Lysaker Paul H, Taylor Amanda, Miller Amy, Beattie Nicole, Strasburger Amy, Davis Louanne W
Roudebush VA Medical Center, Indianapolis, Indiana 46202, USA.
J Nerv Ment Dis. 2006 Mar;194(3):223-5. doi: 10.1097/01.nmd.0000202512.54587.34.
While changes in self-experience have been suggested as an element of recovery from schizophrenia, little is known about how they are linked with other subjective indicators of recovery. To examine this, we have developed methods of eliciting narratives of self and illness in schizophrenia and quantitatively rating self-experience expressed within those narratives. In this study, we rated the narratives of 34 persons with schizophrenia spectrum disorder prior to entry into rehabilitation using the Scale to Assess Narrative Development (STAND). STAND scores were then correlated with concurrent assessments of self-esteem using the Rosenberg Self Esteem schedule and readiness for change using the Stages of Change Questionnaire. Results indicated that higher ratings on the STAND were associated with greater levels of self-esteem and greater overall readiness for change. This may suggest that qualities of self-experience within personal narratives of persons with schizophrenia are linked to objective and subjective assessments of recovery.
虽然自我体验的变化被认为是精神分裂症康复的一个要素，但对于它们如何与康复的其他主观指标相联系却知之甚少。为了对此进行研究，我们开发了一些方法来引出精神分裂症患者关于自我和疾病的叙述，并对这些叙述中表达的自我体验进行定量评分。在本研究中，我们使用叙事发展评估量表（STAND）对34名精神分裂症谱系障碍患者在进入康复治疗前的叙述进行了评分。然后，将STAND得分与使用罗森伯格自尊量表对自尊的同步评估以及使用改变阶段问卷对改变准备程度的评估进行关联。结果表明，STAND评分越高，自尊水平越高，整体改变准备程度也越高。这可能表明，精神分裂症患者个人叙述中的自我体验特质与康复的客观和主观评估相关联。
