Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Self-esteem is associated with premorbid adjustment and positive psychotic symptoms in early psychosis | Romm et al. BMC Psychiatry 2011 11 136 http 1471-244X 11 136 BMC Psychiatry RESEARCH ARTICLE Open Access Self-esteem is associated with premorbid adjustment and positive psychotic symptoms in early psychosis Kristin Lie Romm1 Jan Ivar Rossberg1 2 Charlotte Fredslund Hansen3 Elisabeth Haug4 Ole A Andreassen1 2 and Ingrid Melle1 2 Abstract 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. Keywords Self-esteem First episode psychosis Schizophrenia Premorbid adjustment Delusions Hallucinations 1. Background Self-esteem a global and complex concept is comprised of both appraisal of self-worth based on personal achievements and anticipation of evaluation by others 1 2 . Although not uniformly low self-esteem is often found .
