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社交快感缺乏作为精神分裂症谱系障碍发展的预测指标。

Social anhedonia as a predictor of the development of schizophrenia-spectrum disorders.

作者信息

Kwapil T R

机构信息

Department of Psychology, University of Wisconsin, Madison, USA.

出版信息

J Abnorm Psychol. 1998 Nov;107(4):558-65. doi: 10.1037//0021-843x.107.4.558.

DOI:10.1037//0021-843x.107.4.558
PMID:9830243
Abstract

College undergraduates (n = 34) identified by deviant scores (at least 1.96 SD above the mean) on the Revised Social Anhedonia (SocAnh) Scale (M. Eckblad, L. J. Chapman, J. P. Chapman, & M. Mishlove, 1982) were compared with control participants (n = 139) at an initial assessment and at a 10-year follow-up evaluation. Twenty-four percent of the SocAnh group were diagnosed with schizophrenia-spectrum disorders at the follow-up compared with only 1% of the control group, despite the fact that there had been no such difference between the groups at the initial assessment 10 years earlier. The SocAnh group exceeded the control group on severity of psychotic-like experiences and had poorer overall adjustment at the follow-up but not at the initial assessment. The groups did not differ on mood symptoms or substance-use disorders. Thus, the SocAnh Scale, unlike the Perceptual Aberration and Magical Ideation Scales, appears to identify individuals at specific risk for future development of schizophrenia-spectrum disorders.

摘要

通过修订版社交快感缺乏量表(SocAnh;M. 埃克布拉德、L. J. 查普曼、J. P. 查普曼和M. 米什洛夫,1982年)上的异常分数(至少高于均值1.96个标准差)识别出的34名大学本科生,在初始评估和10年随访评估中与139名对照参与者进行了比较。随访时,社交快感缺乏组中有24%被诊断为精神分裂症谱系障碍,而对照组只有1%,尽管在10年前的初始评估中两组之间没有这种差异。社交快感缺乏组在类精神病体验的严重程度上超过了对照组,并且在随访时总体适应情况较差,但在初始评估时并非如此。两组在情绪症状或物质使用障碍方面没有差异。因此,与感知畸变量表和神奇观念量表不同,社交快感缺乏量表似乎能够识别出未来有患精神分裂症谱系障碍特定风险的个体。

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