Hoffmann H, Kupper Z, Kunz B
University Psychiatric Services Berne, Switzerland.
J Nerv Ment Dis. 1998 Apr;186(4):214-22. doi: 10.1097/00005053-199804000-00003.
Though social skills have been identified as an independent construct, recent studies have revealed that schizophrenic symptomatology and social skills are interrelated. The nature and extent of this relationship, however, are far from clear. To address this issue, we examined 33 schizophrenic outpatients participating in a rehabilitation program for an average of 10 months. The object of this study was to investigate to what extent behavior can be predicted by symptomatology and social skills, and whether social skills have a significant effect on outpatients' behavior independently of schizophrenic symptoms and vice versa. Regression analyses revealed good prediction of outpatients' behavior by conceptual disorganization and disorder of relating from the PANSS and, to a lesser degree, social skills. After having eliminated the influence of psychopathology on social skills and behavior, social skills variables still had significant predictive value for social competence, social interest, and irritability. These findings imply specific contributions of both symptomatology and social skills to future behavior of chronic schizophrenic outpatients.
尽管社交技能已被视为一种独立的结构，但最近的研究表明，精神分裂症的症状与社交技能是相互关联的。然而，这种关系的性质和程度还远不清楚。为了解决这个问题，我们对33名参加康复项目平均达10个月的精神分裂症门诊患者进行了研究。本研究的目的是调查症状学和社交技能在多大程度上能够预测行为，以及社交技能是否独立于精神分裂症症状对门诊患者的行为有显著影响，反之亦然。回归分析显示，阳性和阴性症状量表（PANSS）中的概念紊乱和关系紊乱，以及在较小程度上社交技能，能很好地预测门诊患者的行为。在消除了精神病理学对社交技能和行为的影响后，社交技能变量对社交能力、社交兴趣和易怒性仍具有显著的预测价值。这些发现意味着症状学和社交技能对慢性精神分裂症门诊患者未来行为都有特定的作用。
