內(nèi)在,他人及環(huán)境歸因問卷的中文版修訂及與腦r-fMRI信號的相關(guān)研究
發(fā)布時間:2018-05-09 09:33
本文選題:歸因方式 + 信度 ; 參考:《浙江大學(xué)》2012年碩士論文
【摘要】:研究背景:社會認(rèn)知是指人們思考自己,他人及社會環(huán)境的認(rèn)知過程,歸因方式作為社會認(rèn)知的重要組成部分,是指人們解釋事件和他人目的的方式。歸因?qū)θ藗兊纳钣兄匾挠绊?使用何種歸因方式與人們的情緒狀態(tài),心理健康程度密切相關(guān)。研究歸因與精神疾病的關(guān)系,有利于了解精神疾病產(chǎn)生的心理機(jī)制。國內(nèi)缺少精神疾病患者歸因的測查工具,因此修訂中文版內(nèi)在、他人及環(huán)境歸因問卷有著重要的意義。 研究目的:本研究目的一是修訂中文版內(nèi)在、他人及環(huán)境歸因問卷(C-IPSAQ),為國內(nèi)歸因方式的測查提供更適合的工具。目的二是測查我國精神分裂癥和抑郁癥患者中是否有著不同于正常人的特異的歸因方式。目的三即是試圖發(fā)現(xiàn)精神分裂癥患者不同于正常人歸因方式的靜息態(tài)fMRI證據(jù)。 研究方法:將英文問卷原版翻譯成中文版并通過回譯最終確定中文版問卷用于本研究中。問卷測查中,200名正常人和49名抑郁患者完成了內(nèi)在、他人及環(huán)境歸因問卷(C-IPSAQ),貝克抑郁量表(BDI)和歸因方式問卷(ASQ),另41名精神分裂癥患者只完成了C-IPSAQ和BDI問卷,對問卷進(jìn)行信效度分析。fMRI數(shù)據(jù)收集中,對21名正常人和23名精神分裂癥患者進(jìn)行了靜息狀態(tài)下全腦磁共振掃描,對數(shù)據(jù)進(jìn)行析因設(shè)計方差分析。 研究結(jié)果:C-IPSAQ有著良好的內(nèi)部一致性信度,六個分量表的平均克朗巴赫α系數(shù)為0.697(從0.674到0.738),評分者間信度和點(diǎn)二列條目-總分相關(guān)系數(shù)均較高。同時效度用C-IPSAQ與ASQ的相關(guān)關(guān)系來測定,C-IPSAQ的自利偏差歸因分?jǐn)?shù)(EB)與ASQ的自我服務(wù)偏差分?jǐn)?shù)(SSB)顯著正相關(guān),他們能測查出相似的歸因特征。另外C-IPSAQ的分?jǐn)?shù)與BDI分值的相關(guān)和回歸系數(shù)也證實(shí)了其良好的同時效度。用能測查出不同人群間的不同的歸因方式特征來證實(shí)問卷的區(qū)分效度較好。妄想患者右側(cè)枕中回的局部一致性低于正常人;在正常人群中有內(nèi)在歸因方式的人的右側(cè)枕中回的局部一致性高于有外部他人歸因方式和外部環(huán)境歸因方式的人。 研究結(jié)論:中文版內(nèi)在、他人及環(huán)境歸因問卷的信度和效度均較好。研究發(fā)現(xiàn),抑郁癥患者多傾向于負(fù)性事件內(nèi)歸因,正性事件外歸因;有妄想的精神分裂癥患者比正常人群較少的傾向于把負(fù)性事件歸因于環(huán)境;有妄想的精神分裂癥患者比沒有妄想的精神分裂癥患者有著較多的負(fù)性事件外部他人歸因,即把負(fù)性事件較多的歸為他人的原因。與正常人相比,妄想患者右側(cè)枕中回的功能降低,而且此腦區(qū)活動一致性較好還可能與內(nèi)在歸因方式有關(guān)。
[Abstract]:Background: social cognition refers to the cognitive process in which people think about themselves, others and social environment. Attribution style, as an important part of social cognition, refers to the way in which people explain events and the purpose of others. Attribution has an important influence on people's life. What kind of attribution style is closely related to people's emotional state and mental health. The study of the relationship between attribution and mental illness is helpful to understand the psychological mechanism of mental illness. There is a lack of tools to test the attribution of mental patients in China, so it is of great significance to revise the Chinese version of the internal, other and environmental attribution questionnaires. Objective: the purpose of this study is to revise the Chinese version of the Internal, others and Environmental Attribution questionnaire (CIPSAQN) to provide a more suitable tool for the measurement of attribution styles in China. The second is to find out if there are specific attribution styles in schizophrenia and depression in China. Objective three is to try to find the rest fMRI evidence of schizophrenic patients with different attribution styles from normal people. Methods: the original version of the English questionnaire was translated into the Chinese version and the Chinese version was finalized for use in the present study. In the questionnaire, 200 normal persons and 49 depression patients completed the internal, others and environment attribution questionnaires (C-IPSAQI, Beck Depression scale) and Attribution style questionnaire. The other 41 schizophrenic patients completed only C-IPSAQ and BDI questionnaires. The reliability and validity of the questionnaire were analyzed. FMRI data were collected from 21 normal subjects and 23 schizophrenic patients. The MRI scans of the whole brain were performed in resting state and the data were analyzed by factorial design variance analysis. The results showed that the internal consistency reliability of the six subscales was 0.697 (ranging from 0.674 to 0.738). The reliability of the six sub-scales and the correlation coefficient between the two points and the total score were higher. At the same time, the correlation between C-IPSAQ and ASQ was used to determine the positive correlation between the self-interest deviation attribution score of C-IPSAQ and the self-service deviation score of ASQ. They could detect similar attribution characteristics. In addition, the correlation between C-IPSAQ score and BDI score and regression coefficient also confirmed its good simultaneous validity. To verify the validity of the questionnaire, we can find out the different attribution style characteristics among different population groups. The local consistency of the right occipital gyrus in the delusional patients was lower than that in the normal subjects, and the local consistency of the right occipital gyrus in the normal group was higher than that in the external others' attribution style and the external environment attribution style. Conclusion: the reliability and validity of the Chinese version of the internal, other and environmental attribution questionnaires are good. The study found that depression patients tend to attribute negative events to internal factors, positive events to external attribution, paranoid schizophrenia patients tend to attribute negative events to the environment than normal people. The schizophrenic patients with delusion have more negative events external attribution than those without delusion, that is to say, the negative events are more attributed to others. The function of right occipital middle gyrus in delusional patients was lower than that in normal subjects, and the better consistency of activity in this area might also be related to the internal attribution style.
【學(xué)位授予單位】:浙江大學(xué)
【學(xué)位級別】:碩士
【學(xué)位授予年份】:2012
【分類號】:R749.3
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