Gumley Andrew, O'grady Margaret, Power Kevin, Schwannauer Matthias
University of Glasgow, Section of Psychological Medicine, Academic Centre, Scotland.
Aust N Z J Psychiatry. 2004 Nov-Dec;38(11-12):960-4. doi: 10.1080/j.1440-1614.2004.01487.x.
This study set out to investigate whether socially anxious individuals with psychosis will perceive more loss, entrapment, shame and humiliation, will blame themselves more for their illness and have lower self-esteem than non-socially anxious individuals with psychosis.
Two groups of participants with psychosis with (n=19) and without (n=19) social anxiety disorder were matched on the basis of gender and diagnosis.
There were no differences between the two groups in terms of positive and negative symptoms. Participants with social anxiety had significantly higher levels of self-blame, entrapment, shame and lower self-esteem. Differences in entrapment, shame and self-esteem remained significant after controlling for depression.
Negative beliefs about self and psychosis may be associated with the development of concurrent social anxiety disorder. The clinical and research implications of the findings are discussed.
本研究旨在调查患有精神病的社交焦虑个体是否比未患有社交焦虑的精神病个体更容易感知到更多的失落、束缚、羞耻和屈辱，是否会更多地自责自己的疾病，以及自尊水平是否更低。
两组患有精神病的参与者，一组（n = 19）患有社交焦虑障碍，另一组（n = 19）未患有社交焦虑障碍，根据性别和诊断进行匹配。
两组在阳性和阴性症状方面没有差异。患有社交焦虑的参与者在自责、束缚、羞耻方面的水平显著更高，自尊水平更低。在控制抑郁因素后，束缚、羞耻和自尊方面的差异仍然显著。
对自我和精神病的消极信念可能与并发社交焦虑障碍的发展有关。讨论了研究结果在临床和研究方面的意义。
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