内在，他人及环境归因问卷的中文版修订及与脑r-fMRI信号的相关研究

发布时间：2018-05-09 09:33

本文选题：归因方式 + 信度　；参考：《浙江大学》2012年硕士论文

【摘要】：研究背景：社会认知是指人们思考自己,他人及社会环境的认知过程,归因方式作为社会认知的重要组成部分,是指人们解释事件和他人目的的方式。归因对人们的生活有着重要的影响,使用何种归因方式与人们的情绪状态,心理健康程度密切相关。研究归因与精神疾病的关系,有利于了解精神疾病产生的心理机制。国内缺少精神疾病患者归因的测查工具,因此修订中文版内在、他人及环境归因问卷有着重要的意义。研究目的：本研究目的一是修订中文版内在、他人及环境归因问卷(C-IPSAQ),为国内归因方式的测查提供更适合的工具。目的二是测查我国精神分裂症和抑郁症患者中是否有着不同于正常人的特异的归因方式。目的三即是试图发现精神分裂症患者不同于正常人归因方式的静息态fMRI证据。研究方法：将英文问卷原版翻译成中文版并通过回译最终确定中文版问卷用于本研究中。问卷测查中,200名正常人和49名抑郁患者完成了内在、他人及环境归因问卷(C-IPSAQ),贝克抑郁量表(BDI)和归因方式问卷(ASQ),另41名精神分裂症患者只完成了C-IPSAQ和BDI问卷,对问卷进行信效度分析。fMRI数据收集中,对21名正常人和23名精神分裂症患者进行了静息状态下全脑磁共振扫描,对数据进行析因设计方差分析。研究结果：C-IPSAQ有着良好的内部一致性信度,六个分量表的平均克朗巴赫α系数为0.697(从0.674到0.738),评分者间信度和点二列条目-总分相关系数均较高。同时效度用C-IPSAQ与ASQ的相关关系来测定,C-IPSAQ的自利偏差归因分数(EB)与ASQ的自我服务偏差分数(SSB)显著正相关,他们能测查出相似的归因特征。另外C-IPSAQ的分数与BDI分值的相关和回归系数也证实了其良好的同时效度。用能测查出不同人群间的不同的归因方式特征来证实问卷的区分效度较好。妄想患者右侧枕中回的局部一致性低于正常人；在正常人群中有内在归因方式的人的右侧枕中回的局部一致性高于有外部他人归因方式和外部环境归因方式的人。研究结论：中文版内在、他人及环境归因问卷的信度和效度均较好。研究发现,抑郁症患者多倾向于负性事件内归因,正性事件外归因；有妄想的精神分裂症患者比正常人群较少的倾向于把负性事件归因于环境；有妄想的精神分裂症患者比没有妄想的精神分裂症患者有着较多的负性事件外部他人归因,即把负性事件较多的归为他人的原因。与正常人相比,妄想患者右侧枕中回的功能降低,而且此脑区活动一致性较好还可能与内在归因方式有关。
[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.
【学位授予单位】：浙江大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R749.3

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