Aim: The aim of this work was to determine the relationship between anxiety versus premorbid and present self-image in patients with paranoid schizophrenia hospitalized for the first time as well as many a times. TESTED GROUP/MATERIAL: The test group consisted of 120 patients, hospitalized for the first time, aged 19-20 years and diagnosed according to ICD-10 with paranoid schizophrenia, who had suffered from this illness for a period not longer than 2 years. The other group consisted of patients aged 25 - 46, who had suffered from this disease for 5 - 15 years and who had been hospitalized many a times (3 > 10).
Methods: In the tests' the H.G. Gough and A.B. Heilbrunn ACL Adjective test and R. Cattell's Ipat Anxiety Scale were used. The ACL test was done by the patients following the instruction "I am", "before the illness I was". The average, general anxiety level was correlated with the scales of the ACL test of the premorbid image and the present image in both groups.
Conclusions: 1. The anxiety in patients with paranoid schizophrenia is connected both to the premorbid and the present self-image. 2. There is a more frequent and stronger relationship between anxiety and present self-images. 3. There are more interdependencies between anxiety and premorbid self-image in patients hospitalized for the first time. 4. There are more interdependencies between anxiety and present self-image in patients with chronic schizophrenia. 5. After the treatment there is no change of the direction of interdependencies but the strength of the relationship is getting deeper, the above tendency being manifested more often and stronger within the chronic group. 6. The higher the anxiety level, the more negative the self-esteem and the greater the need for support, whereas the need for self-accomplishment is lower.
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PLoS One
April 2023
School of Psychological Sciences, Turner Institute for Brain and Mental Health, Monash University, Clayton, Victoria, Australia.
Objective: Deep brain stimulation (DBS) and whether it alters patient personality is a much-debated topic within academic literature, yet rarely explored with those directly involved. This study qualitatively examined how DBS for treatment-resistant depression impacts patient personality, self-concept, and relationships from the perspectives of both patients and caregivers.
Methods: A prospective qualitative design was used.
J Affect Disord
July 2023
Social Work Unit, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Background: Exposure to childhood maltreatment (CM) increases the risk of psychiatric morbidity in youths. The new Complex Post-Traumatic Stress Disorder (CPTSD) diagnosis captures the heterogeneity and complexity of clinical outcomes observed in youths exposed to CM. This study explores CPTSD symptomatology and its association with clinical outcomes, considering the impact of CM subtypes and age of exposure.
View Article and Find Full Text PDFEur Arch Psychiatry Clin Neurosci
December 2023
Division of Psychiatry I, Department of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, Medical University Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria.
Can J Psychiatry
March 2023
Centre for Mental Health, School of Health Sciences, 3783Swinburne University of Technology, Melbourne, Australia.
Objectives: Neurocognitive deficits are central in schizophrenia. Cognitive remediation has proven effective in alleviating these deficits, with medium effect sizes. However, sizeable attrition rates are reported, with the reasons still uncertain.
View Article and Find Full Text PDFCortex
February 2022
Department of Psychology, University of Arizona, Tucson, AZ, USA; Evelyn F. McKnight Brain Institute, 1503 E University Blvd., University of Arizona, Tucson, AZ, USA; Department of Neurology, University of Arizona, Tucson, AZ, USA. Electronic address:
Autobiographical memory consists of distinct memory types varying from highly abstract to episodic. Self trait knowledge, which is considered one of the more abstract types of autobiographical memory, is thought to rely on regions of the autobiographical memory neural network implicated in schema representation, including the ventromedial prefrontal cortex, and critically, not the medial temporal lobes. The current case study introduces an individual who experienced bilateral posterior cerebral artery strokes resulting in extensive medial temporal lobe damage with sparing of the ventromedial prefrontal cortex.
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