Buck Benjamin, Browne Julia, Gagen Emily C, Penn David L
Behavioral Research in Technology and Engineering (BRiTE) Center, Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA.
Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
J Ment Health. 2023 Feb;32(1):132-149. doi: 10.1080/09638237.2020.1739240. Epub 2020 Mar 31.
Social cognition is often aberrant or impaired in psychotic disorders and related to functional outcomes. In particular, one core social cognitive bias - hostile attribution bias - is proposed to be implicated in paranoia, anxiety, mood disturbances and interpersonal conflict outcomes. However, questions remain about this domain's specificity to psychosis and its relationship to general functional outcomes.
The present paper offers a descriptive and critical review of the literature on hostile attribution bias in psychotic disorders, in order to examine (1) its impact on persecutory symptoms in schizophrenia-spectrum disorders, (2) impact on other related psychopathology among those experiencing psychosis and (3) relationship to functioning.
Twenty-eight studies included in this review after parallel literature searches of PsycINFO and PubMed.
Evidence from these studies highlighted that hostile attribution bias is elevated in schizophrenia, and that it is related to anxiety, depression and interpersonal conflict outcomes.
While results suggest that hostile attributions are elevated in schizophrenia and associated with symptoms and functioning, there exist numerous persisting questions in the study of this area, including identifying which measures are most effective and determining how it presents: as a state or trait-like characteristic, via dual processes, and its situational variation.
社会认知在精神障碍中常常异常或受损，且与功能结局相关。特别是，一种核心的社会认知偏差——敌意归因偏差——被认为与偏执、焦虑、情绪障碍及人际冲突结局有关。然而，关于该领域对精神病的特异性及其与一般功能结局的关系仍存在疑问。
本文对有关精神障碍中敌意归因偏差的文献进行描述性和批判性综述，以考察（1）其对精神分裂症谱系障碍中被害妄想症状的影响，（2）对精神病患者中其他相关精神病理学的影响，以及（3）与功能的关系。
在对PsycINFO和PubMed进行平行文献检索后，本综述纳入了28项研究。
这些研究的证据表明，精神分裂症患者的敌意归因偏差升高，且与焦虑、抑郁及人际冲突结局相关。
虽然结果表明精神分裂症患者的敌意归因增加，且与症状和功能相关，但该领域的研究仍存在许多悬而未决的问题，包括确定哪些测量方法最有效，以及确定其呈现方式：是作为一种状态还是特质样特征，通过双重过程，以及其情境变化。
