조현병 환자에서 자기상에 대한 양가감정의 특성
Characteristics of Ambivalence of Self-image in Patients with Schizophrenia
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Objectives : Ambivalence of self-image is considered to be important in patients with schizophrenia since impairment of self-referential processing and increment in ambivalence are illness-related symptoms. This study aimed to evaluate quantitative and qualitative properties of ambivalence of self-image in patients with schizophrenia. Methods : Twenty patients with schizophrenia and 20 normal controls performed a set of ‘self-image reflection task’ and then the level of ambivalence towards actual and ideal self-image were numerically scored. Ambivalence scores were compared between groups and correlation analyses with psychometric scales were done in each group. Results : Patients with schizophrenia had higher level of ambivalence towards both actual and ideal self-image (p＜0.001). Normal controls showed significant correlations with the scales representing level of self-concept clarity (r=-0.480, p=0.033), depression (r=0.479, p=0.033), and self-esteem (r=-0.555, p=0.011; R=-0.600, p=0.005) while the patients did not. Conclusion : Ambivalence towards one’s self-image is more intense in patients with schizophrenia. This symptom may be considered to exist as an independent symptom in schizophrenia.
Abstract
Objectives : Ambivalence of self-image is considered to be important in patients with schizophrenia since impairment of self-referential processing and increment in ambivalence are illness-related symptoms. This study aimed to evaluate quantitative and qualitative properties of ambivalence of self-image in patients with schizophrenia. Methods : Twenty patients with schizophrenia and 20 normal controls performed a set of ‘self-image reflection task’ and then the level of ambivalence towards actual and ideal self-image were numerically scored. Ambivalence scores were compared between groups and correlation analyses with psychometric scales were done in each group. Results : Patients with schizophrenia had higher level of ambivalence towards both actual and ideal self-image (p＜0.001). Normal controls showed significant correlations with the scales representing level of self-concept clarity (r=-0.480, p=0.033), depression (r=0.479, p=0.033), and self-esteem (r=-0.555, p=0.011; R=-0.600, p=0.005) while the patients did not. Conclusion : Ambivalence towards one’s self-image is more intense in patients with schizophrenia. This symptom may be considered to exist as an independent symptom in schizophrenia.
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