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因果归因与疾病认知:一项针对墨西哥精神病患者的横断面研究。

Causal attribution and illness perception: a cross-sectional study in Mexican patients with psychosis.

作者信息

Gómez-de-Regil Lizzette

机构信息

Hospital Regional de Alta Especialidad de la Península de Yucatán (HRAEPY), Calle 7, No. 433, por 20 y 22, Fraccionamiento Altabrisa, 97130 Merida, YUC, Mexico.

出版信息

ScientificWorldJournal. 2014;2014:969867. doi: 10.1155/2014/969867. Epub 2014 Dec 1.

Abstract

Health psychology researchers have begun to focus greater attention on people's beliefs about health/illness since these beliefs can clearly affect behavior. This cross-sectional study aimed at (1) identifying the most common factors psychotic patients attribute their illness to and (2) assessing the association between causal attribution and illness perception (cognitive, emotional, and comprehensibility dimensions). Sixty-two patients (56.5% females) who had been treated for psychosis at a public psychiatric hospital in Mexico answered the Angermeyer and Klusmann Illness Attribution Scale and the Brief Illness Perception Questionnaire. Results showed that most patients attributed psychosis onset to social factors and that attribution to their personality might have an overwhelmingly negative effect on their lives. Acknowledging psychotic patient attributional beliefs and considering them in clinical practice could improve treatment efficacy and overall recovery success. This is particularly important in psychosis, since symptoms are often severe and/or persistent and require long-term treatment.

摘要

健康心理学研究人员已开始更加关注人们对健康/疾病的信念,因为这些信念会明显影响行为。这项横断面研究旨在:(1)确定精神病患者将其疾病归因于的最常见因素;(2)评估因果归因与疾病认知(认知、情感和可理解性维度)之间的关联。在墨西哥一家公立精神病医院接受过精神病治疗的62名患者(56.5%为女性)回答了安格迈尔和克卢斯曼疾病归因量表以及简短疾病认知问卷。结果显示,大多数患者将精神病发作归因于社会因素,而归因于自身性格可能会对他们的生活产生压倒性的负面影响。认识到精神病患者的归因信念并在临床实践中加以考虑,可能会提高治疗效果和整体康复成功率。这在精神病治疗中尤为重要,因为症状往往严重和/或持续,需要长期治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dae5/4267160/5aacf45c89a9/TSWJ2014-969867.001.jpg

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