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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Theory of mind, insecure attachment and paranoia in adolescents with early psychosis and healthy controls.
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Theory of mind, insecure attachment and paranoia in adolescents with early psychosis and healthy controls.

机译：脑神经理学，不安全的依恋和偏执狂，具有早期精神病和健康控制的青少年。

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Objective: Impaired Theory of Mind (ToM) is found in adults with schizophrenia and is associated with paranoid symptoms. Insecure attachment is proposed to underlie impaired ToM as well as paranoia. Insight into associations between insecure attachment and impaired ToM skills may help clinicians and patients to understand interpersonal difficulties and use this knowledge to improve recovery. This study used a visual perspective-taking task to investigate whether cognitive ToM is already impaired in adolescents with early psychosis as compared to controls. Also investigated was whether perspective-taking and paranoia are associated with insecure (adult) attachment. Methods: Thirty-two adolescent patients with early psychosis and 78 healthy controls participated in this cross-sectional study design and completed the level 1 perspective-taking task, psychopathology assessments (CAPE, PANSS), paranoid thoughts (GPTS), attachment style (PAM) and the WASI vocabulary. Results: Patients did not significantly differ in level-1 perspective-taking behaviour compared to healthy controls. No significant associations were found between perspective-taking, paranoia and attachment. Insecure attachment was significantly related to paranoid thoughts, after controlling for illness-related symptoms. Conclusion: No impairment of level-1 perspective-taking was found in adolescent patients with early psychosis compared to healthy controls. Results indicate that level-1 perspective-taking is not impaired during the early stages of psychotic illness. The association between paranoia and attachment support previous findings and provide further insight into the nature of psychotic symptoms. Understanding the role of attachment in paranoia may help patients and their care workers to gain insight into the reasons for the development or persistence of symptoms. Future research should compare early psychosis samples with more chronic samples to explore whether perspective-taking deteriorates during the course of the illness.
机译：目的：在有精神分裂症的成年人中发现心灵（汤姆）受损，与偏执症症状有关。不安全的附件被提出给汤姆和偏执狂的受损。洞察不安全附属和受损的汤姆技能之间的关联可能有助于临床医生和患者了解人际关系困难，并利用这些知识来改善恢复。本研究采用了视角验证的任务来调查认知汤姆是否在与对照的早期精神病的青少年中受损。还调查了是否是视角和偏执狂与不安全（成人）附件有关。方法：32例青少年早期精神病患者和78名健康对照参加了这个横断面研究设计，完成了1级的透视术后任务，精神病理学评估（Cape，Panss），偏执狂思想（GPTS），附件风格（PAM ）和Wasi词汇。结果：与健康对照相比，患者在1级透视行为方面没有显着差异。在观点，偏执狂和附件之间没有发现重大关联。在控制疾病相关的症状后，不安全的附着与偏执思思想有显着相关。结论：在青少年精神病患者与健康对照相比，在青少年患者中发现了1级患者的损伤。结果表明，在精神病疾病的早期阶段，患者级别-1透视措施不会受损。偏执狂和附件之间的关联支持以前的发现，并进一步了解精神病症状的性质。了解偏执狂依恋的作用可能有助于患者及其护理工作者深入了解症状发展或持久性的原因。未来的研究应比较早期精神病样品，具有更多的慢性样品，探索疾病过程中的视角恶化。

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