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首页> 外文期刊>Psychological medicine >Emotional dysfunction in schizophrenia spectrum psychosis: the role of illness perceptions.
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Emotional dysfunction in schizophrenia spectrum psychosis: the role of illness perceptions.

机译：精神分裂症谱系精神病的情绪机能障碍：疾病知觉的作用。

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BACKGROUND: Assessing illness perceptions has been useful in a range of medical disorders. This study of people with a recent relapse of their psychosis examines the relationship between illness perception, their emotional responses and their attitudes to medication. METHOD: One hundred patients diagnosed with a non-affective psychotic disorder were assessed within 3 months of relapse. Measures included insight, self-reported illness perceptions, medication adherence, depression, self-esteem and anxiety. RESULTS: Illness perceptions about psychosis explained 46, 36 and 34% of the variance in depression, anxiety and self-esteem respectively. However, self-reported medication adherence was more strongly associated with a measure of insight. CONCLUSIONS: Negative illness perceptions in psychosis are clearly related to depression, anxiety and self-esteem. These in turn have been linked to symptom maintenance and recurrence. Clinical interventions that foster appraisals of recovery rather than of chronicityand severity may therefore improve emotional well-being in people with psychosis. It might be better to address adherence to medication through direct attempts at helping them understand their need for treatment.
机译：背景：评估疾病知觉在一系列医学疾病中很有用。这项对近期患有精神病的人的研究研究了疾病知觉，他们的情绪反应和对药物的态度之间的关系。方法：在复发的3个月内评估了100名被诊断为非情感性精神病的患者。措施包括洞察力，自我报告的疾病知觉，药物依从性，抑郁，自尊和焦虑。结果：对精神病的疾病感知分别解释了抑郁症，焦虑症和自尊心方面的差异的46％，36％和34％。但是，自我报告的药物依从性与洞察力的测量结果更为紧密相关。结论：精神病患者对疾病的负面认识显然与抑郁，焦虑和自尊有关。这些反过来又与症状的维持和复发有关。因此，促进对康复的评估而不是对慢性病和严重程度的评估的临床干预措施可能会改善精神病患者的情绪健康。通过直接尝试帮助他们了解自己的治疗需求来解决对药物的依从性可能更好。

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