PDF(Pubmed)
Abstract：
Paranoid ideation is a transdiagnostic construct that is associated with social impairment and often occurs in psychotic spectrum disorders. Little research has examined how paranoid ideation is related to social behaviors that underlie social impairment and may ultimately lead to social rejection. It is important to consider that negative symptoms and sleep problems also contribute to social impairment. No research has assessed the unique and combined influence of paranoid ideation, negative symptoms, and sleep problems on social impairment. Therefore, the current study examined how paranoid ideation, negative symptoms, and sleep problems contribute to poorer social skills and social rejection in a transdiagnostic sample of persons with psychosis and community members (N = 112). Assessments included diagnostic and symptom interviews, questionnaires, behavioral ratings of social skill and facial displays of affect, and naive observer reactions utilizing thin-slice methodology. Greater paranoid ideation, negative symptoms, and sleep problems were each related to poorer social skill and more negative reactions from observers. When considered in path analyses, negative symptoms were associated with observer reports of less willingness to interact with participants through poorer social skill. These findings demonstrate the symptom correlates of social rejection and how interpersonal behavior may contribute to social exclusion.
摘要：
偏执观念是一种与社会损害有关的诊断结构，通常发生在精神病谱系障碍中。很少有研究研究偏执的想法如何与社会行为相关，这些行为是社会损害的基础，并可能最终导致社会排斥。重要的是要考虑到阴性症状和睡眠问题也会导致社交障碍。没有研究评估偏执观念的独特和综合影响，阴性症状,和睡眠问题的社会障碍。因此,当前的研究检查了偏执的想法，阴性症状,在精神病患者和社区成员的诊断样本中，睡眠问题会导致社交技能下降和社交排斥（N=112）。评估包括诊断和症状访谈，问卷，社交技能和情感面部显示的行为评级，和利用薄片方法的天真的观察者反应。更偏执的想法，阴性症状,和睡眠问题都与较差的社交技能和观察者的负面反应有关。在路径分析中考虑时，阴性症状与观察者报告相关,观察者报告通过较差的社交技能减少与参与者互动的意愿.这些发现表明了社会排斥的症状相关性以及人际交往行为如何导致社会排斥。
