Self-esteem and Psychotic Symptoms in Early Psychosis
Author Information
Author(s): Romm Kristin Lie, Rossberg Jan Ivar, Hansen Charlotte Fredslund, Haug Elisabeth, Andreassen Ole A, Melle Ingrid
Primary Institution: Oslo University Hospital
Hypothesis
Does premorbid adjustment impact self-esteem and contribute to the development of delusions and hallucinations in early psychosis?
Conclusion
Premorbid functioning is important for self-esteem development, which is associated with delusions and hallucinations.
Supporting Evidence
- Premorbid social adjustment was significantly related to lower self-esteem.
- Self-esteem was associated with levels of persecutory delusions and hallucinations.
- The study found that gender significantly predicted self-esteem levels.
Takeaway
People who had a tough time fitting in before getting sick might feel worse about themselves, which can make them see things that aren't there or feel like others are out to get them.
Methodology
The study included 113 patients assessed using the PANSS for symptoms, PAS for premorbid adjustment, and RSES for self-esteem.
Potential Biases
Recall bias may affect the accuracy of premorbid adjustment scores.
Limitations
The study is cross-sectional, which limits conclusions about causality, and relies on retrospective data for premorbid adjustment.
Participant Demographics
Mean age 25.8 years, 32.7% female, 72.6% single.
Statistical Information
P-Value
p<0.001
Confidence Interval
95% CI 0.60-0.94
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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