Symptoms and Etiological Attribution: A Cross-Sectional Study in Mexican Outpatients with Psychosis and Their Relatives.

IF 3.6 Q1 PSYCHIATRY Schizophrenia Research and Treatment Pub Date : 2016-01-01 Epub Date: 2016-06-16 DOI:10.1155/2016/9549683
Lizzette Gómez-de-Regil, Agnès Ros-Morente, Gisela Rodríguez-Hansen
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Abstract

This cross-sectional study aimed at identifying the most common attributions of their mental disorder in a Mexican patients who have experienced psychosis and their relatives and exploring how having experienced or not characteristic psychotic symptoms and their present clinical status might affect their etiological attributions. Past and current symptom profiles of 66 patients were as assessed with the SCID-I (Structured Clinical Interview for DSM-IV Axis I Disorders) and the PANSS (Positive and Negative Syndrome Scale), respectively. The etiological attribution of psychosis of patients (n = 62) and the relatives (n = 65) was assessed with the Angermeyer and Klusmann scale comprising 30 items into five categories: biology, personality, family, society, and esoteric. Patients and relatives attribute psychosis mainly to social factors. Relatives' attributions were not influenced by clinical profile of patients, whereas in the case of patients it was only current clinical status that showed a difference, with those in nonremission scoring higher personality and family factors. Acknowledging patients' and relatives' beliefs about mental disorders at onset and later on is particularly important in psychosis, a mental condition with severe and/or persistent symptoms, in order to promote better involvement in treatment and in consequence efficacy and recovery.

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症状和病因归因:墨西哥精神病门诊患者及其亲属的横断面研究。
本横断面研究旨在确定墨西哥精神病患者及其亲属中最常见的精神障碍归因,并探讨经历或非特征性精神病症状及其目前的临床状态如何影响其病因归因。66例患者的过去和现在的症状分别用DSM-IV I轴疾病结构化临床访谈(SCID-I)和PANSS(阳性和阴性综合征量表)评估。采用Angermeyer和Klusmann量表对患者(n = 62)和亲属(n = 65)的精神病病因归因进行评估,量表共30个项目,分为生物学、人格、家庭、社会和神秘学5类。患者及亲属将精神病主要归因于社会因素。亲属的归因不受患者临床特征的影响,而在患者的情况下,只有当前的临床状态显示出差异,非缓解者得分更高的人格和家庭因素。对于精神病(一种具有严重和/或持续症状的精神状况)而言,承认患者及其亲属在发病时和发病后对精神障碍的看法尤其重要,以便促进更好地参与治疗,并改善疗效和康复。
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来源期刊
CiteScore
4.60
自引率
0.00%
发文量
2
审稿时长
14 weeks
期刊介绍: Schizophrenia Research and Treatment is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies related to all aspects of schizophrenia.
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