IMPULSIVE NONCONFORMITY AS A TRAIT CONTRIBUTING TO THE PREDICTION OF PSYCHOTIC-LIKE AND SCHIZOTYPAL SYMPTOMS
IMPULSIVE NONCONFORMITY AS A TRAIT CONTRIBUTING TO THE PREDICTION OF PSYCHOTIC-LIKE AND SCHIZOTYPAL SYMPTOMS
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DOI：
10.1097/00005053-198411000-00007
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发表时间：
1984-01-01
影响因子：
1.9
通讯作者：
BECKFIELD, D
中科院分区：
文献类型：
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作者：
CHAPMAN, LJ;CHAPMAN, JP;BECKFIELD, D
采用51项真假冲动性反社会行为量表，对部分精神病患者的病前适应中常见的冲动性反社会行为进行了测量。精神分裂症和分裂情感性患者（N= 46）在量表上的得分高于对照组（N= 76）。采用改良版Weissman和Paykel社会适应量表访谈和Spitzer和Endicott情感障碍和精神分裂症终生量表（SDs - l）对120名异常高分大学生和176名对照进行访谈。实验对象比对照组报告了更多的反社会和不服从行为，支持了量表作为冲动性不服从的测量的结构效度，并且报告了更多的精神病或精神病样经历，更多的分裂型经历，更多的抑郁和躁狂或轻躁狂症状，这表明部分实验对象可能处于精神病和/或严重情感障碍的高风险中。在冲动不一致性量表和我们之前的感知偏差-魔幻思维量表中得分异常高的受试者在其他几个类似精神分裂症的认知滑移的测量中比在两个量表中只有一个得分高的受试者更异常。
A 51-item true-false Impulsive Nonconformity Scale was constructed to measure impulsive antisocial behavior of the sort often reported in the premorbid adjustment of some psychotics. Schizophrenics and schizoaffective patients (N= 46) scored higher on the scale than control (N= 76). An experimental group of 120 aberrantly high-scoring (2 SDs above the mean) college students and 176 control subjects were interviewed using modified versions of Weissman and Paykel's Social Adjustment Scale interview and Spitzer and Endicott's Schedule for Affective Disorders and Schizophrenia-Lifetime Version (SADS-L). The experimental subjects reported more antisocial and nonconforming behaviors than control subjects, supporting the construct validity of the scale as a measure of impulsive nonconformity, and reported more psychotic or psychotic-like experiences, more schizotypal experiences, and more depressive and manic or hypomanic symptoms, suggesting that a portion of the experimental subjects may be at elevated risk for psychosis and/or major affective disorder. Subjects who score aberrantly high on both the Impulsive Nonconformity Scale and our earlier Perceptual Aberration-Magical Ideation Scale are more aberrant on several other measures of schizophrenic-like cognitive slippage than are subjects who score high on only one of the two scales.