Royal Holloway, University of London, United Kingdom.
Royal Holloway, University of London, United Kingdom.
Psychiatry Res. 2018 Jan;259:340-344. doi: 10.1016/j.psychres.2017.10.044. Epub 2017 Nov 2.
Recent research implicates cognitive processes traditionally linked to anxiety disorders in the maintenance of paranoia. Responsibility beliefs have traditionally been associated with OCD, and recent research suggests they may be transdiagnostic. The present study reports the first data on responsibility beliefs in individuals with persecutory delusions. 30 people with persecutory delusions completed measures of psychotic symptoms and responsibility beliefs. Participants were also asked to identify who they held responsible for their persecution. Quantitative data on responsibility beliefs were compared with 29 matched non-clinical control participants, and with published data from patients with OCD and anxiety disorders. People with persecutory delusions identified a number of different entities responsible for harm. The persecutory delusions group had higher responsibility beliefs than those with OCD, anxiety disorders and nonclinical controls. The results suggest that responsibility beliefs are a facet of the phenomenology of persecutory beliefs. Cognitive-behavioural therapy for psychosis might usefully draw from OCD interventions and focus on responsibility beliefs, perhaps especially in Bad Me paranoia.
最近的研究表明，传统上与焦虑症相关的认知过程在妄想的维持中起作用。责任信念传统上与强迫症有关，最近的研究表明它们可能具有跨诊断性。本研究报告了首份关于有被害妄想个体的责任信念的数据。30 名有被害妄想的人完成了精神病症状和责任信念的测量。还要求参与者确定他们认为谁应对他们的迫害负责。责任信念的定量数据与 29 名匹配的非临床对照组以及强迫症和焦虑症患者的已发表数据进行了比较。有被害妄想的人确定了许多不同的实体对他们的伤害负责。被害妄想组的责任信念高于强迫症、焦虑症和非临床对照组。结果表明，责任信念是被害妄想现象学的一个方面。精神病的认知行为疗法可能会从强迫症干预中受益，并专注于责任信念，也许尤其是在“坏我”妄想中。
