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青春期的镜像怪脸错觉与精神分裂症特质

Strange-face-in-the-mirror illusion and schizotypy during adolescence.

作者信息

Fonseca-Pedrero Eduardo, Badoud Deborah, Antico Lia, Caputo Giovanni B, Eliez Stephan, Schwartz Sophie, Debbané Martin

机构信息

Department of Educational Sciences, University of La Rioja, La Rioja, Spain; Prevention Program for Psychosis (P3), Cantabria, Spain;

Adolescence Clinical Psychology Research Unit, Faculty of Psychology and Educational Sciences, University of Geneva, Geneva, Switzerland; Office Médico-Pédagogique Research Unit, Department of Psychiatry, University of Geneva School of Medicine, Geneva, Switzerland;

出版信息

Schizophr Bull. 2015 Mar;41 Suppl 2(Suppl 2):S475-82. doi: 10.1093/schbul/sbu196.

Abstract

Patients with schizophrenia can sometimes report strange face illusions when staring at themselves in the mirror; such experiences have been conceptualized as anomalous self-experiences that can be experienced with a varying degree of depersonalization. During adolescence, anomalous self-experiences can also be indicative of increased risk to develop schizophrenia-spectrum disorders. To date however, the Mirror-Gazing test (MGT), an experimentally validated experiment to evaluate the propensity of strange face illusions in nonclinical and clinical adults, has yet to be investigated in an adolescent sample. The first goal of the present study was to examine experimentally induced self-face illusions in a nonclinical sample of adolescents, using the MGT. The second goal was to investigate whether dimensions of adolescent trait schizotypy were differentially related to phenomena arising during the MGT. One hundred and ten community adolescents (59 male) aged from 12 to 19 years (mean age = 16.31, SD age = 1.77) completed the MGT and Schizotypal Personality Questionnaire. The results yielded 4 types of strange face illusions; 2 types of illusions (slight change of light/color [20%] and own face deformation [45.5%]) lacked depersonalization-like phenomena (no identity change), while 2 other types (vision of other identity [27.3%], and vision of non-human identity [7.3%]) contained clear depersonalization-like phenomena. Furthermore, the disorganization dimension of schizotypy associated negatively with time of first illusion (first press), and positively with frequency of illusions during the MGT. Statistically significant differences on positive and disorganized schizotypy were found when comparing groups on the basis of degree of depersonalization-like phenomena (from slight color changes to non-human visions). Similarly to experimentally induced self-face illusions in patients with schizophrenia, such illusions in a group of nonclinical adolescents present significant associations to schizotypy dimensions.

摘要

精神分裂症患者有时在照镜子时会报告奇怪的面部幻觉;这种体验被概念化为异常的自我体验,可能伴随着不同程度的人格解体。在青春期,异常的自我体验也可能表明患精神分裂症谱系障碍的风险增加。然而,迄今为止,镜像凝视测试(MGT),一项用于评估非临床和临床成年人中奇怪面部幻觉倾向的经过实验验证的实验,尚未在青少年样本中进行研究。本研究的第一个目标是使用MGT在青少年非临床样本中检验实验诱导的自我面部幻觉。第二个目标是研究青少年特质分裂型人格的维度是否与MGT过程中出现的现象存在差异相关。110名年龄在12至19岁之间的社区青少年(59名男性,平均年龄 = 16.31,标准差年龄 = 1.77)完成了MGT和分裂型人格问卷。结果产生了4种类型的奇怪面部幻觉;其中2种幻觉(光线/颜色的轻微变化[20%]和自己面部变形[45.5%])缺乏类似人格解体的现象(身份无变化),而另外2种类型(看到其他身份[27.3%]和看到非人类身份[7.3%])包含明显的类似人格解体的现象。此外,分裂型人格的紊乱维度与首次出现幻觉的时间(首次按压)呈负相关,与MGT期间幻觉的频率呈正相关。在根据类似人格解体现象的程度(从轻微颜色变化到非人类视觉)对组进行比较时,发现阳性和紊乱的分裂型人格存在统计学上的显著差异。与精神分裂症患者中实验诱导的自我面部幻觉类似,一组非临床青少年中的此类幻觉与分裂型人格维度存在显著关联。

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