精神分裂症患者敌意归因偏向与共情能力及精神症状的关系  

The relationship between the hostile attribution bias,empathic ability and psychotic symptoms in schizophrenic patients

作　　者：陈学全[1] 汪凯[1] 董毅[1,2] 朱道民[2] 万兴松[2] 杜晓玮[2] 刘巍[2] 刘丹丹[2] 孙娜娜[2] 

机构地区：[1]安徽医科大学医学心理学系,合肥230032 [2]安徽省精神卫生中心,合肥230022

出　　处：《安徽医科大学学报》2013年第8期949-953,共5页Acta Universitatis Medicinalis Anhui

基　　金：国家自然科学基金(编号:81171273);安徽高校省级自然科学研究重点项目(编号:KJ2010A165)

摘　　要：目的分析精神分裂症患者的敌意归因偏向和共情能力,探讨患者敌意归因偏向与共情能力及精神症状的关系。方法采用中文版模棱两可、目的和敌意问卷(AIHQ-C)和人际反应指征量表(IRI-C)对81例未用药精神分裂症患者的敌意归因偏向和共情能力作评估,与100例正常者作比较,患者组同时作阳性和阴性症状量表(PANSS)评估。结果患者组AIHQ-C的各项评分均高于正常组(P<0.01,P<0.05),患者组的IRI-C总分、想象力和共情性关心因子分均低于正常组(P<0.01);Pearson相关分析显示,患者组AIHQ-C评分与IRI-C总分、观点采择因子分及共情性关心因子分呈负相关(P<0.01,P<0.05),与PANSS评分呈正相关(P<0.01,P<0.05),IRI-C总分与阴性症状(r=-0.28,P=0.011)呈负相关,共情性关心因子分与PANSS总分(r=-0.22,P=0.045)和阴性症状分(r=-0.26,P=0.019)呈负相关。结论精神分裂症患者存在明显的敌意归因偏向和共情能力的损害,这种归因偏差可能与患者的共情能力缺陷有关,并且对患者的精神症状严重程度产生影响。Objective To investigate the hostile attribution bias and empathic ability in schizophrenic patients and explore their relationship as well as the relationship between them and psychotic symptoms. Methods The hostile attribution bias and empathic ability were assessed in 81 schizophrenic patients and 100 control participants with the Chinese-version of the Ambiguous Intentions Hostility Questionnaire （AIHQ-C） and the Interpersonal Reactivity In- dex-C（IRI-C）. Additionally , psychotic symptoms in the patient group were rated with the Positive and NegativeSyndrome Scale（PANSS）. Results Compared with the control group, the patient group had significantly higher AIHQ-C scores （P 〈0. 01, P 〈0.05） and much lower total score and sub-score in Fantasy and Empathic concern of IRI-C （P 〈 0.01 ）. Pearson Correlation analysis showed that there were some significant positive correlations be- tween the AIHQ-C scores and PANSS scores. The AIHQ-C scores were negatively correlated with the total score and the sub-score in perspective-taking and empathic concern of IRI-C （P 〈 0. 01, P 〈 0. 05）. Moreover, the total score of IRI-C （r = -0. 28,P =0. 011） and the sub-score in empathic concern of IRI-C（r = -0. 26,P =0. 019） were negatively correlated with the negative symptom score of PANSS, and the empathic concern sub-score （r = - 0. 22,P = 0. 045 ） was also negatively correlated with the total score of PANSS. Conclusion Schizophrenic pa- tients have high hostile attribution bias which may be associated with empathy deficits and contributes to the repre- sentation of psychotic symptoms.

关 键 词：精神分裂症 敌意 归因 共情 精神症状 

分 类 号：R749.3[医药卫生—神经病学与精神病学]