Can delusions be self-assessed? Concordance between self- and observer-rated delusions in schizophrenia
Can delusions be self-assessed? Concordance between self- and observer-rated delusions in schizophrenia
复制标题
妄想可以自我评估吗？
DOI：
10.1016/j.psychres.2009.04.019
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发表时间：
2010
影响因子：
11.3
通讯作者：
Müller
中科院分区：
文献类型：
--
作者：
Lincoln;T.M.. Ziegier;Lüllmann;Müller
几个多维的自我报告量表已被开发，以评估妄想意念在一般人群。然而，由于神经认知障碍和缺乏洞察力，精神病患者对阳性症状的自我评定通常被认为是不可靠的。本研究测试了自我和自我评价妄想的关联以及与差异相关的因素。观察者评定的妄想在80名住院和门诊精神分裂症谱系障碍患者中进行了评估，由经过培训的评分员使用阳性和阴性症状量表。自评妄想进行了评估与彼得斯等。妄想量表和偏执量表。自我和自我评价的总体妄想之间的相关性范围为0.49至0.57。具体的迫害妄想和夸大之间的关联是温和的，但独特的。良好的一致性评级并不限于门诊病人或患者较少的阳性症状。自我妄想评分低于观察者的患者的特征是受教育年限较短、功能较低、阴性症状较多和自知力较低。结果表明，患者可以可靠地提供有关妄想信念的存在和类型的信息。因此，患者评级是诊断信息的有效附加来源。
Several multi-dimensional self-report scales have been developed to assess delusional ideation in the general population. However, self-ratings of positive symptoms in patients with psychosis are often considered unreliable due to neuro-cognitive disturbance and lack of insight. This study tested associations of self- and observer-rated delusions as well as factors associated with discrepancies. Observer-rated delusions were assessed in 80 in- and outpatients with schizophrenia spectrum disorders by trained raters with the Positive and Negative Syndrome Scale. Self-rated delusions were assessed with the Peters et al. Delusions Inventory and the Paranoia Checklist. Correlations between self- and observer-rated overall delusions ranged from 0.49 to 0.57. Associations between specific delusions of persecution and grandiosity were moderate but unique. Good concordance of ratings was not restricted to outpatients or patients with fewer positive symptoms. Patients with lower self- than observer ratings of delusions were characterised by fewer years of education, lower functioning, more negative symptoms and less insight. The results indicate that patients can reliably provide information with regard to the presence and type of delusional beliefs. Thus, patient ratings are a valid additional source of diagnostic information.
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DOI：
--
发表时间：
2003
期刊：
Der Nervenarzt
影响因子：
--
作者：
R. Bottlender;M. Jäger;I. Kunze;C. Groll;I. Borski;H. Möller
通讯作者：
H. Möller
精神分裂症洞察力缺陷的神经生物学基础
影响因子：
2.8
作者：
M. Shad;M. Keshavan;C. Tamminga;C. Munro Cullum;A. David
通讯作者：
A. David
精神病学经验与阴性症状评估中受试者间可靠性的关系。
影响因子：
1.9
作者：
M. Müller;E. Davids
通讯作者：
E. Davids
影响因子：
6.6
作者：
Enns, MW;Larsen, DK;Cox, BJ
通讯作者：
Cox, BJ
从缓解的精神分裂症患者及其亲属收集的症状信息之间的一致性。
影响因子：
4.8
作者：
M. Dixon;S. King
通讯作者：
S. King