Highlights
- •Disturbance in self-concept clarity is one of the most pervasive dysfunctions in schizophrenia
- •Clarity of self- concept is linked to positive state of mind
- •Relationship between self-disturbances and psychotic symptoms warrants vigilance for cognizing the core mechanism of schizophrenia
Abstract
Purpose
Incoherence in sense of self in schizophrenia may mask individuals' ability to perceive
reality accurately, and cause them to feel alienated from themselves and others. This
descriptive correlational study investigates the relationship between positive and
negative symptoms in relation to self-concept clarity (SCC) in schizophrenia.
Method
A sample of 200 inpatients with schizophrenia were recruited to complete the Self-Concept
Clarity Scale and were rated on the Brief Psychiatric Rating Scale (BPRS-version 4.0).
Results
A strong inverse correlation between positive and negative symptoms in relation to
SCC (r = 0.242, P < 0.001, and r = 0.225, P = 0.001, respectively).
Conclusion
The overall BPRS scores were identified as independent precursors of low SCC.
Keywords
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References
- Psychiatry in the Middle East: The rebirth of lunatic asylums?.BJPsych International. 2021; 18: 5-8https://doi.org/10.1192/bji.2020.22
- Citing the DSM V. Diagnostic and statistical manual of mental disorders.5th ed. 280. 2013https://doi.org/10.1176/appi.books.9780890425596.744053
- Self-disorders in individuals with autistic traits: Contribution of reduced autobiographical reasoning capacities.Journal of Autism and Developmental Disorders. 2016; 46: 2587-2598https://doi.org/10.3389/fpsyg.2021.641765
- The dialogical therapist: Dialogue in systemic practice.86–100. Routledge, 2018https://doi.org/10.4324/9780429481468
- The theory of schizophrenic negativism.Adfo Books, 2018
- Self-disturbances as a possible premorbid indicator of schizophrenia risk: A neurodevelopmental perspective.Schizophrenia Research. 2014; 152: 73-80https://doi.org/10.1016/j.schres.2013.07.038
- Self-concept clarity: Measurement, personality correlates, and cultural boundaries.Journal of Personality and Social Psychology. 1996; 70: 141-156https://doi.org/10.1037/0022-3514.70.1.141
- Comparing self-concept among youth currently receiving inpatient versus outpatient mental health services.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent. 2018; 27: 57-62
- The role of ethnic identity, self-concept, and aberrant salience in psychotic-like experiences.Cultural Diversity & Ethnic Minority Psychology. 2018; 24: 101-111https://doi.org/10.1037/cdp0000160
- Aberrant salience, self-concept clarity, and interview-rated psychotic-like experiences.Journal of Personality Disorders. 2015; 29: 79-99https://doi.org/10.1521/pedi_2014_28_150
- Decreased self-concept clarity in people with schizophrenia.The Journal of Nervous and Mental Disease. 2016; 204: 142-147https://doi.org/10.1097/NMD.0000000000000442
- Inner speech and clarity of self-concept in thought disorder and auditory-verbal hallucinations.The Journal of Nervous and Mental Disease. 2016; 204: 885-893https://doi.org/10.1097/NMD.0000000000000584
- Altered brain long-range functional interactions underlying the link between aberrant self-experience and self-other relationship in first-episode schizophrenia.Schizophrenia Bulletin. 2013; 40: 1072-1082https://doi.org/10.1093/schbul/sbt153
- Trauma and psychosis: The mediating role of self-concept clarity and dissociation.Psychiatry Research. 2015; 228: 626-632https://doi.org/10.1016/j.psychres.2015.04.053
- Self in schizophrenia: Current issues and future directions.Archives of Mental Health. 2018; 19: 102-110https://doi.org/10.4103/AMH.AMH_12_18
- Abnormal ERPs and brain dynamics mediate basic self disturbance in schizophrenia: A review of EEG and MEG studies.Frontiers in Psychiatry. 2021; 12642469https://doi.org/10.3389/fpsyt.2021.642469
- The role of self-concept clarity in adult attachment, adverse childhood experiences and psychotic like experiences.Lancaster University (United Kingdom). 2021; https://doi.org/10.17635/lancaster/thesis/1321
- Self-disorders and schizophrenia: A phenomenological reappraisal of poor insight and noncompliance.Schizophrenia Bulletin. 2014; 40: 542-547https://doi.org/10.1093/schbul/sbt087
- Self-event connections in life stories, self-concept clarity, and dissociation: Examining their relations with symptoms of psychopathology.Imagination, Cognition and Personality. 2017; 37: 293-317https://doi.org/10.1177/0276236617733839
- Effect of physical exercise program on psychotic symptoms and social functioning of patients with schizophrenia.Alexandria Scientific Nursing Journal. 2020; 22: 67-80
- Associations among domains of self-disturbance in schizophrenia.Psychiatry Research. 2018; 267: 187-194https://doi.org/10.1016/j.psychres.2018.05.082
- Basic self-disorders in adolescence predict schizophrenia spectrum disorders in young adulthood: A 7-year follow-up study among non-psychotic help-seeking adolescents.Schizophrenia Research. 2020; 216: 97-103https://doi.org/10.1016/j.schres.2019.12.022
- Bodily self-disturbances in schizophrenia: A comparative study of South Korea and the USA.Psychopathology. 2021; 54: 262-274https://doi.org/10.1159/000517933
- Self-concept clarity: Perspectives on assessment, research, and applications (Softcover reprint of the original 1st ed. 2017).Springer, 2019
- Disturbances in the dialogical self in psychosis: Contributions from the study of metacognitive disturbances.in: Handbook of dialogical self theory and psychotherapy. 2018: 86-102
- Insight in schizophrenia spectrum disorders: Relationship with behavior, mood and perceived quality of life, underlying causes and emerging treatments.World Psychiatry. 2018; 17: 12-23https://doi.org/10.1002/wps.20508
- Schizophrenia and the sense of self.Schizophrenia Bulletin. 2014; 40: 161-168https://doi.org/10.1093/schbul/sbt121
- Mental health in Egypt.The Israel Journal of Psychiatry and Related Sciences. 2005; 42: 116-125
- Self-concept clarity and psychological adjustment in adolescence: The mediating role of emotion regulation.Personality and Individual Differences. 2019; 138: 363-365https://doi.org/10.1016/j.paid.2018.10.023
- Self-concept clarity and relationship satisfaction at the dyadic level.Personal Relationships. 2019; 26: 54-72https://doi.org/10.1111/pere.12265
- Some biases in Likert scaling usage and its correction.International Journal of Sciences: Basic and Applied Research. 2019; 45: 183-191
- Examination of anomalous self-experience: Initial study of the structure of self-disorders in schizophrenia spectrum.The Journal of Nervous and Mental Disease. 2012; 200: 577-583https://doi.org/10.1097/NMD.0b013e31825bfb41
- Shape of the self-concept clarity change during group psychotherapy predicts the outcome: An empirical validation of the theoretical model of the self-concept change.Frontiers in Psychology. 2015; 6: 1598https://doi.org/10.3389/fpsyg.2015.01598
- The self-concept of person with chronic schizophrenia in Japan.Neuropsychopharmacology Reports. 2018; 38: 124-132https://doi.org/10.1002/npr2.12016
- Davis advantage for Townsend’s essentials of psychiatric mental-health nursing concepts of care in evidence-based practice (ninth).F.A. Davis Company, 2022
- Self-concept clarity across adolescence: Longitudinal associations with open communication with parents and internalizing symptoms.Journal of Youth and Adolescence. 2014; 43: 1861-1876https://doi.org/10.1007/s10964-013-0055-x
- Changes in symptom severity, schemas and modes in heterogeneous psychiatric patient groups following short-term schema cognitive-behavioural group therapy: A naturalistic pre-treatment and post-treatment design in an outpatient clinic.Clinical Psychology & Psychotherapy. 2014; 21: 29-38https://doi.org/10.1002/cpp.1813
- Training and quality assurance with the brief psychiatric rating scale: “The drift busters”.International Journal of Methods in Psychiatric Research. 1993;
- Gene-environment interactions in schizophrenia: A literature review.Genes. 2021; 12: 1850https://doi.org/10.3390/genes12121850
- Role of the self in schizophrenia: A multidimensional examination of short-term outcomes.Psychiatry. 2012; 75: 285-297https://doi.org/10.1521/psyc.2012.75.3.285
- Schizophrenia.https://www.who.int/news-room/fact-sheets/detail/schizophreniaDate: 2022, January 10
- The brief psychiatric rating scale (version 4.0) factorial structure and its sensitivity in the treatment of outpatients with unipolar depression.Psychiatry Research. 2013; 210: 626-633https://doi.org/10.1016/j.psychres.2013.07.001
Further Reading
- Self-concept clarity and psychopathology.219–242. Springer EBooks, 2017https://doi.org/10.1007/978-3-319-71547-6_12
- Self-disturbances, cognitive biases and insecure attachment as mechanisms of the relationship between traumatic life events and psychotic-like experiences in non-clinical adults – A path analysis.Psychiatry Research: Neuroimaging. 2018; 259: 571-578https://doi.org/10.1016/j.psychres.2017.11.009
- Self-disorders and the schizophrenia spectrum: A study of 100 first hospital admissions.Schizophrenia Bulletin. 2014; 40: 1300-1307https://doi.org/10.1093/schbul/sbt239
- The varieties of anomalous self experiences in schizophrenia: Splitting of the mind at a crossroad.Schizophrenia Research. 2014; 152: 1-4https://doi.org/10.1016/j.schres.2013.11.036
- Self-disturbance and schizophrenia: Structure, specificity, pathogenesis (Current issues, New directions).Schizophrenia Research. 2014; 152: 5-11https://doi.org/10.1016/j.schres.2013.05.017
- Suggested avenues to reduce the stigma of mental illness in the Middle East.International Journal of Social Psychiatry. 2015; 61: 111-120https://doi.org/10.1177/0020764014537234
Article info
Publication history
Published online: March 20, 2023
Accepted:
March 11,
2023
Received in revised form:
January 6,
2023
Received:
January 29,
2022
Identification
Copyright
© 2023 Elsevier Inc. All rights reserved.
