精神分裂症中耻辱感、自尊和症状与社交焦虑的同时性和前瞻性评估的关联
Association of stigma, self-esteem, and symptoms with concurrent and prospective assessment of social anxiety in schizophrenia.
作者信息
Lysaker Paul H, Yanos Philip T, Outcalt Jared, Roe David
机构信息
Department of Psychiatry, Roudebush VA Medical Center, Indianapolis, IN 46202, USA.
出版信息
Clin Schizophr Relat Psychoses. 2010 Apr;4(1):41-8. doi: 10.3371/CSRP.4.1.3.
RATIONALE
Often overlooked clinically, social anxiety is common in schizophrenia and may represent a barrier to quality of life and social function. Little is known, however, about the possible roots of social anxiety in schizophrenia or their relationship to social anxiety over time.
METHODS
To explore this issue, we examined the relationship between self-esteem, self-stigma, positive and negative symptoms, emotional discomfort and affect recognition with concurrent and prospective assessments of social anxiety using the Multidimensional Anxiety Questionnaire in a sample of seventy-eight persons meeting criteria for schizophrenia or schizoaffective disorder.
RESULTS
Univariate correlations revealed that self-esteem, self-stigma, negative symptoms and emotional discomfort were significantly related to social anxiety assessed concurrently and five months later. Multiple regressions revealed negative symptoms and discrimination experiences in particular were found to predict social anxiety prospectively even when initial levels of social anxiety were controlled for statistically.
CONCLUSIONS
Negative symptoms and self-stigma may be consistently related to social anxiety across time.
理论依据
社交焦虑在临床上常常被忽视，它在精神分裂症中很常见，可能是生活质量和社会功能的一个障碍。然而，对于精神分裂症中社交焦虑的可能根源或它们随时间与社交焦虑的关系知之甚少。
方法
为了探讨这个问题，我们使用多维焦虑问卷，对78名符合精神分裂症或分裂情感性障碍标准的患者进行自尊、自我污名、阳性和阴性症状、情绪不适以及情感识别与社交焦虑的同时期和前瞻性评估之间的关系进行了研究。
结果
单变量相关性分析显示，自尊、自我污名、阴性症状和情绪不适与同时期及五个月后的社交焦虑显著相关。多元回归分析显示，即使在对社交焦虑的初始水平进行统计学控制后，阴性症状和歧视经历尤其被发现可前瞻性地预测社交焦虑。
结论
阴性症状和自我污名可能在不同时间一直与社交焦虑相关。
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