Gureje Oye, Harvey Carol, Herrman Helen
Department of Psychiatry, University College Hospital, Ibandan, Nigeria.
Aust N Z J Psychiatry. 2004 May;38(5):334-8. doi: 10.1080/j.1440-1614.2004.01360.x.
New developments in pharmacotherapy are likely to improve substantially the symptomatic recovery from psychosis but low self-esteem may compromise quality of life.
To investigate the profile and correlates of self-esteem in individuals who have achieved symptomatic recovery from psychosis and determine its relationship with quality of life.
Sixty-one individuals who had been free of psychotic symptoms for 6 months were selected during a community-based epidemiological survey of psychoses. Participants were evaluated for subjective assessment of self-esteem using a self-report questionnaire, for clinical and antecedent features of illness, and for quality of life.
Forty-three percent had scores in the range indicative of low self-esteem on the questionnaire. Level of self-esteem was unrelated to gender, employment status, the type of psychotic disorder, course of disorder or premorbid social adjustment. Depression was associated with reduced levels of self-esteem. However, independent of depression and other confounding variables, a low level of self-esteem was a risk factor for impaired quality of life.
Self-esteem is often low among persons who have achieved symptomatic recovery from psychosis, is associated with depression and is a predictor of quality of life.
药物治疗的新进展可能会显著改善精神病症状的恢复，但自尊心低下可能会影响生活质量。
调查从精神病症状中恢复的个体的自尊概况及其相关因素，并确定其与生活质量的关系。
在一项基于社区的精神病流行病学调查中，选取了61名已摆脱精神病症状6个月的个体。使用自我报告问卷对参与者的自尊进行主观评估，评估疾病的临床和既往特征以及生活质量。
43%的参与者在问卷上的得分表明自尊心较低。自尊水平与性别、就业状况、精神障碍类型、疾病病程或病前社会适应无关。抑郁与自尊水平降低有关。然而，独立于抑郁和其他混杂变量，低自尊是生活质量受损的一个危险因素。
从精神病症状中恢复的个体中，自尊心往往较低，与抑郁有关，并且是生活质量的一个预测指标。
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