present for negative or disorganized ratings. The interaction was not mediated by self-esteem levels. These results provide further evidence that aberrant salience and self-concept clarity play an important role in the generation of psychotic-like experiences.
许多类似精神病症状的社会认知模型都假设自我概念和异常突显起着作用。之前的研究表明,异常突显和自我概念清晰度之间的相互作用与自我报告的类似精神病体验有关。在目前的两项结构访谈研究中,发现异常突显和自我概念清晰度之间的相互作用与访谈评定的类似精神病体验有关。这种相互作用与类似精神病体验的综合评分、妄想观念、夸大和知觉异常有关。在所有情况下,在异常突显水平高的情况下,自我概念清晰度与类似精神病体验呈负相关,但在异常突显水平低的情况下,自我概念清晰度与类似精神病体验无关。这种相互作用是针对阳性类似精神病体验的,而对于阴性或紊乱评分则不存在。这种相互作用不受自尊水平的影响。这些结果进一步证明,异常突显和自我概念清晰度在产生类似精神病体验方面起着重要作用。