دورية أكاديمية
Self-concept and Narrative Identity in Youth at Clinical High Risk for Psychosis.
العنوان: | Self-concept and Narrative Identity in Youth at Clinical High Risk for Psychosis. |
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المؤلفون: | Cowan HR; Psychiatry and Behavioral Health, The Ohio State University, Columbus, OH, USA., McAdams DP; Psychology, Northwestern University, Evanston, IL, USA., Ouellet L; Human Development and Social Policy, Northwestern University, Evanston, IL, USA., Jones CM; Psychology, Northwestern University, Evanston, IL, USA., Mittal VA; Psychology, Northwestern University, Evanston, IL, USA. |
المصدر: | Schizophrenia bulletin [Schizophr Bull] 2024 Jul 27; Vol. 50 (4), pp. 848-859. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Oxford University Press Country of Publication: United States NLM ID: 0236760 Publication Model: Print Cited Medium: Internet ISSN: 1745-1701 (Electronic) Linking ISSN: 05867614 NLM ISO Abbreviation: Schizophr Bull Subsets: MEDLINE |
أسماء مطبوعة: | Publication: 2005- : Cary, NC : Oxford University Press Original Publication: [Chevy Chase, Md., For sale by the Supt. of Docs., U. S. Govt. Print. Off. Washington] |
مواضيع طبية MeSH: | Self Concept* , Psychotic Disorders*/psychology , Psychotic Disorders*/physiopathology , Narration*, Humans ; Adolescent ; Female ; Male ; Young Adult ; Adult ; Risk |
مستخلص: | Background and Hypothesis: Disturbances of the narrative self and personal identity accompany the onset of psychotic disorders in late adolescence and early adulthood (a formative developmental stage for self-concept and personal narratives). However, these issues have primarily been studied retrospectively after illness onset, limiting any inferences about their developmental course. Study Design: Youth at clinical high risk for psychosis (CHR) (n = 49) and matched healthy comparison youth (n = 52) completed a life story interview (including self-defining memory, turning point, life challenge, and psychotic-like experience) and questionnaires assessing self-esteem, self-beliefs, self-concept clarity, and ruminative/reflective self-focus. Trained raters coded interviews for narrative identity themes of emotional tone, agency, temporal coherence, context coherence, self-event connections, and meaning-making (intraclass correlations >0.75). Statistical analyses tested group differences and relationships between self-concept, narrative identity, symptoms, and functioning. Study Results: CHR participants reported more negative self-esteem and self-beliefs, poorer self-concept clarity, and more ruminative self-focus, all of which related to negative symptoms. CHR participants narrated their life stories with themes of negative emotion and passivity (ie, lack of personal agency), which related to positive and negative symptoms. Reflective self-focus and autobiographical reasoning were unaffected and correlated. Autobiographical reasoning was uniquely associated with preserved role functioning. Conclusions: This group of youth at CHR exhibited some, but not all, changes to self-concept and narrative identity seen in psychotic disorders. A core theme of negativity, uncertainty, and passivity ran through their semantic and narrative self-representations. Preserved self-reflection and autobiographical reasoning suggest sources of resilience and potential footholds for cognitive-behavioral and metacognitive interventions. (© The Author(s) 2023. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.) |
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معلومات مُعتمدة: | R21 MH119677 United States MH NIMH NIH HHS; R01MH120088 United States NH NIH HHS; DFS-152268 Canada CAPMC CIHR |
فهرسة مساهمة: | Keywords: clinical high risk for psychosis (CHR); developmental; narrative identity; psychotic disorders; self-concept; self-disturbances |
تواريخ الأحداث: | Date Created: 20231010 Date Completed: 20240728 Latest Revision: 20240729 |
رمز التحديث: | 20240729 |
مُعرف محوري في PubMed: | PMC11283199 |
DOI: | 10.1093/schbul/sbad142 |
PMID: | 37816626 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1745-1701 |
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DOI: | 10.1093/schbul/sbad142 |