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. |
|---|---|
| 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.) |
| References: | Conscious Cogn. 2010 Mar;19(1):328-40. (PMID: 19955004) Schizophr Bull. 2021 Jan 23;47(1):54-63. (PMID: 32955097) J Nerv Ment Dis. 2020 Dec;208(12):958-965. (PMID: 32947451) J Nerv Ment Dis. 2018 Jun;206(6):433-438. (PMID: 29781891) Psychoneuroendocrinology. 2015 Jul;57:26-36. (PMID: 25880698) Schizophr Res. 2006 Sep;86(1-3):181-8. (PMID: 16857346) J Pers Soc Psychol. 2012 Feb;102(2):367-89. (PMID: 21910554) World Psychiatry. 2012 Oct;11(3):156-60. (PMID: 23024667) Behav Res Ther. 2009 Jan;47(1):54-9. (PMID: 19013552) Schizophr Bull. 2007 May;33(3):688-702. (PMID: 17440198) Conscious Cogn. 2016 Oct;45:60-74. (PMID: 27567529) Soc Psychiatry Psychiatr Epidemiol. 2019 Mar;54(3):343-353. (PMID: 30643926) Psychiatr Q. 1999 Winter;70(4):273-87. (PMID: 10587984) Lancet Psychiatry. 2021 Nov;8(11):1001-1012. (PMID: 34688345) Hum Brain Mapp. 2019 Aug 1;40(11):3254-3264. (PMID: 30941844) Psychol Med. 2006 Jun;36(6):749-59. (PMID: 16563204) Memory. 2019 Oct;27(9):1214-1223. (PMID: 31307283) Aust N Z J Psychiatry. 2003 Oct;37(5):586-94. (PMID: 14511087) J Nerv Ment Dis. 2005 Apr;193(4):244-9. (PMID: 15805820) Schizophrenia (Heidelb). 2022 Sep 16;8(1):74. (PMID: 36114173) Schizophr Bull. 2009 Nov;35(6):1034-6. (PMID: 19478239) Psychiatry Res. 2016 May 30;239:333-41. (PMID: 27058160) Schizophr Bull. 2014 Jan;40(1):5-12. (PMID: 24319117) Psychiatry Res. 2020 Aug;290:113103. (PMID: 32485486) J Pers Soc Psychol. 2020 Oct;119(4):920-944. (PMID: 30998044) J Nerv Ment Dis. 2013 Aug;201(8):659-64. (PMID: 23896846) Clin Psychol Rev. 2017 Feb;51:96-108. (PMID: 27846438) Trends Cogn Sci. 2000 Jan;4(1):14-21. (PMID: 10637618) J Pers. 2013 Dec;81(6):569-82. (PMID: 22925032) Neuropsychol Rev. 2018 Dec;28(4):509-533. (PMID: 30343458) Personal Disord. 2021 Mar;12(2):182-192. (PMID: 32567868) Behav Cogn Psychother. 2014 Nov;42(6):718-30. (PMID: 23920050) Compr Psychiatry. 2017 Jul;76:18-25. (PMID: 28399428) Dev Psychopathol. 2019 Feb;31(1):379-392. (PMID: 29506584) Behav Cogn Psychother. 2009 Mar;37(2):227-31. (PMID: 19364422) Schizophr Bull. 2003;29(3):427-44. (PMID: 14609238) J Nerv Ment Dis. 2016 Feb;204(2):142-7. (PMID: 26669980) Schizophr Res. 2010 Aug;121(1-3):271-6. (PMID: 20347269) Front Psychiatry. 2021 Jan 08;11:614710. (PMID: 33488432) Behav Cogn Psychother. 2016 Mar;44(2):203-13. (PMID: 25896713) Compr Psychiatry. 2016 Aug;69:53-61. (PMID: 27423345) Schizophr Bull. 2019 Sep 11;45(5):1081-1091. (PMID: 30388257) Clin Psychol Rev. 2021 Aug;88:102067. (PMID: 34274799) J Abnorm Psychol. 2003 Feb;112(1):92-9. (PMID: 12653417) JAMA Psychiatry. 2013 Jan;70(1):107-20. (PMID: 23165428) Child Dev. 2001 Nov-Dec;72(6):1723-46. (PMID: 11768142) Conscious Cogn. 2011 Sep;20(3):703-11. (PMID: 21459619) Early Interv Psychiatry. 2022 Mar;16(3):311-315. (PMID: 33938147) Early Interv Psychiatry. 2021 Aug;15(4):775-786. (PMID: 32860493) Schizophr Bull. 2012 Sep;38(5):1063-73. (PMID: 21474550) J Pers Soc Psychol. 1999 Feb;76(2):284-304. (PMID: 10074710) Schizophr Bull. 2019 Sep 11;45(5):1042-1050. (PMID: 30535399) Psychiatr Rehabil J. 2022 Mar;45(1):44-53. (PMID: 34138610) Schizophr Res. 2020 Dec;226:158-166. (PMID: 32499162) Conscious Cogn. 2012 Mar;21(1):247-57. (PMID: 22040535) JAMA Psychiatry. 2016 Feb;73(2):113-20. (PMID: 26719911) Psychiatry Res. 2015 Aug 30;228(3):626-32. (PMID: 26099655) Personal Disord. 2013 Jan;4(1):33-42. (PMID: 22452775) Clin Psychol Psychother. 2018 Jan;25(1):31-49. (PMID: 28833863) Schizophr Bull. 2021 Mar 16;47(2):309-322. (PMID: 32989443) Psychol Rep. 2020 Feb;123(1):71-96. (PMID: 31142189) Scand J Psychol. 1999 Mar;40(1):21-31. (PMID: 10216461) Perspect Psychol Sci. 2013 May;8(3):272-95. (PMID: 26172971) Int J Qual Stud Health Well-being. 2017 Dec;12(1):1342504. (PMID: 28689474) Sci Rep. 2019 Sep 25;9(1):13858. (PMID: 31554885) J Nerv Ment Dis. 2021 May 1;209(5):343-352. (PMID: 33835953) Curr Psychiatry Rep. 2020 Oct 9;22(12):67. (PMID: 33034756) Schizophr Bull. 2022 Mar 1;48(2):285-288. (PMID: 34729605) Pers Soc Psychol Rev. 2016 May;20(2):142-75. (PMID: 25968138) Compr Psychiatry. 2013 Oct;54(7):766-89. (PMID: 23684547) Schizophr Res. 2020 Aug;222:104-112. (PMID: 32522469) Schizophr Bull. 2014 May;40(3):479-82. (PMID: 24619534) |
| 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 |
Full Text Finder | تدمد: | 1745-1701 |
|---|---|
| DOI: | 10.1093/schbul/sbad142 |