Why Do Bad Things Happen to Me? Attributional Style, Depressed Mood, and Persecutory Delusions in Patients With Schizophrenia
| Autor: | Stephanie Kiszkenow, Andreas Bechdolf, Wolfgang Wölwer, Stefan Klingberg, Andreas Wittorf, Bernhard W. Müller, Jutta Herrlich, Stephanie Loos-Jankowiak, Michael Wagner, Mareike Kommescher, Martin W. Landsberg, Stephanie Mehl, Gudrun Sartory, Steffen Moritz, Anna Christine Schmidt, Georg Wiedemann, Tilo Kircher, Maurice Cabanis |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Depression Medizin Theoretical models Regular Article Middle Aged medicine.disease Delusions Style (sociolinguistics) Psychiatry and Mental health Schizophrenia medicine Humans Female In patient Depressed mood Psychiatry Attribution Psychology Internal-External Control Depression (differential diagnoses) Psychopathology |
| Zdroj: | Schizophrenia Bulletin. 40:1338-1346 |
| ISSN: | 1745-1701 0586-7614 |
| DOI: | 10.1093/schbul/sbu040 |
| Popis: | Theoretical models postulate an important role of attributional style (AS) in the formation and maintenance of persecutory delusions and other positive symptoms of schizophrenia. However, current research has gathered conflicting findings. In a cross-sectional design, patients with persistent positive symptoms of schizophrenia (n = 258) and healthy controls (n = 51) completed a revised version of the Internal, Personal and Situational Attributions Questionnaire (IPSAQ-R) and assessments of psychopathology. In comparison to controls, neither patients with schizophrenia in general nor patients with persecutory delusions (n = 142) in particular presented an externalizing and personalizing AS. Rather, both groups showed a “self-blaming” AS and attributed negative events more toward themselves. Persecutory delusions were independently predicted by a personalizing bias for negative events (beta = 0.197, P = .001) and by depression (beta = 0.152, P = .013), but only 5% of the variance in persecutory delusions could be explained. Cluster analysis of IPSAQ-R scores identified a “personalizing” (n = 70) and a “self-blaming” subgroup (n = 188), with the former showing slightly more pronounced persecutory delusions (P = .021). Results indicate that patients with schizophrenia and patients with persecutory delusions both mostly blamed themselves for negative events. Nevertheless, still a subgroup of patients could be identified who presented a more pronounced personalizing bias and more severe persecutory delusions. Thus, AS in patients with schizophrenia might be less stable but more determined by individual and situational characteristics that need further elucidation. |
| Databáze: | OpenAIRE |
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