自尊与早期精神病患者的发病前适应和积极的精神病症状有关。
Self-esteem is associated with premorbid adjustment and positive psychotic symptoms in early psychosis.
机构信息
Division of Mental Health and Addiction, Oslo University Hospital, 0407 Oslo, Norway.
出版信息
BMC Psychiatry. 2011 Aug 19;11:136. doi: 10.1186/1471-244X-11-136.
BACKGROUND
Low levels of self-esteem have been implicated as both a cause and a consequence of severe mental disorders. The main aims of the study were to examine whether premorbid adjustment has an impact on the subject's self-esteem, and whether lowered self-esteem contributes to the development of delusions and hallucinations.
METHOD
A total of 113 patients from the Thematically Organized Psychosis research study (TOP) were included at first treatment. The Positive and Negative Syndrome Scale (PANSS) was used to assess present symptoms. Premorbid adjustment was measured with the Premorbid Adjustment Scale (PAS) and self-esteem by the Rosenberg Self-Esteem Scale (RSES).
RESULTS
Premorbid social adjustment was significantly related to lower self-esteem and explained a significant proportion of the variance in self-esteem. Self-esteem was significantly associated with the levels of persecutory delusions and hallucinations experienced by the patient and explained a significant proportion of the variance even after adjusting for premorbid functioning and depression.
CONCLUSION
There are reasons to suspect that premorbid functioning is an important aspect in the development of self- esteem, and, furthermore, that self-esteem is associated with the development of delusions and hallucinations.
背景
低自尊被认为是严重精神障碍的既因也是后果。本研究的主要目的是检验病前适应是否会影响个体的自尊，以及低自尊是否会导致妄想和幻觉的发展。
方法
共有 113 名来自主题组织精神病学研究（TOP）的患者在首次治疗时被纳入研究。使用阳性和阴性症状量表（PANSS）评估当前症状。病前适应采用病前适应量表（PAS）进行测量，自尊采用罗森伯格自尊量表（RSES）进行测量。
结果
病前的社会适应与较低的自尊显著相关，并且解释了自尊的很大一部分变异。自尊与患者经历的被害妄想和幻觉的水平显著相关，即使在调整了病前功能和抑郁之后，它仍然可以解释很大一部分变异。
结论
有理由怀疑病前功能是自尊发展的一个重要方面，此外，自尊与妄想和幻觉的发展有关。
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