Department of Psychology and Behavioural Science, Aarhus University, Denmark; Center on Autobiographical Memory Research (CON AMORE), Aarhus University, Denmark.
Department of Psychology and Behavioural Science, Aarhus University, Denmark; Center on Autobiographical Memory Research (CON AMORE), Aarhus University, Denmark.
Psychiatry Res. 2020 Aug;290:113103. doi: 10.1016/j.psychres.2020.113103. Epub 2020 May 25.
We examined narrative identity as a possible transdiagnostic marker of psychopathology by interviewing individuals with schizophrenia, individuals with depression and a nonclinical control group about past and future chapters in their life stories. Participants were 20 patients with schizophrenia, 20 patients with depression, and 20 nonclinical control participants matched on age, gender, and education. Participants described up to 10 chapters in their past and future life stories and self-rated chapters on emotional tone and self-event connections. In addition, cognitive function and current levels of symptoms was assessed. Both patient groups self-rated their past chapters as more negative and less positive compared to the control group, but did not differ from each other. There were no group differences in positivity of future chapters, but both patient groups identified fewer future chapters with shorter temporal projections. The results are consistent with the notion that negative past aspects of narrative identity are a transdiagnostic marker of psychopathology, while also suggesting that individuals with mental illness construct a positive future, which may support hope.
我们通过访谈患有精神分裂症、抑郁症的个体和非临床对照组个体，探讨了叙事身份作为一种可能的精神病理学跨诊断标志物。参与者包括 20 名精神分裂症患者、20 名抑郁症患者和 20 名在年龄、性别和教育程度上相匹配的非临床对照组参与者。参与者描述了他们过去和未来生活故事中的多达 10 个章节，并对各个章节的情绪基调以及自我事件联系进行了自我评估。此外，还评估了认知功能和当前的症状水平。与对照组相比，两个患者组均自我评估其过去的章节更为消极和较少积极，但彼此之间没有差异。未来章节的积极程度没有组间差异，但两个患者组都确定了较少的未来章节，且时间预测较短。研究结果与以下观点一致，即叙事身份的消极过去方面是一种跨诊断的精神病理学标志物，同时也表明患有精神疾病的个体构建了积极的未来，这可能支持希望。
