자아존중감과 의심의 상관성 : 정상군, 정신증 고위험군, 최근 발병 조현병군
Relations of Self-Esteem with Paranoia in Healthy Controls, Individuals at Ultra-High Risk for Psychosis and with Recent Onset Schizophrenia
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초록
본 연구는 상기 제시된 제한점에도 불구하고 정신증의 증상 중 가장 중요한 편집증을 형성하는 과정에서 자아존중감이 어떠한 영향을 주는가에 대하여 간접적으로 추정할 수있는 근거를 제시하고 있다. 망상 단계 이전의 편집증에서는자아존중감이 낮을수록 편집증적 사고를 하는 경향이 발견 되었지만 피해망상을 형성한 이후에는 자아존중감이 독립적으로 편집증적 사고를 하는 데 기여하지 않는다는 것을 알 수있었다. 이를 통해 정신증 환자들이 자아존중감이 저하되는것을 방어하기 위해 피해망상을 형성할 것이라는 이전 연구결과들과도 일치되는 바이다. 이러한 결과를 정신증 발병 이전의 환자의 이해와 치료에 적용하여 피해망상을 형성하지않을 수 있도록 도움을 줄 수 있을 것으로 생각된다. 물론, 본결과는 앞서 제시한 제한점들을 극복할 필요가 있으며 다른연구들을 통해 추후 검증이 되어야 할 것이다.
Abstract
Objectives : Some emotional components, such as self-esteem, depression and anxiety, have been reported to be associated with paranoia in non-clinical population and schizophrenia patients. The aim of this study was to investigate the correlation between self-esteem and paranoia in healthy controls, in ultra-high risk for psychosis and schizophrenia patients. Methods : 34 subjects with recent onset schizophrenia, 36 subjects with ultra-high risk for psychosis, and 44 healthy volunteers participated in this study. A detailed assessment was made of the paranoia, self-esteem, depression, and anxiety. Results : In all three groups, there were a negative correlation between paranoia and self-esteem, and positive correlations between paranoia and depression and anxiety. In healthy control, lower self-esteem showed a trend to predict higher paranoia, and in ultra-high risk for psychosis, this trend tern on statistically significant level, and in recent onset schizophrenia group, this correlation was disappeared. Conclusion : The individual who have lower self-esteem showed higher paranoia tendency under delusional level, but after formation of persecutory delusion, the tendency was disappeared. This result supports the hypothesis that persecutory delusions are a defense against negative affective process.
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