The best laid schemas of paranoid patients: Autonomy, sociotropy and need for closure
The best laid schemas of paranoid patients: Autonomy, sociotropy and need for closure
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DOI：
10.1348/147608303765951195
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发表时间：
2003-06-01
影响因子：
3.4
通讯作者：
Swarbrick, R
中科院分区：
文献类型：
--
作者：
Bentall, RP;Swarbrick, R
一些理论认为，异常的自我图式通常与精神病的发展有关，特别是与偏执妄想有关。有妄想症的患者也可能高度不能容忍模糊性。目前还没有研究比较已缓解的偏执患者和目前患病的偏执患者的图式测量或耐受性。的歧义。目前患有被害妄想的精神病患者、被害妄想已缓解的患者以及正常参与者完成了个人风格量表（PSI）（一种自我图式测量）和封闭需要量表（NCS）（一种不能容忍模糊性的测量）。重症患者在 PSI 自主量表上的得分高于正常参与者。当抑郁症被纳入协变量时，这种差异变得不显着。患病和缓解的患者在 NCS 上的得分高于正常参与者。这种差异不能完全用共病抑郁症来解释。目前，偏执狂和偏执缓解后的患者非常不能容忍模糊性。这可能有助于他们在推理测量上的表现。自我图式在偏执思维中的作用需要进一步研究。
Some theories implicate abnormal self-schemas in the development of psychosis in general and in paranoid delusions in particular. Patients with delusions may also be highly intolerant of ambiguity. No study has yet compared remitted and currently ill paranoid patients on schema measures, or on tolerance. of ambiguity. Currently ill psychotic patients with persecutory delusions, patients whose persecutory delusions had remitted, and normal participants completed the Personal Style Inventory (PSI), a self-schema measure, and the Need for Closure Scale (NCS), a measure of intolerance of ambiguity. Acutely ill patients scored higher than normal participants on the PSI autonomy scale. This difference became nonsignificant when depression was included as a covariate. Ill and remitted patients scored higher than normal participants on the NCS. This difference could not be explained entirely by comorbid depression. Currently paranoid and remitted paranoid patients are highly intolerant of ambiguity. It is possible that this contributes to their performance on reasoning measures. The role of self-schemas in paranoid thinking needs to be studied further.