Department of Medicine and Surgery, Unit of Neuroscience, University of Parma.
Department of Mental Health, Local Health Service, Parma, Italy.
J Nerv Ment Dis. 2023 May 1;211(5):369-375. doi: 10.1097/NMD.0000000000001630.
Through a strictly dimensional approach, the present study aimed at evaluating the interplay between cognitive-perceptual disturbances and emotional dispositions, particularly shame proneness, in schizophrenia delusion. One hundred one outpatients with schizophrenia were administered the Peters et al. Delusions Inventory, the Referential Thinking Scale (REF), the Magical Ideation Scale (MIS), the Perceptual Aberration Scale (PAS), the Positive and Negative Affect Schedule and the Experiences of Shame Scale (ESS). The severity of delusional ideation was positively related to all the cognitive-perceptual scales (REF, MIS, and PAS) and to shame proneness (ESS). Referential thinking (REF) emerged as the strongest predictor of delusion severity. The experience of shame played a mediation role in the relationship between cognitive-perceptual traits and delusional severity. These data suggest that severity delusion in schizophrenia depends, at least in part, on a complex interplay between cognitive-perceptual disturbances and experiences of shame.
通过严格的维度方法，本研究旨在评估认知-知觉障碍与情绪倾向（特别是羞耻易感性）在精神分裂症妄想中的相互作用。101 名精神分裂症门诊患者接受了彼得斯等人的妄想清单、参考思维量表（REF）、神奇思维量表（MIS）、知觉偏差量表（PAS）、正性负性情绪量表和羞耻感量表（ESS）的评估。妄想观念的严重程度与所有认知-知觉量表（REF、MIS 和 PAS）以及羞耻易感性（ESS）呈正相关。参考思维（REF）是妄想严重程度的最强预测因素。羞耻感的体验在认知-知觉特征与妄想严重程度之间起着中介作用。这些数据表明，精神分裂症妄想的严重程度至少部分取决于认知-知觉障碍和羞耻感体验之间的复杂相互作用。
