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《Prodromal Questionnaire-Brief 版本 PQ-B(PL)在精神科患者和健康人群中的波兰适应性研究》。

Polish adaptation of the Prodromal Questionnaire-Brief version PQ-B(PL) in psychiatric patients and healthy persons.

机构信息

Pomorski Uniwersytet Medyczny w Szczecinie, Katedra Psychiatrii, Samodzielna Pracownia Psychologii Klinicznej.

Pomorski Uniwersytet Medyczny w Szczecinie, Katedra Psychiatrii.

出版信息

Psychiatr Pol. 2020 Aug 31;54(4):741-758. doi: 10.12740/PP/109650.

Abstract

OBJECTIVES

Cognitive and affective experiences considered typical of psychotic disorders may also occur in the general population,though in aless severe form. The ability to differentiate them from prodromal states, preceding the onset of full-blown psychosis, is an important element of prevention and early detection of high risk of asudden deterioration of mental state. In response to the current lack of questionnaire tools enabling assessment of psychotic-like experiences (PLEs), an attempt was made to adapt the PQ-B questionnaire for use in the Polish population.

METHODS

In the pilot study, a sample of 652 persons (66% women), aged 18-78 years, approximately 10% of whom were psychiatric patients, completed the Polish version of the PQ-B, and the O-LIFE, HCL-33, SWLS and TCT-DP measures.

RESULTS

Results yielded a one-factor structure, satisfactory reliability (α > 0.85) and construct validity of the 21-item self-report questionnaire assessing the incidence of PLEs in the past month and severity of accompanying distress. Furthermore, there were significant correlations between PQ-B scores and symptoms of schizotypy (especially unusual perceptual experiences and cognitive disorganization), emotional lability (p < 0.05) and depressed mood (p > 0.001) typical of hypomania, as well as unconventional thinking (p > 0.05).

CONCLUSIONS

The PQ-B(PL) can be a useful tool in both Polish clinical practice and scientific research, filling the existing gap among screening tests for traits on the border of health and psychopathology.

摘要

目的

认知和情感体验被认为是精神病的典型特征,但也可能出现在普通人群中,只是程度较轻。能够将这些体验与精神病前状态区分开来,对于预防和早期发现精神状态突然恶化的高风险是非常重要的。针对目前缺乏能够评估类精神病体验(PLEs)的问卷工具的情况,我们尝试对 PQ-B 问卷进行改编,以适用于波兰人群。

方法

在试点研究中,652 名年龄在 18-78 岁的参与者(66%为女性),其中约 10%为精神科患者,完成了波兰版 PQ-B 和 O-LIFE、HCL-33、SWLS 和 TCT-DP 量表的测试。

结果

结果得出了一个单因素结构,该 21 项自我报告问卷具有令人满意的可靠性(α>0.85)和结构有效性,用于评估过去一个月内 PLE 的发生率及其伴随的困扰严重程度。此外,PQ-B 得分与精神分裂症特质相关症状(尤其是异常知觉体验和认知障碍)、情绪不稳定(p<0.05)和抑郁情绪(p>0.001),以及非传统思维(p>0.05)之间存在显著相关性。

结论

PQ-B(PL)在波兰的临床实践和科学研究中都可以作为一种有用的工具,填补了健康和精神病理学边缘特质筛查测试之间的空白。

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