Department of Acute Psychiatry and Psychosis Treatment, Division of Mental Health, Innlandet Hospital Trust, Reinsvoll, Norway.
Faculty of Medicine, University of Oslo, Blindern, Oslo, Norway.
PLoS One. 2020 Apr 15;15(4):e0230956. doi: 10.1371/journal.pone.0230956. eCollection 2020.
The Sense of Coherence (SOC) theory gives a possible explanation of how people can experience subjective good health despite severe illness. Basic self-disturbances (BSDs) are subtle non-psychotic disturbances that may destabilize the person's sense of self, identity, corporeality, and the overall 'grip' of the world.
Our objective was to investigate associations between BSDs and SOC in patients with psychotic disorders.
This is a cross-sectional study of 56 patients diagnosed with psychotic disorders inside and outside the schizophrenia spectrum (35 schizophrenia, 13 bipolar, and eight other psychoses). SOC was measured using Antonovsky's 13-item SOC questionnaire, and BSDs were assessed using the Examination of Anomalous Self-Experience (EASE) manual. Diagnosis, symptoms, and social and occupational performance were assessed using standardized clinical instruments.
We found a statistically significant correlation (r = ) between high levels of BSDs and low levels of SOC (r = -0.64/p<0.001). This association was not influenced by diagnostics, clinical symptoms or level of functioning in follow-up multivariate analyses.
A statistically significant association between BSDs and SOC indicates that the presence and level of self-disturbances may influence the person's ability to experience life as comprehensive, manageable and meaningful. However, the cross-sectional nature of the study precludes conclusions regarding the direction of this association.
社会感（SOC）理论解释了为什么人们即使患有严重疾病也能体验到主观健康。基本自我紊乱（BSDs）是微妙的非精神病性紊乱，可能会破坏个体的自我意识、身份认同、身体意识以及对整个世界的“把握”。
我们旨在研究精神障碍患者的 BSDs 与 SOC 之间的关联。
这是一项横断面研究，共纳入 56 名被诊断为精神障碍（精神分裂症谱系内 35 名，双相情感障碍 13 名，其他精神病 8 名）的患者。使用 Antonovsky 的 13 项 SOC 问卷测量 SOC，使用异常自我体验检查（EASE）手册评估 BSDs。使用标准化临床工具评估诊断、症状以及社会和职业功能。
我们发现 BSDs 水平较高与 SOC 水平较低之间存在统计学显著相关性（r = -0.64，p<0.001）。在后续的多元分析中，这种关联不受诊断、临床症状或随访时的功能水平的影响。
BSDs 与 SOC 之间存在统计学显著关联表明，自我紊乱的存在和程度可能会影响个体体验全面、可管理和有意义生活的能力。然而，由于研究的横断面性质，无法得出关于这种关联方向的结论。
