Lysaker Paul H, Ringer Jamie M, Davis Louanne W
Roudebush VA Medical Center, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Psychiatr Rehabil J. 2008 Fall;32(2):132-4. doi: 10.2975/32.2.2008.132.134.
Social anxiety is commonly found in schizophrenia and is linked with heightened symptoms and lower self-esteem. The purpose of this paper is to examine how social anxiety and self-esteem influence one another over time.
We have assessed social anxiety, symptoms, and self-esteem at two points, six months apart, for 39 participants with schizophrenia or schizoaffective disorder.
Concurrent measures of social anxiety and self-esteem were closely correlated with one another. Multiple regressions indicated that baseline self-esteem was significantly correlated with social anxiety six months later, independent of the influence of social anxiety at baseline. Social anxiety at baseline did not predict self-esteem at six months when baseline self-esteem was controlled for statistically.
Lower self-esteem may be a risk factor for the development of social anxiety in individuals with schizophrenia. Clinical and theoretical implications are discussed.
社交焦虑在精神分裂症中很常见，并且与症状加重和自尊降低有关。本文旨在探讨社交焦虑和自尊如何随时间相互影响。
我们对39名患有精神分裂症或分裂情感性障碍的参与者在相隔6个月的两个时间点评估了社交焦虑、症状和自尊。
社交焦虑和自尊的同时测量彼此密切相关。多元回归表明，基线自尊与6个月后的社交焦虑显著相关，独立于基线社交焦虑的影响。当对基线自尊进行统计学控制时，基线社交焦虑并不能预测6个月时的自尊。
自尊较低可能是精神分裂症患者社交焦虑发展的一个风险因素。讨论了临床和理论意义。
