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精神病样体验的映射:一项在线调查的结果。

Mapping psychotic-like experiences: Results from an online survey.

机构信息

Department of Biological and Medical Psychology, University of Bergen, Bergen, Norway.

NORMENT Norwegian Centre for Mental Disorders Research, University of Bergen and Haukeland University Hospital, Bergen, Norway.

出版信息

Scand J Psychol. 2021 Apr;62(2):237-248. doi: 10.1111/sjop.12683. Epub 2020 Oct 2.

Abstract

Suggestions have been made that psychotic-like experiences (PLEs), such as hallucinatory and delusional experiences, exist on a continuum from healthy individuals to patients with a diagnosis of schizophrenia. We used the screening questions of the Questionnaire for Psychotic Experiences (QPE), an interview that captures the presence and phenomenology of various psychotic experiences separately, to assess PLEs in Norway. Based on data from an online survey in a sample of more than 1,400 participants, we demonstrated that the QPE screening questions show satisfactory psychometric properties. Participants with mental disorders reported more frequent lifetime and current hallucinatory experiences than participants without mental disorders. Childhood experiences were rather low and ranged from 0.7% to 5.2%. We further replicated findings that young age, illegal drug use, lower level of education, and having parents with a mental disorder are associated with higher endorsement rates of PLEs. Finally, a binomial regression revealed that the mere presence of PLEs does not discriminate between individuals with and without a mental disorder. Taken together, the findings of the present study support existing models that both hallucinations and delusions exist on a structural and phenomenological continuum. Moreover, we demonstrated that the QPE screening questions can be used by themselves as a complementary tool to the full QPE interview.

摘要

有人提出,类似精神病的体验(PLE),如幻觉和妄想体验,存在于健康个体和被诊断为精神分裂症的患者之间的连续体上。我们使用 Questionnaire for Psychotic Experiences(QPE)的筛选问题,这是一种单独捕捉各种精神病体验的存在和现象学的访谈,来评估挪威的 PLE。基于对超过 1400 名参与者的在线调查样本的数据,我们证明了 QPE 筛选问题具有令人满意的心理测量特性。有精神障碍的参与者报告的一生中更频繁的幻觉体验和当前的幻觉体验比没有精神障碍的参与者更多。童年经历相当低,范围从 0.7%到 5.2%。我们进一步复制了这样的发现,即年龄较小、使用非法药物、教育程度较低以及父母有精神障碍与更高的 PLE 认可率相关。最后,二项式回归显示,PLE 的存在本身并不能区分有和没有精神障碍的个体。总之,本研究的结果支持了现有的模型,即幻觉和妄想都存在于结构和现象学的连续体上。此外,我们证明 QPE 筛选问题本身可以用作完整 QPE 访谈的补充工具。

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