Social anhedonia as a predictor of the development of schizophrenia-spectrum disorders
Social anhedonia as a predictor of the development of schizophrenia-spectrum disorders
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社交厌恶症是精神分裂症谱系障碍发展的一个预测因素
DOI：
10.1037/0021-843x.107.4.558
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发表时间：
1998-11-01
影响因子：
4.6
通讯作者：
Kwapil, TR
中科院分区：
文献类型：
--
作者：
Kwapil, TR
在修订的社会缺乏（SocAnh）量表（M. Eckblad， L. J. Chapman， J. P. Chapman, & M. Mishlove, 1982）中，通过偏差得分（高于平均值至少1.96 SD）确定的大学本科生（n = 34）与对照参与者（n = 139）在初始评估和10年随访评估中进行比较。在随访中，24%的SocAnh组被诊断为精神分裂症谱系障碍，而对照组中只有1%的人被诊断为精神分裂症谱系障碍，尽管在10年前的初步评估中，两组之间并没有这种差异。SocAnh组在精神病样经历的严重程度上超过了对照组，在随访中总体适应较差，但在初始评估中没有。两组在情绪症状或物质使用障碍方面没有差异。因此，SocAnh量表，不像知觉偏差和神奇思维量表，似乎可以识别出未来发展为精神分裂症谱系障碍的特定风险个体。
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.