The Role of Personal Identity on Positive and Negative Symptoms in Psychosis: A Study Using the Repertory Grid Technique
| Autor: | Eva Grasa, Ana Barajas, Guillem Feixas, Susana Ochoa, Raquel López-Carrilero, Helena García-Mieres, Esther Pousa, Anna Villaplana |
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| Rok vydání: | 2020 |
| Předmět: |
Cognitive model
cognition Male Theory of Mind negative syndrome Thinking person-centered 0302 clinical medicine positive syndrome cognitive defect middle aged Repertory grid psychosis pathophysiology media_common Depression cognitive model Middle Aged symptom Psychiatry and Mental health Personal construct theory female priority journal Schizophrenia symptomatology self evaluation Personal identity Female Positive and Negative Syndrome Scale Psychology Clinical psychology Adult media_common.quotation_subject complication Interpersonal communication Affect (psychology) Article schizophrenia spectrum disorder 03 medical and health sciences Diagnostic Self Evaluation Young Adult construal Interview Psychological medicine Humans Cognitive Dysfunction human Personal Construct Theory psychological interview schizophrenia medicine.disease major clinical study Self Concept 030227 psychiatry Psychotic Disorders physiology mediation Neurocognitive 030217 neurology & neurosurgery self Regular Articles |
| Zdroj: | SCHIZOPHRENIA BULLETIN r-FSJD: Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu Fundació Sant Joan de Déu r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau instname r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu Schizophr Bull |
| ISSN: | 0586-7614 |
| Popis: | Background People with psychosis experience disruptions in personal identity that affect positive and negative symptoms, but the complexity of these phenomena needs to be addressed in an in-depth manner. Using the Personal Construct Theory, we examined whether distinct dimensions of personal identity, as measured with the Repertory Grid Technique along with other cognitive factors, might influence psychotic symptomatology. Method Eighty-five outpatients with schizophrenia-spectrum disorders completed a repertory grid, an observed-rated interview of psychotic symptoms, and measures of cognitive insight, depressive symptoms, neurocognition, and theory of mind. Results Structural equation models revealed that interpersonal dichotomous thinking directly affected positive symptoms. Self-discrepancies influenced positive symptoms by mediation of depressive symptoms. Interpersonal cognitive differentiation and interpersonal cognitive richness mediated the impact of self-reflectivity and neurocognitive deficits in negative symptomatology. Conclusions This study is the first of its kind to examine the structure of personal identity in relation to positive and negative symptoms of psychosis. Results suggest interventions targeted to improving interpersonal dichotomous thinking, self-discrepancies, interpersonal cognitive differentiation, and interpersonal cognitive richness may be useful in improving psychotic symptoms. |
| Databáze: | OpenAIRE |
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