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The impact of psychoticism on perceived hassles depression hostility and hopelessness in non-psychiatric African Americans

机译:精神病对非精神病性非洲裔美国人的困扰沮丧敌对和绝望的影响

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摘要

Psychotic symptoms are distributed along a continuum that extends from normality to diagnosable psychotic disorders and the presence of psychoticism among individuals in the general population may lead to morbidity and social impairment. This study examined a model in which psychoticism leads to several important psychological consequences. The analysis included 134 African Americans with no psychiatric history who were being seen in medical walk-in clinics for non-emergency medical problems. Psychoticism, perceived hassles, depression, hostility, and hopelessness were measured. The Linear Structural Relations Program (LISREL) was used to test the fit of the data to the proposed model, a trimmed hierarchical version, and two alternative models. The data supported a model in which psychoticism has substantial effects on several important characteristics: perceived daily hassles, depression, and hostility. Depression mediated the association between psychoticism and hopelessness. Goodness-of-fit indices for a final trimmed model that eliminated one path from the initial postulated model revealed good fit to the data, and the two alternative models were found not to fit the data. Like psychosis itself, psychoticism appears to cause meaningful dysfunction even among non-psychiatric individuals from the general population. Additional research is needed to further characterize the detrimental effects of psychoticism or self-reported psychotic symptoms in the general, non-psychiatric population.
机译:精神病性症状沿着从正常性到可诊断的精神病性疾病的连续体分布,并且一般人群中个体之间精神病性的存在可能导致发病和社会损害。这项研究检验了一种模型,其中精神病导致几种重要的心理后果。该分析包括134位无精神病史的非洲裔美国人,他们在非常规医疗问题的就诊中被发现。测量精神病,感觉上的烦恼,沮丧,敌对和绝望。线性结构关系程序(LISREL)用于测试数据是否适合所提出的模型,修剪的层次版本和两个替代模型。数据支持了一种模型,在这种模型中,精神病对几个重要特征具有实质性影响:感知到的日常烦恼,抑郁和敌意。抑郁症介导了精神病和绝望之间的联系。最终修整模型的拟合优度指数从初始假定的模型中消除了一条路径,显示出对数据的良好拟合,并且发现两个替代模型与数据不拟合。像精神病本身一样,精神病似乎也会引起有意义的功能障碍,即使在一般人群中的非精神病患者中也是如此。需要进一步的研究来进一步表征精神病或普通非精神病人群中自我报告的精神病症状的有害影响。

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