Mazurek Martyna, Wajda Zbigniew
Szpital Kliniczny im. dr. Józefa Babińskiego w Krakowie, Polska.
Wydział Zarządzania i Komunikacji Społecznej, Instytut Psychologii Stosowanej, Uniwersytet Jagielloński w Krakowie, Polska.
Psychiatr Pol. 2025 Dec 31;58(6):931-946. doi: 10.12740/PP/186015.
The aim of the presented study was to compare self-narratives among participants with and without the experience of psychosis and to correlate this variable with self-esteem and perceived social support in studied groups.
The study group consisted of 31 adults with a diagnosis of psychosis according to ICD-10 (F20‒29), and the control group consisted of 31 adults without a psychiatric diagnosis. The stimulus for creating self-narratives by the participants' was the first part of McAdams' autobiographical interview, according to which the coherence and complexity of self-narratives were determined. Other tools used in the study were Rosenberg's self-esteem questionnaire and the Scale of Perceived Social Support by Zimet et al.
The study showed that both groups differ significantly in the complexity of self-narratives (t = -3.185; p <0.05), but do not differ significantly in terms of coherence. Additionally, a correlation between the incoherence of self-narrative and self-esteem in the control group was observed (r = -0.455; p <0.05).
The self-narratives of people with a diagnosis of psychotic disorders turned out to be less complex than the self-narratives of people from the healthy group, while the incoherence was negatively correlated with self-esteem, but only in the control group. The clinical and control groups did not differ in terms of self-narrative incoherence. The presented study shows the possibilities of using qualitative methods and autobiographical interviews to analyse the language of mentally ill and healthy people and linking self-narratives with psychological characteristics. Both - the research procedure and the results have their limitations, which are discussed in the article.
本研究旨在比较有精神病体验和无精神病体验参与者的自我叙述，并将该变量与研究组中的自尊和感知到的社会支持相关联。
研究组由31名根据ICD - 10（F20 - 29）诊断为精神病的成年人组成，对照组由31名无精神疾病诊断的成年人组成。参与者创作自我叙述的刺激因素是麦克亚当斯自传访谈的第一部分，据此确定自我叙述的连贯性和复杂性。本研究使用的其他工具是罗森伯格自尊问卷和齐梅特等人的感知社会支持量表。
研究表明，两组在自我叙述的复杂性上有显著差异（t = -3.185；p <0.05），但在连贯性方面无显著差异。此外，在对照组中观察到自我叙述的不连贯性与自尊之间存在相关性（r = -0.455；p <\0.05）。
诊断为精神障碍的人的自我叙述比健康组的人的自我叙述复杂性更低，而不连贯性与自尊呈负相关，但仅在对照组中如此。临床组和对照组在自我叙述的不连贯性方面没有差异。本研究展示了使用定性方法和自传访谈来分析精神疾病患者和健康人的语言以及将自我叙述与心理特征联系起来的可能性。研究过程和结果都有其局限性，本文对此进行了讨论。
