在慢性精神分裂症患者中,人际信任和社会回避是否调解了精神病症状和社会功能之间的关联?
Hongyang Liu1, Xinming Pan2, Xinxin Huang3
1The Affiliated Wenzhou Kangning Hospital, Wenzhou Medical University, Zhejiang Provincial Clinical Research Center for Mental Disorders, Wenzhou, China.
Frontiers in psychiatry
|April 9, 2025
概括
在精神分裂症患者中,人际关系信任受损会调解精神病症状与社会功能之间的联系. 增强信任可能会改善社会结果和预后.
科学领域:
- 精神病学和行为科学
- 临床心理学 临床心理学
- 社会神经科学是一种社会神经科学.
背景情况:
- 精神分裂症是一种严重的精神障碍,其特点是社会功能显著受损.
- 精神分裂症的精神病症状与社会互动和人际关系的困难密切相关.
- 社会回避和人际信任受损是影响精神分裂症患者社会运作的关键问题.
研究的目的:
- 研究慢性精神分裂症患者精神病症状与社会功能之间的关系.
- 检查社会回避和人际信任在精神病症状和社会功能之间的关联中扮演的调解角色.
主要方法:
- 一项涉及223名患有慢性精神分裂症的门诊患者和201名健康对照者的研究.
- 使用了积极和消极综合症量表 (PANSS),人际信任量表 (ITS),社会回避和痛苦量表 (SAD) 和社会残疾查计划 (SDSS).
- 在SPSS.中使用PROCESS宏进行调解分析.
主要成果:
- 与健康对照人群相比,精神分裂症患者的人际信任度较低,社会回避率更高.
- 人际信任得分与精神病症状和社会功能有显著的关联.
- 人际信任显著调解了各种精神病症状 (积极,消极,认知等) 之间的关系. 和社会功能.
结论:
- 人际信任在精神分裂症中在精神病症状和社会功能之间发挥着关键的调解作用.
- 通过有针对性的干预措施改善人际信任可以提高社会功能和预后.
- 临床实践应该考虑结合建立信任的策略,以改善精神分裂症患者的社会结果.
相关概念视频
Psychological and Sociocultural Causes of Schizophrenia
38
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
38
Personality Disorders: Paranoid and Schizoid
14
Personality disorders represent enduring cognition, affect, and behavior patterns that significantly deviate from societal norms. These maladaptive traits often lead to difficulties in various domains, including interpersonal relationships, occupational settings, and overall psychological well-being. Paranoid personality disorder and schizoid personality disorder are two distinct conditions marked by odd or eccentric behavior.
Paranoid Personality Disorder
Paranoid personality disorder is...
Paranoid Personality Disorder
Paranoid personality disorder is...
14
Negative and Cognitive Symptoms of Schizophrenia
37
Negative symptoms of schizophrenia indicate a reduction or absence of typical behaviors and emotional responses found in healthy individuals, while positive symptoms reflect an excess or distortion of normal functioning.
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
37
Personality Disorders: Schizotypal and Histrionic
39
Schizotypal personality disorder and histrionic personality disorder are two distinct psychological conditions classified under personality disorders, each characterized by unique behavioral patterns and social difficulties. Both disorders significantly affect interpersonal relationships and emotional well-being, leading to social isolation and frustration.
Schizotypal Personality Disorder: Eccentric Behavior and Social Withdrawal
Schizotypal personality disorder is marked by odd or eccentric...
Schizotypal Personality Disorder: Eccentric Behavior and Social Withdrawal
Schizotypal personality disorder is marked by odd or eccentric...
39
Schizophrenia
44
Schizophrenia, a term introduced by Swiss psychiatrist Eugen Bleuler in 1911, describes a severe psychological disorder marked by profound disruptions in attention, thought processes, language, emotion, and interpersonal relationships. The core feature of schizophrenia is psychosis — a state characterized by a fundamental detachment from reality. This disconnection manifests through distorted logic, impaired perception, and atypical behavior, severely affecting the lives of those...
44
Positive Symptoms Schizophrenia: Hallucinations and Delusions
35
Schizophrenia is a complex psychiatric disorder characterized by a range of symptoms that significantly impact cognition, behavior, and emotional regulation. Among these, the positive symptoms stand out as they involve the addition or exaggeration of normal mental functions, deviating markedly from typical behavior and perception. Hallucinations and delusions are prominent positive symptoms, each profoundly affecting the individual's experience of reality.
Hallucinations
Hallucinations in...
Hallucinations
Hallucinations in...
35


