Institute of Behavioral Sciences, Medical School, University of Pécs, Szigeti út 12, Pécs 7625, Hungary.
Department of Psychiatry, Washington University School of Medicine, St. Louis, USA.
Psychiatry Res. 2019 Jan;271:178-186. doi: 10.1016/j.psychres.2018.11.045. Epub 2018 Nov 19.
This is a cross-sectional nonclinical sample study to examine the different levels of the Ipsiety Disturbance Model (IDM) for schizophrenia spectrum disorders (introduced by Sass and Parnas, 2003). Three faces of schizotypy were studied: diminished self-presence, hyper-reflexivity, and distortion in experience of own self and another person's self-discrimination. A sample of college students (N = 1312) was provided a questionnaire packet that contained the Schizotypy Personality Questionnaire Brief-Revisited (SPQ-BR), the Self-Concept Clarity Sale, the Tellegen Absorption Scale, and Interpersonal Reactivity Index measures. Results: higher absorption capabilities predict higher scores on both the SPQ-BR cognitive and SPQ-BR disorganization factors. High scores in cognitive empathy predicted a low score on both SPQ-BR cognitive and SPQ-BR interpersonal scores. In contrast, higher affective empathy predicted high scores on the SPQ-BR interpersonal factor. The deficiency in self-concept clarity predicted an elevated score on the SPQ-BR cognitive, interpersonal, and disorganization schizotypy symptoms. We argue that a lack of self-concept clarity manifested in both the hyperreflexivity level (measured by absorption) and the metallization level (measured by empathy). We argue that the IDM is a reliable way to interpret functioning with different levels of schizotypy.
这是一项横断面非临床样本研究,旨在检验精神分裂症谱系障碍的 Ipsiety 障碍模型(IDM)的不同水平(由 Sass 和 Parnas 于 2003 年提出)。研究了三种精神分裂症样特质:自我存在感减弱、过度反射性和自身及他人自我辨别经验的扭曲。为 1312 名大学生提供了一个问卷包,其中包含精神分裂症人格问卷简表修订版(SPQ-BR)、自我概念清晰度量表、Tellegen 吸收量表和人际反应指数测量。结果:更高的吸收能力预测 SPQ-BR 认知和 SPQ-BR 组织障碍因子的得分更高。认知同理心得分高预测 SPQ-BR 认知和 SPQ-BR 人际得分均低。相反,更高的情感同理心预测 SPQ-BR 人际因子得分高。自我概念清晰度不足预测 SPQ-BR 认知、人际和组织障碍症状得分升高。我们认为,自我概念清晰度的缺乏表现在超反射性水平(通过吸收来衡量)和金属化水平(通过同理心来衡量)。我们认为,IDM 是一种解释不同水平精神分裂症样特质功能的可靠方法。