Self-esteem and Symptoms in Individuals at Clinical High Risk for Psychosis.
Self-esteem and Symptoms in Individuals at Clinical High Risk for Psychosis.
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DOI：
10.1097/nmd.0000000000000824
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发表时间：
2018-06
期刊：
影响因子：
--
通讯作者：
Kimhy D
中科院分区：
文献类型：
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作者：
Benavides C;Brucato G;Kimhy D
患有精神病症状的人经常报告整体自尊心（GSE）较低。然而，目前尚不清楚低 GSE 是否与精神病症状的存在有关，还是在精神病发作之前就存在。此外，这些人群中 GSE 的具体子域尚不清楚。为了解决这个问题，我们进行了一项横断面研究，比较了临床精神病高危个体（CHR；n=36）、精神分裂症患者（SCZ；n=43）和健康对照者（HC；n=40）的整体和SE要素。然后，我们在 CHR 个体中检查了 GSE、子域和症状之间的关联。与 HC 相比，CHR 个体的 GSE 显着降低，水平与 SCZ 个体相当。 GSE 较低主要是由对工作的自我认知和人际关系能力造成的。较低的 GSE 与整体阴性和紊乱症状的严重程度相关，但与阳性症状无关。作者讨论了研究结果对干预措施发展的影响。
Individuals with psychotic symptoms often report low global self-esteem (GSE). However, it remains unclear whether the low GSE is linked to the presence of psychotic symptoms or it is present prior to the onset of psychosis. Additionally, the specific subdomains of GSE in these populations are unknown. To address this question, we conducted a cross-sectional study comparing global and SE elements among individuals at clinical high-risk for psychosis (CHR; n=36), individuals with schizophrenia (SCZ; n=43), and healthy controls (HC; n=40). We then examined among CHR individuals the association between GSE, subdomains, and symptoms. CHR individuals displayed significantly lower GSE compared to HC, at a level comparable to individuals with SCZ. The low GSE was driven primarily by self-perceptions of work and interpersonal relationships abilities. Lower GSE was associated with overall negative and disorganized symptoms severity, but not positive ones. The authors discuss the implications of the findings to interventions development.