伴有被害妄想精神分裂症患者症状归因风格研究.docVIP

伴有被害妄想的精神分裂症患者症状归因风格研究 　　[摘要]目的 探讨伴有被害妄想的精神分裂症患者的症状归因风格。方法 选择2015年5月～2016年5月我院收治的伴有被害妄想的精神分裂症患者98例作为观察组，另选择同期体检的健康成年人98例为对照组，采用精神分裂症症状归因问卷和简明精神病评定量表评估两组患者的症状归因特点，同时分析症状严重程度与归因的相关性。结果 两组的内在-外在（控制源）、局部-整体（整体性）和可控-不可控（控制性）得分差异均有统计学意义（P0.05）；观察组患者的内在-外在维度受首次发病年龄、病程、敌对性因子影响（P0.05），暂时-持久维度受住院次数、焦虑忧郁因子和迟滞因子影响（P0.05）；局部-整体维度受敌对性因子分影响（P0.05）。结论 伴有被害妄想的精神分裂症患者症状归因更倾向于外在的、整体的和不可控的归因风格特点。 　　[关键词]被害妄想；精神分裂症；症状；归因风格 　　[中图分类号] R749.3 [文献标识码] A [文章编号] 1674-4721（2017）10（a）-0058-03 　　[Abstract]Objective To explore the attributional style in patients with schizophrenics accompanied with persecutory delusion.Methods From May 2015 to May 2016，98 patients with schizophrenics accompanied with persecutory delusion admitted into our hospital for treatment were selected as observation group.Meanwhile，another group of 98 healthy adults for physical examinations were chosen as control group.The schizophrenia symptom attribution questionnaire and brief psychiatric rating scale were used to evaluate the characteristics of symptom attribution as well as analyze the correlation between severity of symptoms and attribution.Results The score of the internal-external （locus of control），local-integral （integrity），and controllable-uncontrollable （controllability） were all displayed statistical differences in the two groups （P0.05）.In the observation group，the internal-external dimension was associated with the age of first onset，course of disease，and hostile factor （P0.05）.The temporary-permanent dimension was influenced by frequency of hospitalization，anxiety and depression factors，and hysteresis factor （P0.05）.The local-global dimension was affected by the hostile factor （P0.05）.Conclusion The characteristics of attributional style in patients with schizophrenics accompanied with persecutory delusion are prone to be external，holistic，and uncontrollable. 　　[Key words]Persecutory delusion；Schizophrenia；Symptom；Attribution style 　　?w因是指个体自主分析生活事件并辨其性质，从而推论其发生原因的过程，为认知的一个重要组成部分[1-3]。现阶段，临床对抑郁症归因特点