کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
6814072 | 545617 | 2015 | 6 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Self esteem and self agency in first episode psychosis: Ethnic variation and relationship with clinical presentation
ترجمه فارسی عنوان
عزت نفس و عزت نفس در روان درمانی اولیه: تنوع قومی و ارتباط با ارائه بالینی
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کلمات کلیدی
موضوعات مرتبط
علوم زیستی و بیوفناوری
علم عصب شناسی
روانپزشکی بیولوژیکی
چکیده انگلیسی
The impact of self esteem and Locus of Control (LoC) on clinical presentation across different ethnic groups of patients at their first psychotic episode (FEP) remains unknown. We explored these constructs in 257 FEP patients (Black n=95; White British n=119) and 341 controls (Black n=70; White British n=226), and examined their relationship with symptom dimensions and pathways to care. FEP patients presented lower self-esteem and a more external LoC than controls. Lower self esteem was associated with a specific symptoms profile (more manic and less negative symptoms), and with factors predictive of poorer outcome (longer duration of untreated psychosis (DUP) and compulsory mode of admission). A more external LoC was associated with more negative symptoms and an insidious onset. When we explored these constructs across different ethnic groups, we found that Black patients had significantly higher self esteem than White British. This was again associated with specific symptom profiles. While British patients with lower self esteem were more likely to report delusions, hallucinations and negative symptoms, Black patients with a lower self esteem showed less disorganization symptoms. These findings suggest that self esteem and LoC may represent one way in which social experiences and contexts differentially influence vulnerable individuals along the pathway to psychosis.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Psychiatry Research - Volume 227, Issues 2â3, 30 June 2015, Pages 213-218
Journal: Psychiatry Research - Volume 227, Issues 2â3, 30 June 2015, Pages 213-218
نویسندگان
Simone Ciufolini, Craig Morgan, Kevin Morgan, Paul Fearon, Jane Boydell, Gerard Hutchinson, Arsjme Demjaha, Paolo Girardi, Gill A. Doody, Peter B. Jones, Robin Murray, Paola Dazzan,