So Suzanne Ho-wai, Kwok Nate Tsz-kit
Department of Psychology, The Chinese University of Hong Kong, Hong Kong SAR, China.
PLoS One. 2015 Mar 20;10(3):e0121347. doi: 10.1371/journal.pone.0121347. eCollection 2015.
Literature comparing 'jumping to conclusions' (JTC) between patients and healthy controls has demonstrated the importance of the reasoning bias in the development of delusions. When groups that vary along the entire delusional continuum are included, the relationship between JTC and delusionality is less clear. This study compared JTC and delusional dimensions between 28 patients with delusions, 35 delusion-prone individuals and 32 non-delusion-prone individuals. Delusion proneness was defined by an established threshold based on the Peters et al. Delusions Inventory. Two versions of the beads task (85:15 and 60:40) were used to measure JTC. As hypothesized, patients manifested hastier data gathering than the two non-clinical groups on both beads tasks. However, delusion-prone individuals did not manifest a hastier decision making style than non-delusion prone individuals. Instead, non-delusion-prone participants showed more JTC bias than delusion-prone individuals on the easier beads task. There was no evidence for a dose-response relationship between JTC and delusional dimensions, with correlations between JTC and PDI scores found in the non-delusion-prone group only. The present finding confirms the link between an extreme JTC bias and the presence of clinical delusions, and argues against a linear relationship between JTC and delusionality along the symptomatic continuum.
比较患者与健康对照之间“急于下结论”(JTC)的文献表明,这种推理偏差在妄想形成过程中具有重要意义。当纳入在整个妄想连续体上存在差异的群体时,JTC与妄想程度之间的关系就不那么清晰了。本研究比较了28名患有妄想症的患者、35名易患妄想症的个体和32名不易患妄想症的个体之间的JTC和妄想维度。易患妄想症是根据基于彼得斯等人的妄想症量表所确定的阈值来定义的。使用了两种版本的珠子任务(85:15和60:40)来测量JTC。正如所假设的那样,在两项珠子任务中,患者比两个非临床组表现出更快的数据收集速度。然而,易患妄想症的个体并没有表现出比不易患妄想症的个体更快的决策风格。相反,在较简单的珠子任务中,不易患妄想症的参与者比易患妄想症的个体表现出更多的JTC偏差。没有证据表明JTC与妄想维度之间存在剂量反应关系,仅在不易患妄想症的组中发现了JTC与PDI得分之间的相关性。目前的研究结果证实了极端JTC偏差与临床妄想存在之间的联系,并反对JTC与症状连续体上的妄想程度之间存在线性关系。