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一种恐惧之感:流感大流行期间精神分裂症患者的情感与风险认知

A sense of dread: affect and risk perception in people with schizophrenia during an influenza pandemic.

作者信息

Maguire Paul A, Reay Rebecca E, Looi Jeffrey Cl

机构信息

Lecturer and Acting Co-Deputy Head, Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Woden, ACT, Australia.

Senior Research Officer and Lecturer, Academic Unit of Psychiatry and Addiction, Australian National University Medical School, Woden, ACT, Australia.

出版信息

Australas Psychiatry. 2019 Oct;27(5):450-455. doi: 10.1177/1039856219839467. Epub 2019 Apr 15.

Abstract

OBJECTIVE

To explore the role of affect in risk perception and intention to adopt protective measures against pandemic swine influenza in people with schizophrenia.

METHODS

A cross-sectional study was conducted exploring the responses of 71 adults with schizophrenia and 238 adults attending general practice settings without schizophrenia. Participants completed a questionnaire that included items relating to: self-predicted affect (affective forecast) were they to contract swine influenza; perceived risk from swine influenza; and willingness to adopt protective measures against swine influenza. The 10-item Kessler Psychological Distress Scale (K10) and a single-item Self-Rated Health Question (SRHQ) were also included as measures.

RESULTS

In people with schizophrenia, higher levels of predicted fear were associated with increased likelihood of perceived substantive risk from swine influenza and self-reported willingness to adopt protective measures against it. However, higher K10 anxiety subscale scores, reflecting greater concurrent anxiety, were associated with reduced likelihood of perceived substantive risk from swine influenza in people with schizophrenia.

CONCLUSION

Affect appears to play a role in risk perception of influenza and willingness to take protective measures against it in people with schizophrenia.

摘要

目的

探讨情感在精神分裂症患者对大流行性猪流感的风险认知及采取防护措施意愿方面所起的作用。

方法

开展了一项横断面研究,探究71名成年精神分裂症患者及238名无精神分裂症的普通门诊成年患者的反应。参与者完成了一份问卷,其中包括与以下内容相关的项目:如果感染猪流感他们自我预测的情感(情感预测);对猪流感的感知风险;以及采取预防猪流感措施的意愿。还纳入了10项凯斯勒心理困扰量表(K10)和单项自评健康问题(SRHQ)作为测评工具。

结果

在精神分裂症患者中,较高水平的预测恐惧与感知猪流感存在实质风险及自我报告采取防护措施的可能性增加相关。然而,反映同时存在更高焦虑水平的较高K10焦虑分量表得分,与精神分裂症患者感知猪流感存在实质风险的可能性降低相关。

结论

情感似乎在精神分裂症患者对流感的风险认知及采取预防措施的意愿方面发挥作用。

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