Sokol Yosef, Serper Mark R
Department of Psychiatry, Ichan Mount Sinai School of Medicine, New York.
J Nerv Ment Dis. 2019 Feb;207(2):76-83. doi: 10.1097/NMD.0000000000000925.
Individuals with psychiatric illness have difficulty remembering specific events from their personal past and imagining their future. We examined psychotic psychiatric inpatients' sense of self-continuity over time, predicting that low levels of temporal continuity would predict increased psychopathology and lower functionality. Inpatients (n = 60) were compared with healthy controls (n = 60) on a validated measure of self-continuity, psychiatric symptoms, insight, and adaptive functioning capacity. Results revealed that patients had significant difficulty perceiving their past, present, and future selves as unified over time compared with controls. Within the inpatient group, deficits in present to future self-continuity was associated with patients' severity of positive, negative, and mood symptoms, degree of insight, and adaptive capacity. It may be the case that temporal self-unity provides a context for deriving reinforcement from daily life experiences in the moment and in anticipating the future as well as a worthwhile goal for treatment exploration.
患有精神疾病的个体在回忆个人过去的特定事件以及想象自己的未来方面存在困难。我们研究了患有精神病的住院患者随时间推移的自我连续性意识，预测时间连续性水平较低会预示精神病理学症状增加和功能较低。在一项经过验证的自我连续性、精神症状、洞察力和适应功能能力测量中，将60名住院患者与60名健康对照者进行了比较。结果显示，与对照组相比，患者在将自己过去、现在和未来的自我视为随时间统一方面存在显著困难。在住院患者组中，从现在到未来的自我连续性缺陷与患者的阳性、阴性和情绪症状严重程度、洞察力程度和适应能力相关。时间上的自我统一可能为从当下和预期未来的日常生活经历中获得强化提供了一个背景，也是治疗探索的一个有价值的目标。
