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Titolo:
The context of delusional experiences in the daily life of patients with schizophrenia
Autore:
Myin-Germeys, I; Nicolson, NA; Delespaul, PAEG;
Indirizzi:
Maastricht Univ, European Grad Sch Neurosci, Dept Psychiat & Neuropsychol,NL-6200 MD Maastricht, Netherlands Maastricht Univ Maastricht NetherlandsNL-6200 MD aastricht, Netherlands
Titolo Testata:
PSYCHOLOGICAL MEDICINE
fascicolo: 3, volume: 31, anno: 2001,
pagine: 489 - 498
SICI:
0033-2917(200104)31:3<489:TCODEI>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
COGNITIVE-BEHAVIORAL THERAPY; RANDOMIZED CONTROLLED TRIAL; EXPRESSED EMOTION; HALLUCINATIONS; SYMPTOMS; ILLNESS; RELIABILITY; DISORDERS; PSYCHOSIS; BELIEFS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Life Sciences
Citazioni:
47
Recensione:
Indirizzi per estratti:
Indirizzo: Delespaul, PAEG Maastricht Univ, European Grad Sch Neurosci, Dept Psychiat& Neuropsychol,POB 616,PAR 45, NL-6200 MD Maastricht, Netherlands Maastricht Univ POB 616,PAR 45 Maastricht Netherlands NL-6200 MD
Citazione:
I. Myin-Germeys et al., "The context of delusional experiences in the daily life of patients with schizophrenia", PSYCHOL MED, 31(3), 2001, pp. 489-498

Abstract

Background. Global characteristics and psychosocial risk factors related to delusions have been identified. The present study extends these findings to the level of everyday functioning, identifying characteristics of delusional moments (DMs) and contextual risk and protective factors for delusional exacerbations in dairy life. Methods. Data were collected using the Experience Sampling Method (ESM), atime-sampling technique. Forty-eight chronic patients diagnosed with schizophrenia rated the intensity of pathological symptoms and mood states and described their thoughts and the environmental context during consecutive moments in daily life. Delusions were defined on the basis of self-rated suspicion, preoccupation, feeling controlled, and coded thought pathology. Daily context included current activity, persons present and location. Characteristics of DMs and non-delusional moments (nDMs) were compared, and a multilevel logistic regression model was used to identify contexts that might trigger or prevent DMs. Results. On average, patients experienced delusions less than one-third ofthe time. DMs were characterized by higher negative affect and lower positive affect. The presence of family or acquaintances decreased the risk of subsequently experiencing a DM, whereas withdrawal from activities increasedthis risk. Conclusions. Data support the validity of ESM for investigating delusions in schizophrenia. Daily life contexts appear to alter the probability that delusions will occur. Knowledge about such contexts may therefore be usefulin helping patients develop better coping strategies and in creating therapeutic interventions that can lessen emotional distress.

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Documento generato il 25/01/20 alle ore 00:15:00