Roudebush VA Medical Center, Indianapolis, IN 46202, United States.
Schizophr Res. 2010 Aug;121(1-3):271-6. doi: 10.1016/j.schres.2010.03.003. Epub 2010 Mar 26.
It has been recently argued that recovery from schizophrenia may involve the recapturing or developing one's personal narrative. Unknown is whether the fullness of the narrative accounts of persons with schizophrenia form about their lives is indeed uniquely linked to wellness in daily life, that is, independent of other factors including symptoms, hope, self-esteem and general intellectual functioning. To explore this issue the current study correlated assessments of personal narratives using the Scale to Assess Narrative Development with the Quality of Life Scale for 103 adults with schizophrenia spectrum disorders. General assessments of personal narrative were associated with the quality and quantity of social relationships, even after controlling for positive and negative symptoms, self report of hope and self-esteem and a test of general intellectual function. The domains of social connectedness within narratives were most closely linked with frequency of social relationships and the domains of Agency and Social Worth were mostly closely linked with quality of social relationships after the effects of symptoms, hope, self-esteem and general intellectual function were accounted for statistically.
最近有人认为,精神分裂症的康复可能涉及重新获得或发展个人叙事。目前尚不清楚精神分裂症患者的生活叙事是否真的与日常生活中的健康状况完全相关,即是否独立于其他因素,包括症状、希望、自尊和一般智力功能。为了探讨这个问题,本研究使用叙事发展量表评估了 103 名精神分裂症谱系障碍患者的个人叙事,并与生活质量量表进行了相关性分析。即使在控制了阳性和阴性症状、自我报告的希望和自尊以及一般智力功能测试后,个人叙事的总体评估仍与社会关系的质量和数量相关。在考虑了症状、希望、自尊和一般智力功能的影响后,叙事中的社会联系领域与社会关系的频率最为密切相关,而能动性和社会价值领域与社会关系的质量最为密切相关。