Self-esteem is associated with premorbid adjustment and positive psychotic symptoms in early psychosis

BMC Psychiatry

Ingrid Melle²  Ole A Andreassen²  Elisabeth Haug³  Charlotte Fredslund Hansen⁴  Jan Ivar Rossberg²  Kristin Lie Romm¹ 

[1] Division of Mental Health and Addiction, Oslo University Hospital, 0407 Oslo, Norway;Institute of clinical medicine, Section of psychiatry, University of Oslo, 0318 Oslo, Norway;Department of Psychosis and Rehabilitation, Sykehuset Innlandet HF, Norway;Department of Psychology, University of Oslo, 0318 Oslo, Norway

关键词: Hallucinations;    Delusions;    Premorbid adjustment;    Schizophrenia;    First episode psychosis;    Self-esteem;   

Others  :  1124500
DOI  :  10.1186/1471-244X-11-136

 received in 2011-05-05, accepted in 2011-08-19,  发布年份 2011

【 摘 要 】

Background

Low levels of self-esteem have been implicated as both a cause and a consequence of severe mental disorders. The main aims of the study were to examine whether premorbid adjustment has an impact on the subject's self-esteem, and whether lowered self-esteem contributes to the development of delusions and hallucinations.

Method

A total of 113 patients from the Thematically Organized Psychosis research study (TOP) were included at first treatment. The Positive and Negative Syndrome Scale (PANSS) was used to assess present symptoms. Premorbid adjustment was measured with the Premorbid Adjustment Scale (PAS) and self-esteem by the Rosenberg Self-Esteem Scale (RSES).

Results

Premorbid social adjustment was significantly related to lower self-esteem and explained a significant proportion of the variance in self-esteem. Self-esteem was significantly associated with the levels of persecutory delusions and hallucinations experienced by the patient and explained a significant proportion of the variance even after adjusting for premorbid functioning and depression.

Conclusion

There are reasons to suspect that premorbid functioning is an important aspect in the development of self- esteem, and, furthermore, that self-esteem is associated with the development of delusions and hallucinations.

【 授权许可】

   
2011 Romm et al; licensee BioMed Central Ltd.

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