psychopathy

精神病
  • 文章类型: Journal Article
    背景:改变的情感状态识别被认为是攻击行为的根本原因,精神病和反社会人格障碍等精神病理学的标志。然而,两个最有影响力的模型对潜在机制做出了明显不同的预测。根据综合情绪系统理论(IES),侵略反映了社会痛苦线索的处理能力受损,例如恐惧的面孔。相比之下,敌对归因偏见(HAB)模型用偏见解释侵略,以将模棱两可的表达解释为愤怒。
    方法:在一组四个实验中,我们测量了使用野兔精神病检查表(PCL-R,野兔,R.D.(1991)。精神病检查表修订。多伦多,ON:多卫生系统)和60名年龄匹配的对照参与者。
    结果:没有证据表明暴力罪犯存在恐惧缺陷,也没有证据表明精神病或攻击性与恐惧面孔加工受损有关。同样,没有证据表明与精神病或侵略有关的愤怒面孔存在感知偏见。然而,使用高度模糊的刺激,需要明确的情绪标签,暴力罪犯对愤怒表现出分类偏见,这种愤怒偏见与自我报告的特质侵略有关(但与精神病无关)。
    结论:这些结果增加了越来越多的文献,使人们对攻击性个体和精神病患者的恐惧处理受到损害的观念产生怀疑,并为攻击性与敌对归因偏见有关的观点提供了支持。后感知处理阶段。
    BACKGROUND: Altered affective state recognition is assumed to be a root cause of aggressive behavior, a hallmark of psychopathologies such as psychopathy and antisocial personality disorder. However, the two most influential models make markedly different predictions regarding the underlying mechanism. According to the integrated emotion system theory (IES), aggression reflects impaired processing of social distress cues such as fearful faces. In contrast, the hostile attribution bias (HAB) model explains aggression with a bias to interpret ambiguous expressions as angry.
    METHODS: In a set of four experiments, we measured processing of fearful and angry facial expressions (compared to neutral and other expressions) in a sample of 65 male imprisoned violent offenders rated using the Hare Psychopathy Checklist-Revised (PCL-R, Hare, R. D. (1991). The psychopathy checklist-revised. Toronto, ON: Multi-Health Systems) and in 60 age-matched control participants.
    RESULTS: There was no evidence for a fear deficit in violent offenders or for an association of psychopathy or aggression with impaired processing of fearful faces. Similarly, there was no evidence for a perceptual bias for angry faces linked to psychopathy or aggression. However, using highly ambiguous stimuli and requiring explicit labeling of emotions, violent offenders showed a categorization bias for anger and this anger bias correlated with self-reported trait aggression (but not with psychopathy).
    CONCLUSIONS: These results add to a growing literature casting doubt on the notion that fear processing is impaired in aggressive individuals and in psychopathy and provide support for the idea that aggression is related to a hostile attribution bias that emerges from later cognitive, post-perceptual processing stages.
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  • 文章类型: Journal Article
    背景:以前的研究一直显示出在研究精神病情绪处理方面的价值,但是听觉和视觉刺激的相对效果几乎没有被考虑。
    目的:我们的目的是(1)比较反应时间和自我评估的效价((不)愉悦),在修订的精神病检查表上,有和没有精神病(=/>26)的罪犯中,被情感声音或视觉图像所支配的唤醒和感觉;(2)调查任何关联,控制社会期望和抑郁;(3)探索犯罪认知对精神病和对情感刺激的情绪反应之间的任何关系的可能中介作用。
    方法:专业教育者邀请所有在一个监狱中服刑的男性罪犯参加。经过半结构化的访谈以评估精神病,他们自我报告了犯罪认知,抑郁和社会期望量表,在使用标准化的人类和动物声音和图像的计算机任务之前。使用自我评估人体模型,参与者对情绪效价进行了评级,愉快时的唤醒和支配水平,令人不快和中性的声音或图像被呈现。
    结果:大约三分之一的囚犯完成了所有等级-120名男性,平均年龄38.8岁(SD=11.06)。所有人对声音的反应时间都比图像短。情感人际关系因素得分高的罪犯将所有类型的声音都评为不那么令人愉快。与得分较低的人相比,精神病得分较高的人对不愉快的图像做出反应的时间更长。精神病因素与犯罪认知之间存在正相关关系,犯罪认知的外部位点介导了精神病方面与对悦耳声音的效价情绪反应之间的关系。
    结论:我们的研究结果证实了患有精神病的男性对声音和图像的情绪反应的潜在重要性。鉴于对声音的反应时间较短,在现实生活中,声音可能比图像更具挑衅性。虽然在PCL-R阈值以上和以下的男性之间只有很小的差异,从方面分析的迹象表明,进一步研究声音刺激可以增强对情绪反应差异的理解,从而为干预措施提供信息。该领域的未来研究应集中在与人类相关的刺激上,并增加述情障碍措施。
    BACKGROUND: Previous research has consistently shown value in studying emotion processing with psychopathy, but the relative effect of aural and visual stimulation has hardly been considered.
    OBJECTIVE: Our aims were to (1) compare reaction time and self-rated valence ((un)pleasantness), arousal and sense of being dominated by affective sounds or visual images among offenders with and without psychopathy (=/>26) on the psychopathy check-list revised; (2) investigate any associations, controlling for social desirability and depression; (3) explore the possible mediating effect of criminogenic cognitions on any relationships between psychopathy and emotional responses to affective stimuli.
    METHODS: Professional educators invited all male offenders serving semi-open custody sentences in one prison to participate. After a semi structured interview to assess psychopathy, they self-reported on criminogenic cognition, depression and social desirability scales, before a computer task using standardised human and animal sounds and images. Using the self-assessment manikin, participants rated the emotional valence, arousal and dominance levels when pleasant, unpleasant and neutral sounds or images were presented.
    RESULTS: About one in three prisoners completed all the ratings-120 men, of mean age 38.8 years (SD = 11.06). All had shorter reaction times to sounds than images. Offenders with high affective-interpersonal factor scores rated all types of sounds as less pleasant. Men with high psychopathy scores took longer to respond to unpleasant images than those with lower scores. There was a positive relationship between psychopathy factors and criminogenic cognitions and the external locus of criminogenic cognitions mediated the relationship between psychopathy facets and emotional responses of valence to pleasant sounds.
    CONCLUSIONS: Our findings confirm the potential importance of emotional reactions to sounds as well as images among men with psychopathy. Given the shorter reaction times to sounds, in real life sounds could prove more provocative than images. While only small differences emerged between men above and below the PCL-R threshold, indications from facet analyses suggest that further study of sound stimuli could enhance the understanding of emotional response differences to inform interventions. Future research in this area should focus on human-related stimuli and add alexithymia measures.
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  • 文章类型: Journal Article
    修订的精神病检查表(PCL-R)和精神病检查表:青年版(PCL:YV),分别,是用于评估精神病和精神病倾向发展的既定工具。为了可靠地比较两种仪器的分数,必须建立测量不变性。当前的研究涉及来自新墨西哥州教养所的1091名男性参与者(成人=813;青少年=278)的组合样本。使用探索性结构方程模型(ESEM)框架来测试测量不变性。四因素ESEM模型证明了组合样品和单独样品的良好拟合。来自多组ESEM的结果提供了通常很强的不变性的证据,具有等效的因子负荷和阈值。青少年表现出潜在的人际关系特征减少,但在其他PCL因素上的潜在特征增加(情感,生活方式,和反社会)与成年人相比。研究结果表明,四因素模型和精神病特征的测量在各个年龄段保持一致。讨论了研究结果在研究和临床环境中的含义。
    Both the Psychopathy Checklist-Revised (PCL-R) and the Psychopathy Checklist: Youth Version (PCL:YV), respectively, are established instruments for assessment of psychopathy and development of psychopathic propensity. To reliably compare scores from both instruments, measurement invariance must be established. The current study involved a combined sample of 1091 male participants (adults = 813; adolescents = 278) from correctional facilities in New Mexico. An exploratory structural equation modeling (ESEM) framework was used to test for measurement invariance. The four-factor ESEM model demonstrated good fit for the combined and individual samples. Results from the multiple group ESEM provide evidence for generally strong invariance, with equivalent factor loadings and thresholds. Adolescents exhibited decreased latent interpersonal traits but increased latent features on other PCL factors (affective, lifestyle, and antisocial) compared to adults. Findings suggest that the four-factor model and the measurement of psychopathic traits remain consistent across age groups. Implications of the findings within research and clinical contexts are discussed.
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  • 文章类型: Journal Article
    随着网络游戏障碍(IGD)变得越来越普遍,人们越来越担心受其影响的人的健康。这项研究探讨了像马基雅维利主义这样的特征,精神病,自恋可能会将家庭功能与IGD联系起来。这项研究涉及1190名年轻人,他们回答了一项在线调查,分享他们的个人经历。为了检查调解效果,使用潜在变量结构方程模型(SEM),揭示被调查变量之间的复杂关系。尽管所有直接和间接路径都具有统计学意义,只有当马基雅维利主义和精神病不作为平行中介时,自恋的调解效果才是积极的,但否则是负面的。研究结果表明,具有强大家庭功能的个体不太可能内化操纵行为,并表现出缺乏同理心,可能有助于他们参与IGD的特征。结果强调了认识到这一现象的多面性的重要性,并为制定预防和应对IGD的综合战略提供了宝贵的见解。因此,预防和干预工作应考虑家庭功能的综合影响,人格特质,以及在线环境中的个人和上下文因素来有效地解决这个问题。
    With internet gaming disorder (IGD) becoming more common, there are growing worries about the health of those it affects. This study examines how traits like Machiavellianism, psychopathy, and narcissism might connect family functioning to IGD. The research involved 1190 young adults who answered an online survey, sharing their personal experiences. To examine the mediation effects, latent variable structural equation modeling (SEM) was used, revealing complex relationships among the variables under investigation. Although all direct and indirect paths were statistically significant, the mediation effects of narcissism were positive only when Machiavellianism and psychopathy were not included as parallel mediators, but negative otherwise. The findings suggest that individuals with strong family functioning could be less likely to internalize manipulative behaviors and show a lack of empathy, traits that could contribute to their involvement in IGD. The results underscore the importance of recognizing the multifaceted nature of this phenomenon and provide valuable insights for developing comprehensive strategies to prevent and tackle IGD. Therefore, prevention and intervention efforts should consider the combined influences of family functioning, personality traits, and individual and contextual factors in the online environment to effectively address this problem.
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  • 文章类型: Journal Article
    考虑到有关精神病与情绪调节之间关系的文献稀少但迅速增长,需要在对现有结果的系统回顾和荟萃分析中评估积累的知识。我们按照PRISMA指南对五个科学数据库(PsycINFO,心术,MEDLINE,PubMed,Scopus和WebofScience)。此外,搜索了灰色文献。删除重复项后,共筛选了8.786条记录,根据用于系统评价的纳入标准选择了73篇文章.荟萃分析程序是对55项确定的研究进行的,符合所采用的标准,总共有29.856人。当前的系统和荟萃分析综述已经阐明了情绪调节能力受损与精神病方面之间的关联。更具体地说,分析表明,情绪失调与精神病特征的总体水平有关,以及精神病的生活方式和情感成分,这表明在设计专注于调节负面情绪状态和增强冲动行为调节的干预措施时评估这些特征的实用性。
    Considering the sparse but rapidly growing literature concerning the relationship between psychopathy and emotion regulation, taking stock of accumulating knowledge in a systematic review and meta-analysis of the existing results is needed. We performed a systematic search (up to May 30, 2024) following PRISMA guidelines of five scientific databases (PsycINFO, PsycARTICLES, MEDLINE, PubMed, Scopus and Web of Science). Also, gray literature was searched. After removing the duplicates, a total of 8.786 records were screened, and 73 articles were selected based on the inclusion criteria used for systematic review. The meta-analytic procedure was performed on 55 identified studies consistent with the criteria adopted, which overall comprised 29.856 individuals. The current systematic and meta-analysis review has clarified the association between impairments of emotional regulation abilities and facets of psychopathy. More specifically, analyses indicated that emotional dysregulation is associated with overall levels of psychopathic traits, as well as with both the lifestyle and affective components of psychopathy, which suggests the utility of assessing these features when designing interventions focused on modulating negative emotional states and enhancing regulation of impulsive behaviors.
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  • 文章类型: Journal Article
    当前的研究探索了睾丸激素之间的关联,皮质醇,以及Levenson自我报告精神病量表(LSRPS)和冷酷无情(ICU)特征清单。数据来自相对较大的大学生样本(n=522),分析认为激素和精神病特征之间存在直接和相互作用的关联。以及这些关联与收集样本的时间和参与者性别之间的相互作用。基线皮质醇与LSRPS原发性精神病评分呈负相关。此外,基线皮质醇与LSRPS总分相关的一天中的时间相互作用.简单的斜率分析表明,皮质醇与上午而不是下午的LSRPS总分呈负相关。激素测量之间的相互作用没有统计学意义。也没有证据表明性别之间的激素和精神病特征之间的关联有所缓和。
    The current study explored associations between testosterone, cortisol, and both the Levenson Self-Report Psychopathy Scale (LSRPS) and the Inventory of Callous Unemotional (ICU) traits. Data were gathered from a relatively large sample of university students (n = 522) and analyses considered direct and interactive associations between hormones and psychopathic traits, as well as interactions between these associations and the time of day at which samples were gathered and the sex of participants. Baseline cortisol had a negative association with LSRPS primary psychopathy scores. In addition, baseline cortisol interacted with the time of day in association with LSRPS total scores. Simple slopes analyses indicated cortisol had a negative association with LSRPS total scores in the morning but not the afternoon. Interactions among hormone measures were not statistically significant. There was also no evidence for the moderation of associations between hormones and psychopathic traits by sex.
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  • 文章类型: Journal Article
    背景:据报道,患有反社会人格障碍(ASPD)和边缘性人格障碍(BPD)的人具有高度精神病性,对治疗工作构成严峻挑战。在这些人的样本中,两种治疗的效果,基于心理的治疗(MBT)和统一协议(UP),对三个结果进行了调查:(I)精神病特质领域,三位一体精神病模型(TPM)提出的大胆和抑制;(ii)反社会和临界症状严重程度;(iii)其共同特征的严重程度,包括冲动,愤怒的表达和自我伤害。
    方法:对163名BPD+ASPD患者进行筛选,55例随机接受MBT治疗,53例随机接受UP治疗。以6个月至36个月的间隔评估治疗结果。
    结果:两种治疗方法的精神病特征均出现短期减少,反社会和边缘性人格症状的严重程度,愤怒失调,冲动和自我伤害,但两个治疗组在36个月随访时症状几乎完全复发.UP比MBT具有更持久的效果。
    结论:尽管治疗时间相当短,UP至少与MBT一样有效,并且在某些方面更优越。从长远来看,任何一种治疗都无法缓解症状。与之相关的精神病和边缘/反社会合并症在某种程度上可以通过心理治疗来补救,但只是在短期内。
    结论:冲动性和去抑制性高的患者在心理治疗后可能复发,治疗后应密切监测。
    BACKGROUND: Those with cooccurring antisocial personality disorder (ASPD) and borderline personality disorder (BPD) are reported to be highly psychopathic and to represent a severe challenge to treatment efforts. In a sample of such individuals, the effects of two treatments, mentalization-based therapy (MBT) and the unified protocol (UP), were investigated on three outcomes: (i) the psychopathy trait domains of meanness, boldness and disinhibition proposed by the triarchic psychopathy model (TPM); (ii) antisocial and borderline symptom severity; and (iii) the severity of their common features including impulsivity, anger expression and self-harm.
    METHODS: Of 163 individuals with BPD + ASPD screened for eligibility, 55 were randomized to MBT treatment and 53 to UP treatment. Outcomes of treatment were assessed at 6-month intervals to 36 months.
    RESULTS: Short-term reductions were seen following both treatments in traits of psychopathy, antisocial and borderline personality symptom severity, anger dysregulation, impulsivity and self-harm, but both treatment groups showed almost complete relapse of symptoms at the 36-month follow-up. UP had more durable effects than MBT.
    CONCLUSIONS: Despite being a considerably shorter treatment, UP was at least as effective as MBT and in some respects superior. Remission of symptoms was not achieved by either treatment in the long term. Psychopathy and borderline/antisocial comorbidity with which it is associated are to some extent remediable through psychotherapy, but only in the short term.
    CONCLUSIONS: Patients with high levels of impulsivity and disinhibition are likely to relapse following psychotherapy and should be closely monitored after treatment.
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  • 文章类型: Journal Article
    虽然已经提出了许多关于投票转换的解释(例如,党派支持率下降,意识形态转变,党派矛盾,政策偏好的变化),很少有工作检查更有可能从事这种行为的人的人格特征。在研究1中,我们研究了两者之间的关系(即开放性,尽责)和对抗(即精神病,自恋,马基雅维利主义)的人格特质和在大量加拿大公民中改变投票的意图,在控制几个既定的相关因素的同时,如年龄,收入和政治利益。在所有的人格特质中,只有开放度较高的个人才有更大的意愿进行投票转换。尽管我们期望,马基雅维利主义,以战略性质为特征的特征,与投票转换意图无关。在研究2中,我们通过在方面水平上检查特征并在单独的加拿大公民样本中利用马基雅维利主义的新衡量标准,解决了为什么拮抗特征可能与研究1中的投票转换意图无关的几个方法学原因。又来了,我们发现几乎没有证据证明拮抗特性之间的关系,包括马基雅维利主义,和投票转换意图。
    While numerous explanations for vote-switching have been proposed (e.g. declining rates of partisanship, ideological shifts, partisan ambivalence, change in policy preferences), far less work has examined the personality profile of people more likely to engage in this behaviour. In Study 1, we examined the relationship between both general (i.e. openness, conscientiousness) and antagonistic (i.e. psychopathy, narcissism, Machiavellianism) personality traits and the intent to switch one\'s vote in a large sample of Canadian citizens, while controlling for several established correlates such as age, income and political interest. Of all personality traits, only individuals higher in openness reported a greater intent to engage in vote switching. Despite our expectations, Machiavellianism, a trait characterized by its strategic nature, was unrelated to vote switching intentions. In Study 2, we addressed several methodological reasons for why antagonistic traits may have been unrelated to vote switching intentions in Study 1 by examining the traits at the facet level and utilizing a new measure of Machiavellianism among a separate sample of Canadian citizens. Here again, we found little evidence for a relationship between antagonistic traits, including Machiavellianism, and vote switching intentions.
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  • 文章类型: Journal Article
    本研究探讨了患者特征与精神病特征在预测治疗参与方面的关系。我们使用致力于马萨诸塞州治疗中心(MTC)的218名个人的详细档案临床文件对治疗参与进行了评估。精神病检查表修订(PCL-R)评分已根据先前对同一样本的研究进行了评分。总的来说,PCL-R面2和4显著预测治疗参与减少,提示与这些方面相关的特征对治疗参与具有最大的破坏性影响。还进行了探索性分析,评估了PCL-R方面与各个治疗参与成分之间的关系。而Facet2显著预测所有三个单独治疗参与成分的水平较低,方面4只显著预测了两个中较低的水平,突出这些方面的区别效果。识别对治疗参与具有正面或负面影响的成分可以允许临床医生定制治疗以优化治疗参与和结果。
    The current study explored the relations between patient characteristics and psychopathic traits in predicting treatment involvement. We rated treatment involvement using detailed archival clinical files of 218 individuals committed to the Massachusetts Treatment Center (MTC). Psychopathy Checklist-Revised (PCL-R) scores had been rated from a previous study on the same sample. Overall, PCL-R Facets 2 and 4 significantly predicted decreases in treatment involvement, suggesting the characteristics associated with these facets have the most disruptive effects on treatment involvement. Exploratory analyses were also conducted assessing the relations between the PCL-R facets and the individual treatment involvement components. Whereas Facet 2 significantly predicted lower levels in all three individual treatment involvement components, Facet 4 only significantly predicted lower levels in two, highlighting the differentiating effects of these facets. Identifying the components that have either positive or negative effects on treatment involvement can allow clinicians to tailor treatments to optimize treatment involvement and outcome.
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  • 文章类型: Journal Article
    当前研究的目的是确定是否存在人格差异(HEXACO模型,自恋,虐待狂,对他人的同情)戴着面具,社交距离,和囤积。
    与不总是戴口罩的人相比,那些总是戴口罩的人对他人的同情心明显更高,而施虐主义则明显更低。那些总是社交距离的人(与那些没有社交距离的人相比)的开放性明显更高,同情他人,和责任心。囤积的人比不囤积的人的适宜性低得多。
    也许医生可以使用信息来提升利他型特质的状态(同意,同情他人),同时在访问期间对患者进行教育,以增加接受疫苗接种或加强注射的可能性。
    UNASSIGNED: The purpose of the current study was to determine whether there are personality differences (the HEXACO model, narcissism, sadism, compassion for others) in mask-wearing, social distancing, and hoarding.
    UNASSIGNED: Those who always wore masks were significantly higher in compassion for others and significantly lower in sadism compared to those who did not always wear masks. Those who always socially distanced (compared to those who did not) were significantly higher in openness, compassion for others, and conscientiousness. Those who hoarded were significantly lower in agreeableness than those who did not hoard.
    UNASSIGNED: Perhaps physicians may use information to boost states of altruistic-type traits (agreeableness, compassion for others) while educating patients during visits in order to increase the likelihood of receiving vaccinations or booster shots.
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