在临床高风险青年中,负面自我引用作为下值精神病症状的一个组成部分
Michelle Sloan1, Rebecca Sturner1,2, Jean Addington3
1Department of Psychiatry, University of California, San Diego, La Jolla, California, USA.
Early intervention in psychiatry
|February 9, 2024
概括
临床上患精神病高风险的个体具有负自我参考 (NSR) 经历更多的社会焦虑和抑郁症. 在早期精神病中识别NSR可能有助于针对性干预以获得更好的结果.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 神经科学是一个神经科学.
背景情况:
- 精神分裂症是全球残疾的主要原因,需要早期检测和干预策略.
- 患有精神病的临床高风险 (CHR) 个体经常表现出小于值的精神病症状,通常以低和自我指导的内容为特征.
- 负自我引用 (NSR) 是这些下值症状的特定组成部分,需要进一步调查.
研究的目的:
- 调查心理病临床高风险 (CHR) 个体中负面自我参考 (NSR) 和心理/功能结果之间的关联.
- 为了确定与没有NSR的CHR参与者相比,NSR的CHR参与者是否表现出更高水平的社会焦虑,抑郁症以及更低的自尊和功能.
主要方法:
- 利用了168名参与者在重组认知行为社会技能培训 (CBSST) 研究中的数据.
- 临床图片被编码,以识别NSR的存在或不存在.
- 使用t测试来分析NSR与各种症状和功能指标之间的关系.
主要成果:
- 患有NSR的参与者表现出明显更高的社会互动焦虑 (p < .001),负面的自我信念 (p ≤ .001),失败主义的信念 (p < .05),抑郁症状 (p < .05),和积极的症状 (p < .005).
- 在群体之间的社会自我效能,对他人的信念,积极的自我信念或心理社会功能方面没有观察到显著的差异.
结论:
- 具有和没有NSR的CHR参与者之间存在显著的临床差异.
- 在早期精神病干预中,NSR可以作为识别和解决特定需求的有价值指标.
- 需要进一步的研究来确定CBSST在治疗NSR中的有效性及其对其他症状领域的影响.
相关概念视频
Psychological and Sociocultural Causes of Schizophrenia
88
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
88
Negative and Cognitive Symptoms of Schizophrenia
48
Negative symptoms of schizophrenia indicate a reduction or absence of typical behaviors and emotional responses found in healthy individuals, while positive symptoms reflect an excess or distortion of normal functioning.
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
48
Self-Evaluation: Self-Enhancement and Self-Verification
5.2K
Social psychologists have documented that feeling good about ourselves and maintaining positive self-esteem is a powerful motivator of human behavior (Tavris & Aronson, 2008). In the United States, members of the predominant culture typically think very highly of themselves and view themselves as good people who are above average on many desirable traits (Ehrlinger, Gilovich, & Ross, 2005). Often, our behavior, attitudes, and beliefs are affected when we experience a threat to our...
5.2K
Self-Presentation: Self-Monitoring and Self-Handicapping
39.0K
People can go to great lengths to protect their self-image and present themselves in ways that they want others to see them. Sociologist Erving Goffman presented the idea that a person is like an actor on a stage. Calling his theory dramaturgy, Goffman believed that we use “impression management” to present ourselves to others as we hope to be perceived. Each situation is a new scene, and individuals perform different roles depending on who is present (Goffman, 1959). Think about...
39.0K
Positive Symptoms Schizophrenia: Hallucinations and Delusions
57
Schizophrenia is a complex psychiatric disorder characterized by a range of symptoms that significantly impact cognition, behavior, and emotional regulation. Among these, the positive symptoms stand out as they involve the addition or exaggeration of normal mental functions, deviating markedly from typical behavior and perception. Hallucinations and delusions are prominent positive symptoms, each profoundly affecting the individual's experience of reality.
Hallucinations
Hallucinations in...
Hallucinations
Hallucinations in...
57
Self-Discrepancy Theory
18.3K
One influential perspective on what motivates people's behavior is detailed in Tory Higgin's self-discrepancy theory (Higgins, 1987). He proposed that people hold disagreeing internal representations of themselves that lead to different emotional states.
18.3K


