认知偏差对非临床成年人负性情绪状态与类精神病体验之间关系的调节作用。
The moderating role of cognitive biases on the relationship between negative affective states and psychotic-like experiences in non-clinical adults.
机构信息
Jagiellonian University, Institute of Psychology, Krakow, Poland.
Jagiellonian University, Institute of Psychology, Krakow, Poland.
出版信息
Psychiatry Res. 2018 Jul;265:118-127. doi: 10.1016/j.psychres.2018.04.023. Epub 2018 Apr 13.
Negative emotions and cognitive biases are important factors underlying psychotic symptoms and psychotic-like experiences (PLEs); however, it is not clear whether these factors interact when they influence psychotic phenomena. The aim of our study was to investigate whether psychosis-related cognitive biases moderate the relationship between negative affective states, i.e. anxiety and depression, and psychotic-like experiences. The study sample contains 251 participants who have never been diagnosed with psychiatric disorders. Anxiety, depression, cognitive biases, and psychotic-like experiences were assessed with self-report questionnaires. A moderation analysis was performed to examine the relationship between the study variables. The analyses revealed that the link between anxiety and positive PLEs is moderated by External Attribution bias, whereas the relationship between depression and positive PLEs is moderated by Attention to Threat bias. Attributional bias was also found to moderate the association between depression and negative subclinical symptoms; Jumping to Conclusions bias served as a moderator in the link between anxiety and depression and negative PLEs. Further studies in clinical samples are required to verify the moderating role of individual cognitive biases on the relationship between negative emotional states and full-blown psychotic symptoms.
负面情绪和认知偏差是精神病症状和类精神病体验(PLE)的重要基础;然而,目前尚不清楚这些因素在影响精神病现象时是否相互作用。我们的研究目的是调查与精神病相关的认知偏差是否会调节负性情绪状态(即焦虑和抑郁)与类精神病体验之间的关系。研究样本包括 251 名从未被诊断为精神障碍的参与者。使用自我报告问卷评估焦虑、抑郁、认知偏差和类精神病体验。进行了一项调节分析,以检验研究变量之间的关系。分析结果表明,焦虑与正性 PLE 之间的联系受到外部归因偏差的调节,而抑郁与正性 PLE 之间的联系受到对威胁的注意偏差的调节。归因偏差也被发现调节了抑郁与负性亚临床症状之间的关联;快速结论偏差在焦虑和抑郁与负性 PLE 之间的联系中起到了调节作用。需要在临床样本中进行进一步的研究,以验证个体认知偏差在负性情绪状态与完全精神病症状之间关系中的调节作用。