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. 2018 Jun;206(6):433-438.
doi: 10.1097/NMD.0000000000000824.

Self-esteem and Symptoms in Individuals at Clinical High Risk for Psychosis

Caridad Benavides  1 , Gary Brucato, David Kimhy  1
Affiliations

Self-esteem and Symptoms in Individuals at Clinical High Risk for Psychosis

Caridad Benavides et al. J Nerv Ment Dis. 2018 Jun.

Abstract

Individuals with psychotic symptoms often report low global self-esteem (GSE). However, it remains unclear whether the low GSE is linked to the presence of psychotic symptoms or it is present before the onset of psychosis. In addition, the specific subdomains of GSE in these populations are unknown. To address this question, we conducted a cross-sectional study comparing global and SE elements among individuals at clinical high risk for psychosis (CHR; n = 36), individuals with schizophrenia (SCZ; n = 43), and healthy controls (HCs; n = 40). We then examined among CHR individuals the association between GSE, subdomains, and symptoms. CHR individuals displayed significantly lower GSE compared to HCs, at a level comparable with those for individuals with SCZ. The low GSE was driven primarily by self-perceptions of work and interpersonal relationships abilities. Lower GSE was associated with overall negative and disorganized symptoms severity, but not positive ones. The authors discuss the implications of the findings to intervention development.

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Conflict of interest statement

Conflicts of Interest statement: None of the authors had any conflict of interest relating to this project.

Figures

Figure 1
Figure 1. Comparisons of Self-Esteem, Discrepancy, and Importance Scores among Healthy Controls, Individuals at Clinical High Risk for Psychosis, and Individuals with Schizophrenia
See this image and copyright information in PMC

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