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| 精神分裂症患者梦威胁模拟水平与敌意归因偏向及精神症状的关系 |
| Relation between dream threat simulation level,hostile attribution biasand psychotic symptoms in patients with schizophrenia |
| 投稿时间：2022-05-25 |
| DOI：10.3969/j.issn.1000-0399.2022.10.001 |
| 中文关键词: 精神分裂症 梦威胁模拟水平 敌意归因偏向 精神症状 |
| 英文关键词: Schizophrenia Dream threat level Hostile attribution bias Psychotic symptoms |
| 基金项目:安徽省重点研究和开发计划(项目编号:201904a0720009) |
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| 中文摘要: |
| 目的 探讨精神分裂症患者梦威胁模拟水平与敌意归因偏向及精神症状的关系。方法 选取2017年6月至2019年5月在安徽医科大学附属心理医院精神科住院治疗的精神分裂症患者68例为患者组,另选取本院及周边社区的70例健康志愿者作为对照组。采用梦威胁事件问卷(DTQ)评估患者组和对照组的梦威胁模拟水平,采用中文版模棱两可、目的和敌意问卷(AIHQ-C)评估患者组和对照组的敌意归因偏向,采用阳性和阴性症状量表(PANSS)评估精神分裂症患者的精神症状。结果 患者组DTQ分、AIHQ-C的各项评分均高于对照组,差异有统计学意义(P＜0.05)。Spearman相关分析显示,精神分裂症患者DTQ得分与敌意偏向总分(r=0.529,P＜0.05)、责备偏向总分(r=0.398,P＜0.001)、攻击偏向总分(r=0.442,P＜0.05)及阳性症状分(r=0.395,P＜0.05)呈正相关。敌意偏向总分(r=0.507,P＜0.05)、责备偏向总分(r=0.426,P＜0.05)及攻击偏向总分(r=0.481,P＜0.05)与阳性症状分均呈正相关。精神分裂症患者DTQ总分(r=-0.272,P＜0.05)、敌意偏向总分(r=-0.299,P＜0.05)及责备偏向总分(r=-0.397,P＜0.05)与阴性症状分均呈负相关。回归分析显示,精神分裂症患者的敌意偏向与阳性症状均可以预测梦的威胁模拟水平。结论 精神分裂症患者梦的威胁模拟水平过度激活,敌意归因偏向明显,阳性症状及敌意归因偏向均对梦威胁模拟水平有一定影响。 |
| 英文摘要: |
| Objective To explore the relationship between dream threat level, the hostile attribution bias and psychotic symptoms in patients with schizophrenia. Methods A total of 68 patients with schizophrenia who were hospitalized in the Affiliated Psychological Hospital of Anhui Medical University from June 2017 to May 2019 were enrolled, and 70 healthy volunteers from our hospital and surrounding communities were selected as the control group.Dream Threat Questionnairewas used to evaluate the dream threat simulation level of the twogroups. The Chinese version of the Ambiguity, Purpose, and Hostility Questionnaire was used to evaluate the hostility attribution bias of the two groups. Psychiatric symptoms in patients with schizophrenia were assessed using the Positive and Negative Symptoms Scale (PANSS).Results Compared with the control group, patients with schizophrenia had significantly higher DTQ scoreand AIHQ-C score(P＜0.05). Correlation analysis showed that the DTQ score was positively correlated with the total score of hostility bias (r=0.529, P＜0.05), the total score of blame bias (r=0.398,P＜0.05), the total score of aggression bias (r=0.442, P＜0.05) and positive symptom scores (r=0.395, P＜0.05). The total score of hostility bias (r=0.507, P＜0.05), the total score of blame bias (r=0.426, P＜0.05) and the total score of aggressive bias (r=0.481, P＜0.05) were all positively correlated with positive symptom scores. Moreover, the negative symptom scores of schizophrenia patients were negatively correlated with their DTQ scores (r=-0.272, P＜0.05), the total score of hostility bias (r=-0.299, P＜0.05) and the total score of blame bias (r=-0.397, P＜0.05). Regression analysis showed that both hostility bias and positive symptoms of schizophrenia patients could predict the level of threat simulation in dreams.Conclusions The dream threat simulation level of schizophrenic patients is over-activated, and the hostile attribution bias isobvious. Both positive symptoms and hostile attribution bias have certain influence on the level of dream threat simulation. |
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