Core Schemas across the Continuum of Psychosis: A Comparison of Clinical and Non-Clinical Groups
Core Schemas across the Continuum of Psychosis: A Comparison of Clinical and Non-Clinical Groups
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精神病连续体的核心模式：临床组和非临床组的比较
DOI：
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发表时间：
2013
影响因子：
1.8
通讯作者：
A. Morrison
中科院分区：
文献类型：
--
作者：
H. Taylor;S. Stewart;G. Dunn;Sophie Parker;D. Fowler;A. Morrison
背景：研究表明，核心图式在精神病的发展和维持中都很重要。目的：本研究的目的是调查和比较四组在精神病连续体中的核心模式，并检查模式与阳性精神病症状之间的关系。方法：对20例首发精神病患者（FEP）、113例精神状态处于危险状态（ARMS）、28例临床求助组（HSC）和30例非求助组（NH）进行核心模式测试。结果：临床组对自我和他人负性信念得分显著高于NH组。没有发现群体对他人积极信念的显著影响。对于积极的自我信念，NH组的得分明显高于临床组。此外，对自我和他人的消极信念与积极的精神病症状以及与这些经历相关的痛苦有关。结论：对自我和他人的负面评价似乎是寻求精神病和类精神病经历帮助的人的评价特征。研究结果支持了文献的观点，即自尊应该成为干预的目标。未来的研究将受益于包括慢性精神病患者和没有任何类似精神病经历的人的比较组。
Background: Research suggests that core schemas are important in both the development and maintenance of psychosis. Aims: The aim of the study was to investigate and compare core schemas in four groups along the continuum of psychosis and examine the relationships between schemas and positive psychotic symptomatology. Method: A measure of core schemas was distributed to 20 individuals experiencing first-episode psychosis (FEP), 113 individuals with “at risk mental states” (ARMS), 28 participants forming a help-seeking clinical group (HSC), and 30 non-help-seeking individuals who endorse some psychotic-like experiences (NH). Results: The clinical groups scored significantly higher than the NH group for negative beliefs about self and about others. No significant effects of group on positive beliefs about others were found. For positive beliefs about the self, the NH group scored significantly higher than the clinical groups. Furthermore, negative beliefs about self and others were related to positive psychotic symptomatology and to distress related to those experiences. Conclusions: Negative evaluations of the self and others appear to be characteristic of the appraisals of people seeking help for psychosis and psychosis-like experiences. The results support the literature that suggests that self-esteem should be a target for intervention. Future research would benefit from including comparison groups of people experiencing chronic psychosis and people who do not have any psychotic-like experiences.
影响因子：
4.6
作者：
G. A. Miller;J. Chapman
通讯作者：
G. A. Miller;J. Chapman
关于非自愿门诊承诺的特别部分：简介。
DOI：
10.1176/appi.ps.52.3.323
发表时间：
2001
期刊：
Psychiatric services (Washington, D.C.)
影响因子：
--
作者：
Swartz,MS;Monahan,J
通讯作者：
Monahan,J